Sandford Care Home
North east wales.
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Get to know Sean Speakman our Care Home Manager here at Sanford…
Length of time at sandford:.
I have worked for Pearlcare for 3 years managing 2 Care Homes. For the first few years I managed Wellfield Care Home and have been the Manager at Sandford for the past 15 months.
Tell us a fun fact about yourself:
I am a HUGE animal lover!! I also jumped 15000ft from a plane to raise money and awareness for childhood cancer.
Qualifications & Experience:
I have worked in the H&SC sector for nearly 14 years gaining various qualifications. I am currently studying Level 5 in ILM Leadership & Management.
My Ethos as Sandford’s Manager:
I have a big passion for people and a passion to plan, oversee and deliver exceptional levels of care. My role as a manager is resident focused – this is at the forefront of everything we do here at Sandford. I feel very privileged to be working as part of a team within the residents home as opposed to residents living within our place of work.
Biggest achievement whilst working at Sandford:
01745 855 193, [email protected].
Mealtimes are an important part of the day and our chef works hard to provide a variety of freshly prepared, tasty and nutritious dishes to suit our residents’ preferences, catering for special dietary needs as required.
We also have a wide range of services on offer including a visiting hairdresser and a chiropodist, ensuring that however our residents wish to spend their time, they can do so in comfort.
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Carr Holm is a 20 bed care home in the North-Wales seaside resort of Prestatyn. We are located in a peaceful residential area between the sea and the town, minutes away from a lively accessible promenade – with local amenities including a swimming pool, restaurants and cafés.
Carr Holm is managed by Fay Crotty and owned by Moore & Moore Care Ltd, whose directors are Dr Bruce Moore and Dr Pascale Moore.
We are inspected and regulated by Care Inspectorate Wales .
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St chamond's nursing home, mr & mrs c m mascarenhas.
St Chamond`s Nursing Home – Bishopswood Road, Prestatyn, South Glamorgan, LL19 9PW
View telephone (01745) 854130.
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What type of care does st chamond`s nursing home in prestatyn offer.
St Chamond`s Nursing Home offers Older People (65+) care.
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Total Care North Wales Ltd
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Last updated 23/11/2023 @ 19:28:04"> Abbeyfield Prestatyn
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Howes Property Solutions Ltd
24 Meliden Road, Prestatyn, Clwyd, LL19 9RT
Last updated 20/02/2024 @ 12:09:10"> Next
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Bridge Road, Prestatyn Shopping Centre, Unit 1, Trostre Road 2C/3, Prestatyn, LL19 9BJ
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19 Kings Avenue, Prestatyn, Clwyd, LL19 9AA
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A hospital is suing to move a quadriplegic 18-year-old to a nursing home. she says no.
Alexis Ratcliff attends her 18th birthday party at the hospital in Winston-Salem, N.C. She is a quadriplegic who uses a ventilator and has lived at Atrium Health Wake Forest Baptist since she was 13. Susan Ratcliff hide caption
Alexis Ratcliff attends her 18th birthday party at the hospital in Winston-Salem, N.C. She is a quadriplegic who uses a ventilator and has lived at Atrium Health Wake Forest Baptist since she was 13.
From her hospital bed, Alexis Ratcliff asks a question: "What 18-year-old gets sued?"
Ratcliff is that 18-year-old, sued by the hospital in Winston-Salem, N.C., that wants her to leave.
Ratcliff, a quadriplegic who uses a ventilator, has lived at Atrium Health Wake Forest Baptist since she was 13. She wants to leave, too. But not to the nursing home the hospital found for her in another state.
She wants to live in a home nearby, close to her family and school.
When she refused to move to the distant nursing home, the hospital sued her for trespass.
The standoff in North Carolina shows the failure of states across the country to adequately address the long-term-care needs of younger people with complex disabilities. This year marks the 25th anniversary of a U.S. Supreme Court opinion that found states have an obligation to help people with disabilities — young and old — live, whenever possible, in their own homes and not in institutions like hospitals and nursing homes.
As Hospitals Fear Being Overwhelmed By COVID-19, Do The Disabled Get The Same Access?
