that, under the Americans with Disabilities Act, states can be required to place Medicaid-funded patients in their least restrictive settings, e.g., those with mental disabilities in community settings rather than in institutions such as nursing homes
. The key issues in placement, according to the court, are:
In any case, nursing home
care is a costly proposition and one that will be increasingly more difficult to meet in the years ahead.
There is a lot of pressure on the nursing home
industry today so a final decision on a real estate loan needs to take in to account good real estate lending practices, the banker explains.
Alice Hedt, executive director of the National Citizens Coalition for Nursing Home
Reform, based in Washington, D.C., called for more focus on facilities known to be poor performers.
After drastically raising rates and retentions three years ago, AIG has written a small amount of nursing home
business in the past six to nine months, Bucilla said.
User's fee legislation, if enacted, may increase expenses minimally to the nursing home
"But there was never any explanation of how people should know if what the nursing homes
say is accurate.
For example, in Counts,(27) the taxpayer sought to deduct the expenses of nursing home
care for his infirm father, who suffered from high blood pressure and a gall bladder condition.
The software that Kelso and his colleagues at Mission Health Services are codeveloping with a vendor, the Salt Lake City-based BlueStep, Inc., will provide a platform for nursing homes
to share data with acute-care and other providers.
In addition to specialized gardens, nursing home
facilities are adding courtyards and other senior-friendly outdoor spaces for residents and visiting family members to use.
General Accounting Office's July 2003 study, "Nursing Home
Quality: Prevalence of Serious Problems," 20 percent of homes originally deemed deficiency free by state investigators were found to actually have "serious, quality-of-care" issues when reviewed by federal surveyors.
With the average cost of a nursing home
running between $25,000 and $50,000 annually, half of all couples with one spouse in a nursing home
have lost their life savings within a year.