The office of Inspector General for the US Department of Health and Human
Services issued a
report yesterday which is critical of current practices in many nursing homes
around the country. The "Compendium of Priority Recommendations"
is issued by the office of Inspector General as a report to Congress.
One of the more significant recommendations is the need to carefully evaluate
the use of hospice care in nursing homes. The report concluded that the
hospice payment methodology may lead some hospices to inappropriately
seek out beneficiaries in skilled nursing facilities. As proof of this
conclusion, the Inspector General found that Medicare spending on hospice
care for nursing facility residents increased nearly 70% from 2005 two
2009 to a total of $4.31 billion. The Inspector General concluded that
the increase was not explained by any changes in the demographics of the
The report also pointed out the need to take steps at both the state and
federal level to prevent harm and ensure appropriate care at nursing homes.
The Inspector General noted that a report last month showed that about
33% of Medicare beneficiaries experienced “adverse or temporary-harm
events" during their stays in a skilled nursing facility. Of those
events, 59% were clearly or likely preventable and have resulted from
substandard treatment, inadequate resident monitoring, and failure or
delay of necessary care.
This is exactly the sort of deficient care that is at the core of our nursing
home and assisted living practice at Shrager, Spivey & Sachs. If you
or a loved one have been harmed in a nursing home or in assisted living
facility please call (888) 899-0652 us or e-mail us today. You can also
find out more about your rights at our nursing home website.
DoH Inspector General Compendium, March, 2014