A 2010 NPR investigation found that states and the federal government failed to live up to the new requirement to help people live at home. Ratcliff's case, and new analysis by NPR, shows that progress in the states remains spotty, especially for people with the most complex disabilities.
In her hospital room decorated with cards, posters and Disney memorabilia, Ratcliff speaks softly under the persistent whoosh of the ventilator, a machine that pushes oxygen into her lungs. "I didn't ask to be here," Ratcliff says. "It wasn't my choice. It wasn't my decision. I didn't want to be here. But unfortunately, I'm the one who got sued."
Ratcliff's hospital room is decorated with Disney memorabilia, cards and posters. Susan Ratcliff hide caption
Ratcliff's hospital room is decorated with Disney memorabilia, cards and posters.
She wants the state of North Carolina, where she has lived her entire life, to find a house or apartment for her, with aides and nurses. It's something the state has done for other people with disabilities similar to hers.
"Yes, I am a quad," she says. "But I'm still a normal human being, just like everyone else. And I should be able to live ... life to the fullest of my abilities."
Ratcliff says to do that, she needs to stay near her family and the neighboring college that gave her a full academic scholarship. She recently began online classes, but dreams of attending on campus one day.
Lois Curtis, who won a landmark civil rights case for people with disabilities, died
In February 2008, when Ratcliff was 18 months old, she was injured — her neck crushed — in a car crash. Her mother was driving and her father was holding her in his lap in the front seat. Ratcliff's mother was high on drugs and was later convicted of multiple charges related to the accident and sentenced to prison.
Doctors at Wake Forest Baptist saved Ratcliff's life.
She was sent home to live with family. North Carolina's Medicaid agency sent nurses and aides to the house to help care for the young child, who needed a ventilator to breathe and a wheelchair to get around.
That arrangement ended when her grandfather developed serious health problems and gave up his house to move to an assisted living facility. In January 2019, when Ratcliff was 13, she returned to the hospital. Except for one six-month period when she stayed with a foster parent, she's lived there ever since.
Dr. Kevin High, the hospital's vice chief academic officer, says this isn't about money. Medicaid pays for Ratcliff's care.
Alexis Ratcliff wants to stay near home so she can see her family — including Randy Ratcliff, her biological grandfather and adoptive father, who came to see her at the hospital last spring for her graduation party. Susan Ratcliff hide caption
Alexis Ratcliff wants to stay near home so she can see her family — including Randy Ratcliff, her biological grandfather and adoptive father, who came to see her at the hospital last spring for her graduation party.
High says a hospital isn't a place for people to live long term. Except for a short time after Ratcliff returned from her brief foster care placement, her health has been stable, according to the hospital's lawsuit, and she doesn't require the level of care she's getting in the hospital.
"We always have people waiting for beds. And especially ICU beds," says High, who until September served as the hospital's president. Some people get turned away or wait for prolonged periods, he says, "when you have people who stay in the hospital for a very long period of time like this."
Ratcliff says she still needs the bed — until care can be set up in a home or apartment.
Since Ratcliff came back to the hospital in 2019, the level of care has been attentive and skillful. She's had no bed sores, no respiratory infections. Those can be common — and deadly — for a quadriplegic on a ventilator.
The nurses, doctors and staff have been some of Ratcliff's biggest supporters, and her best friends.
Last spring, when Ratcliff graduated from high school, staff on the pediatric side, Brenner Children's Hospital, threw a big party. In August, when she turned 18, they threw her an even-bigger birthday celebration.
The next day, officials at the health center ordered her moved to the adult side of the hospital and increased the pressure on her to leave. With no nursing home in North Carolina willing to take her, the hospital found a nursing home a few hours away in Virginia.
How to talk about disability sensitively and avoid ableist tropes.
High notes that Ratcliff initially said OK. But Ratcliff, who became her own guardian when she turned 18, says she felt pressured by hospital staff who said if she didn't go to the nursing home in Virginia she'd be sent instead to one even farther away, possibly in Ohio. Ratcliff and her lawyers say she was pressed to make a decision without family or another representative present.
