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Real estate investment trusts are landlords for thousands of nursing homes, assisted living facilities, and hospitals. Some select the managers and keep close watch over their performance but deny responsibility for bad care.
Genesis HealthCare’s controlling investor, Joel Landau, had sought to rebuy the nursing homes while gaining protection from settlement payments over allegations of poor care. A judge rejected the proposal and ordered a new auction. A KFF Health News investigation found Genesis settled hundreds of lawsuits but didn’t pay them out fully.
Genesis HealthCare’s bankruptcy case in Dallas will allow the nursing home chain to avoid paying millions of dollars it promised for residents who were injured or died while in its care. Families say bankruptcy nullifies one of the main ways to hold nursing home owners accountable for poor care.
Few nursing homes are set up to care for people needing help breathing with a ventilator because of ALS or other infirmities. Insurers often resist paying for ventilators at home, and innovative programs are now endangered by Medicaid cuts.
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Specialized hospitals, nursing homes, clinics, and home health agencies provide rehab therapy. Insurers may limit the services you can get.
For-profit hospitals provide most inpatient physical therapy but tend to have worse readmission rates to general hospitals. Medicare doesn’t tell consumers about troubling inspections.
Understaffed nursing homes face a workforce crisis if President Donald Trump and Republicans further curtail immigration and cut Medicaid.
Health plans limit physical or occupational therapy sessions to as few as 20 a year, no matter the patient’s infirmities. The limits persist despite federal rules banning insurers from setting annual dollar limits on the care they will provide.
A Biden administration rule that imposed minimum rules on nursing levels may not survive, even though many homes lack enough workers to maintain residents’ care.
KFF Health News’ Jordan Rau explains how to tell the good nursing homes from the bad ones.
Clashes between residents — verbal, physical, and sexual — can be spontaneous and too unpredictable to prevent. But the chance of an altercation increases when memory care homes admit and retain residents they can’t manage, according to a KFF Health News examination of inspection and court records and interviews with researchers.
The Biden administration set stringent new federal staffing rules. But for years, nursing homes have failed to meet the toughest standards set by states.
Here are the telltale signs to look for in nursing homes to avoid, and resources that can point to better places.
The staffing regulation was disparaged by the industry as unattainable. Patient advocates say it doesn’t go far enough. Labor unions welcomed the requirement.
In the wake of a KFF Health News-New York Times series, members of the Special Committee on Aging are asking residents and their families to submit their bills and are calling for a Government Accountability Office study.
Thousands of people shared their experiences and related to the financial drain on families portrayed in the “Dying Broke” series, a joint project by KFF Health News and The New York Times that examined the costs of long-term care.
Long-term care options in the U.S. are costly, complex, and often inadequate. KFF Health News' Jordan Rau and Reed Abelson of The New York Times host a Zoom panel to explore the challenges of providing — and affording — care.
Deciding when, or whether, to buy long-term care insurance can be complex. Here’s what to know.
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