Ratcliff's lawyers claim the hospital retaliated against the young woman. It removed the respiration equipment she needs to go outside the hospital and ended a contract with a nurse who occasionally took her out, the lawyers allege.
Alexis Ratcliff, in cap and gown for the invitations she sent for her high school graduation. It took a judge's order to tell the hospital to help her leave the hospital and attend her graduation ceremony. Amber Flippen hide caption
Alexis Ratcliff, in cap and gown for the invitations she sent for her high school graduation. It took a judge's order to tell the hospital to help her leave the hospital and attend her graduation ceremony.
They claim Ratcliff has been warned that if she goes outside the hospital, she won't be allowed back in. She hasn't been outside since August.
The hospital had tried before to discharge Ratcliff — a family member says it found nursing homes for her in California and New Jersey — but it sparred with a judge from Ratcliff's home county, who halted the transfer. That order, from a Surry County District Court, held until Ratcliff turned 18.
The hospital's lawsuit charging Ratcliff with trespass was filed in September, the month after she turned 18. It said her continued refusal to move to a nursing home out of state "constitutes a trespass" and asked a different court to require Ratcliff to accept the placement.
In November, Ratcliff's lawyers won an order from the new court that stopped the hospital from immediately moving her out of state.
Moving to another state would make it difficult to get back to North Carolina, says Lisa Nesbitt of Disability Rights North Carolina, which is representing Ratcliff. If Ratcliff moves to a nursing home in another state, Nesbitt says, she becomes a citizen of that state and gives up her North Carolina Medicaid. That would make it unlikely she could return to North Carolina, according to the response to the hospital's lawsuit.
"Right now, there is no known path back for her if she leaves the state," says Nesbitt.
There's another key player here: the state Medicaid agency. It's responsible for making an effort to help people like Ratcliff who are eligible for Medicaid get long-term care — in their own homes, not in a hospital or a nursing home.
Home Or Nursing Home
NPR asked to speak to someone at North Carolina's Medicaid agency about what they're doing to help Ratcliff get out of the hospital.
The answer: "No comment."
In 2010, an NPR investigation found that all states and the federal government had failed to follow up on a new right of people who need long-term care to receive it in the " most integrated" and appropriate setting. That obligation was established by a 1999 U.S. Supreme Court decision in Olmstead v. L.C. Two Georgia women with developmental disabilities and mental illness, Lois Curtis and Elaine Wilson , argued that under the Americans with Disabilities Act, they had a right to get care in their community, not in state hospitals.
Elaine Wilson (left) and Lois Curtis, two Georgia women with developmental disabilities and mental illness, are seen in 1999. At the Supreme Court, lawyers argued that under the Americans with Disabilities Act, they had a right to get care in their community, not in state hospitals. John Bazemore/AP hide caption
Elaine Wilson (left) and Lois Curtis, two Georgia women with developmental disabilities and mental illness, are seen in 1999. At the Supreme Court, lawyers argued that under the Americans with Disabilities Act, they had a right to get care in their community, not in state hospitals.
The NPR investigation found that although nursing homes mainly serve elderly people, there were more than 6,000 children and youth up to age 21 living in them and thousands more in their early 20s — many of whom could live in their communities with proper medical support.
A new NPR analysis found that although there are fewer young people in nursing homes today, thousands still live in one. NPR looked at federal data that, as of September 2023, showed 6,594 people age 30 and under living in American nursing homes.
Shots - Health News
The pandemic pummeled long-term care – it may not recover quickly, experts warn.
One issue, policymakers say, is that younger disabled people in nursing homes often have some of the most complex medical needs, and those who are easier to set up at home — more often older people — get services first. Researchers writing in the journal Health Affairs faulted state agencies for allowing a "stagnation in nursing home use for younger people with disabilities."
"The cost is stolen lives," says co-author Ari Ne'eman, a Ph.D. candidate in health policy at Harvard. "People end up living out years, decades, sometimes their entire lives in institutional settings where they don't want to be and don't need to be."
Complex medical needs require support
If she were to live in her own home, Ratcliff would need a lot of caregiving support, probably 24 hours a day. She'll need aides, and likely a nurse, to watch that her ventilator works, that her tracheostomy tube — which directs the air from the ventilator to her lungs — doesn't get clogged or dislodged. She'll need someone to move her in bed and in her wheelchair so she doesn't get painful pressure sores.
"She absolutely can get that care at home," says Joonu Coste, a lawyer at Disability Rights North Carolina. Coste says the task now is for the state Medicaid agency "to put a package together that will support her so she can be in the community and do all the things that the rest of us want to do in the community: attend school, have friends, go out with friends. It's all possible, but Medicaid has to step in and help put this package together for her."
Alexis Ratcliff is surrounded by her Aunt Susan Ratcliff, Uncle Rondale Ratcliff and cousins Halee and Caden Ratcliff in her hospital room. Ratcliff family hide caption
Alexis Ratcliff is surrounded by her Aunt Susan Ratcliff, Uncle Rondale Ratcliff and cousins Halee and Caden Ratcliff in her hospital room.
It takes time to put together the staff of nurses and aides needed to care for someone with complex medical needs, and there's a shortage nationwide of home-care aides, called direct service professionals. At one point last year, a nurse who had worked with Ratcliff considered caring for her in her own home, but that fell through.
Care at home is usually cheaper than what it costs for a disabled person like Ratcliff to live in a hospital and even in a nursing home. Holly Stiles, an attorney with Disability Rights North Carolina, notes that the state's Medicaid program has said Ratcliff is eligible for at-home service programs that, by law, are required to be cost neutral to the state overall.
Alexis Ratcliff says she needs to leave the hospital and have her own home in order to live a full life.
"You can't put a social butterfly in a bubble and think that it's going to be OK. And it's just not," she says.
From her hospital bed, she attended classes online at her high school in rural Surry County, northwest of Winston-Salem. She graduated last spring and was selected to the National Honor Society.
But it took a court order for Ratcliff to attend her high school graduation. A Surry County judge ordered the hospital to let her attend and to provide transportation and a nurse to accompany her.
Ratcliff won a full academic scholarship to nearby Salem College, a small women's school.
Ratcliff takes classes there online, for now. But her wish is to one day have a more normalized college experience and attend classes on campus.
"She loves people," Ratcliff's aunt, Susan Ratcliff, says. "And she would love to be here with her peers. She has missed out on so much of that."
Susan Ratcliff notes that before Alexis had to live in the hospital she took a school bus every day, in her wheelchair, to middle school, where she made good friends.
Susan Ratcliff says her niece wants to attend classes at Salem College on campus with her peers. "She has missed out on so much of that." Joseph Shapiro/NPR hide caption
Susan Ratcliff says her niece wants to attend classes at Salem College on campus with her peers. "She has missed out on so much of that."
At Salem, school officials are working to help Ratcliff succeed. They've already thought out how to move classes to wheelchair-accessible rooms if Ratcliff one day comes to the campus of brick sidewalks and old brick Colonial-era buildings, some built in the 1700s and 1800s.
When Ratcliff was unable to leave the hospital to attend office hours, her faculty adviser, Diane Lipsett, took office hours directly to Ratcliff, making periodic visits to the hospital.
"We talk a lot here — all of my colleagues talk — about meeting students where they are," says Lipsett, an associate professor of religion. "Sometimes that's metaphorical. With Alexis, it means a different space, too."
Ratcliff can't use her hands. But from her hospital bed, she uses her voice to control her iPad and iPhone, calling friends and family, sending emails and doing her schoolwork. Every day, she calls her younger sister, Apple.
In addition to the chance to attend college, Ratcliff says it's important to stay nearby so she can be close to family. Established in a home of her own, she could see her sister more, along with other friends and family, including her aunt and her grandfather.
Living in their own homes
Around the country, many people with Ratcliff's high level of disability do live in their own homes. Tracy Chen, born with a rare muscular disorder, lives in Pennsylvania, where the state set up a program to provide in-home care to people with complex medical needs. Chen says, "Don't let people tell you you're not able to do something."
The 21-year-old, who uses a ventilator and electric wheelchair, has lived in her parents' home, in group homes and in a hospital for a brief period in 2022, before she moved into her own apartment in Philadelphia with a full-time nurse and aides. She appreciates the freedom to invite family over to play board games or to take an Uber to the Cheesecake Factory for lunch with friends.
When Hogan VanSickle got out of a nursing home and into her own home in Charlotte, N.C., she went back to school — law school. Travis Dove for NPR hide caption
When Hogan VanSickle got out of a nursing home and into her own home in Charlotte, N.C., she went back to school — law school.
In Charlotte, N.C., technology helps Hogan VanSickle live in a low-slung brick ranch home with her mother. VanSickle, a quadriplegic, shows how she uses voice commands to set her bed to shift every 45 minutes through the night to help her avoid pressure sores.
After an auto accident in 2014, VanSickle spent 2 1/2 years in a nursing home. "I was miserable," she says.
VanSickle says overworked aides there failed to do basic care, like moving her body so she wouldn't get bedsores. She had lots of them; two got infected down to the bone.
In her home office, VanSickle keeps an image of herself in the hospital after her 2014 car accident. With her law degree, VanSickle wants to become a disability rights lawyer. Travis Dove for NPR hide caption
In her home office, VanSickle keeps an image of herself in the hospital after her 2014 car accident. With her law degree, VanSickle wants to become a disability rights lawyer.
"It was probably the most painful experience of my life, easily," she says. "I would have taken 10 spinal cord injuries over that bone infection. I mean, it was just so ungodly painful."
During the time in the nursing home, she had to be hospitalized for months after developing dangerous sepsis. She said she'd go weeks — 21 days at one point — without a shower.
Things got better for her when North Carolina's Medicaid program moved her into a house with her parents and arranged for aides to come in seven hours a day to help her with things like getting out of bed, getting dressed and eating.
Hogan VanSickle gets help from her sister, Heather Hanson (right), and mother, Clara Brown, as they try to obtain fingerprints for her bar exam application, which is made challenging by the format and the limited mobility in her fingers. Travis Dove for NPR hide caption
Hogan VanSickle gets help from her sister, Heather Hanson (right), and mother, Clara Brown, as they try to obtain fingerprints for her bar exam application, which is made challenging by the format and the limited mobility in her fingers.
VanSickle, who is 41 now, went back to school — where she studies law. She attends a hybrid online and on-campus program at the University of Dayton Law School. She'll take the bar exam in July.
VanSickle wants to become a disability rights lawyer and help people like Alexis Ratcliff. Recently, she spoke to Ratcliff. "At 18, to be able to stand up against a hospital and say, 'This is not OK, you're not going to do this to me,' is so impressive," VanSickle says.
VanSickle has outfitted her home with assistive technology such as cameras that allow her to navigate a computer with facial movements and expressions. Travis Dove for NPR hide caption
VanSickle has outfitted her home with assistive technology such as cameras that allow her to navigate a computer with facial movements and expressions.
Living in the hospital, Alexis Ratcliff was forced to grow up fast.
She says her parents' lives were marred by drug use. Her father died a few years after the auto accident.
And last month, Ratcliff's mother died, too.
Anna Marie Crim spent years in prison for the accident that injured her daughter so badly. When she came out, in 2020, it was Ratcliff who reached out.
"When she first got out, she was doing fantastic," Ratcliff says of the mother she barely knew. "She was sober. She was working at Goodwill."
They talked on FaceTime frequently.
"We were really close at that moment," Ratcliff says.
The Ratcliff family, including Alexis' sister Apple (right), celebrates with Alexis at her high school graduation. Ratcliff family hide caption
The Ratcliff family, including Alexis' sister Apple (right), celebrates with Alexis at her high school graduation.
But then, Ratcliff could tell from their conversations that her mother was hanging out again with old friends who abused drugs.
Ratcliff — then just 15 — warned her mother to stay away from them.
Her mother's calls became less and less frequent.
When she died in January, she was 37.
"I love her. I do," she says. "We never had a perfect relationship. Never the perfect mother-daughter relationship that I would love. And I am sad that she's gone."
Still, the relationship was stressful. "The stress of worrying about her," Ratcliff says. "The stress of knowing whether she's alive or not. And the stress of calling and seeing if she's high. And just the stress of the drama, the pain and the heartache."
Now Alexis Ratcliff is dealing with a different stress. She says she intends to finish her fight to get out of the hospital, avoid the nursing home and get the life she dreams of — to finish college and move to a place she can call home.
Robert Benincasa contributed reporting to this story. The radio story was produced by Graham Smith.
Thieves take off with sick Montgomery County woman's home while she recovers in nursing home
MONTGOMERY COUNTY, Texas (KTRK) -- A sick Montgomery County woman won't have a home to return to after it was stolen Tuesday morning.
A neighbor's surveillance footage shows two people pulling up to her trailer home on Burning Tree Lane near New Caney just before 6 a.m. The video shows sparks fly as they use a power tool to cut the lock, then hitch it to their truck and drive away.
"It just shows the depravity of man," Dwaine Wise, who lives nearby, said.
It's a crime all the more heartless because the woman who lived in the trailer has been in and out of the hospital and is currently recovering in a nursing home.
"She's been crying and just puking and making herself sick," the victim's sister, Susan Norris, said.
Norris dipped into her retirement fund to buy her sister the trailer for $24,000 last December. Her neighbors pitched in to build a ramp leading to the door.
"A friend of mine from church actually came out, and he installed all the electrical," Wise said.
But now, with the trailer missing, it won't do the owner any good.
"Shame on them. I mean, you're not supposed to steal. You're not supposed to take from others," Norris said. "Surely their momma didn't raise them that way."
When Eyewitness News asked the Montgomery County Sheriff's Office if it had any leads on suspects, a spokesperson said to file an open records request, which can take more than a week to process.
For news updates, follow Luke Jones on Facebook , Twitter and Instagram .
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Proposals to CMS could bring more nursing homes into ACOs
Better integrating nursing homes into accountable care organizations could lead to significant Medicare savings, but would also require tweaks to ACOs or new value-based care tests, according to a trade organization report released Wednesday.
Only about 2,000 nursing homes are participating in ACOs. But a white paper, published by the American Health Care Association and the National Association of ACOs , said nursing homes could play a critical role in value-based care if the Center for Medicare and Medicaid Services were to better line up incentives for community-based and institutional providers.
Related: Medicare ACO participation spiked in 2024, CMS says
CMS has set a goal of having all fee-for-service Medicare beneficiaries tied to value-based care by 2030. About half of fee-for-service Medicare beneficiaries, representing 13.7 million people , are enrolled in ACOs. Nursing homes could be a crucial link in value-based care because they manage high-cost patients -- Medicare spent nearly $60 billion on post-acute care in 2021, according to the Medicare Payment Advisory Commission. But the way ACOs are set up, including CMS' financial calculations, quality measures and patient alignment policies, doesn't make it easy to include nursing homes in the value-based care model, the report said.
“Providers need better access to data and information to ensure their patients don’t end up back in the hospital,” NAACOS said in a statement. “They need more tools to better work with SNFs and to make sure SNFs have the same financial incentives provided to ACOs.”
ACOs are responsible for assigned Medicare enrollees' Part A and Part B spending, regardless of where a person is receiving care. If a patient goes into a nursing home and receives the bulk of care through that facility, an ACO is still at risk for the cost of that care. Conversely, nursing homes that save money and benefit ACOs likely can't share in those savings without an outside agreement, the groups said.
That is why only about 10% of skilled nursing facilities nationwide participate in ACOs, according to the paper, which includes feedback from about 20 healthcare organizations.
Nursing homes and ACOs are also paid differently by Medicare, and their incentives don't always line up. Skilled nursing facilities that provide Medicare beneficiaries with short-term, rehabilitative care are paid per day. ACOs, on the other hand, are rewarded for managing outcomes and the length of patients' skilled nursing facility stays. That can be a point of tension between the ACO and the nursing home, according to Brian Fuller, managing director at healthcare advisory firm ATI Advisory.
“Skilled nursing facilities are being asked to step up to the plate by ACOs to perform better on quality, to manage cost metrics and reimbursement metrics more tightly. Yet, there is no reward for the SNF in doing so,” Fuller said.
The white paper said one possible solution is testing episode-based pay for nursing homes within an ACO. But the paper said such bundled payments need to be set up so that both ACOs and nursing homes can benefit.
The report also recommended removing long-term care residents from ACOs and creating a separate model to better reflect the “critical component” nursing homes can play in value-based care arrangements.
The group of healthcare organizations didn't discuss suggestions on how nursing homes might be financially incentivized to participate in ACOs, but AHCA and NAACOS said that might include a population-based per member, per month payment.
The report's recommendations could alleviate some of the tension between ACOs and nursing homes and could encourage more long-term care facilities to participate in value-based care, according to Jason Feuerman, president and CEO of LTC ACO, an ACO serving Medicare beneficiaries in long-term care facilities. However, Feuerman said it could be a challenge convincing CMS to create a different ACO model.
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Footage of President Biden and former House Speaker Nancy Pelosi clasping hands as they gingerly shuffled across the tarmac at San Francisco’s airport is being mercilessly derided as proof of the commander-in-chief’s infirmity — with one calling it a “nursing home reunion.”
Biden, 81, reunited with Pelosi (D-Calif.), 83, when he touched down at SFO Wednesday afternoon as part of a three-day fundraising marathon through the Golden State, NBC News reported .
After greeting Pelosi and Mayor London Breed on the tarmac, the octogenarian president and the speaker emerita slowly made their way to board Marine One, footage showed .
The pair clutched hands for most of the journey.
“Can either one walk?” one X user snarked.
“Two old cronies plotting and holding each other up,” another chimed in .
A third commenter called the stroll “On Golden Pond Part II,” referring to the 1981 movie starring Henry Fonda and Katharine Hepburn as an elderly couple tasked with caring for their teenage grandson.
“She could have just brought a walker!” scoffed a fourth , while another critic joked , “Geriatrics unite!!”
Biden took the presidential chopper to San Francisco’s Marina Green, NBC said. Pelosi was on hand to co-host at least one fundraising event for the president in the city that evening.
During one gathering at the home of billionaire Democratic donor Gordon Getty, Biden raised eyebrows by referring to his Russian counterpart, Vladimir Putin, as “a crazy SOB.”
The reaction to the tarmac walk was just the latest in a series of cascading criticisms about the president’s age.
Sen. Ted Cruz (R-Texas) blasted Democrats on his podcast Wednesday for backing the octogenarian for a second term, insisting they would prop him up “Weekend at Bernie’s”-style to retain control of the White House.
“They’re not worried that he lacks the competence to do the job. There’s only one thing they’re worried about — that he would lose,” Cruz, 53, ranted on his podcast.
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Workers announce one-day strike at 7 twin cities nursing homes over pay, staffing.
Roughly 600 workers at seven Twin Cities nursing homes will stage a one-day strike March 5, hoping to pressure employers to boost pay and stop the exodus of nurses and caregivers from elder-care facilities.
Vote results announced Tuesday in favor of the strikes reflect desperation among workers, who are burning out from extra shifts to care for elderly and frail residents, said Jamie Gulley, president of SEIU Healthcare Minnesota and Iowa, the St. Paul-based union that represents the workers.
"There's not enough help," he said. "It just really plays havoc on people's family lives. It causes an extreme amount of burnout when you are forced to work doubles routinely. Folks have frankly had enough."
Seven strikes at once appears to be the largest simultaneous job action against nursing homes in Minnesota's history, he said. The time-limited strike is an increasingly common negotiating tool in healthcare, because workers can put pressure on employers while minimizing harm to patients or residents.
The walkouts March 5 will involve Saint Therese Senior Living in New Hope, the Estates nursing homes in Excelsior, Fridley and Roseville, the Villas at The Cedars in St. Louis Park, and Cerenity Humboldt in St. Paul. Contract support workers at the Villas in Robbinsdale also will strike, but not the facility's nursing staff.
Leaders of the nursing homes did not reply to requests for comment following the union's announcement outside Saint Therese. Votes are scheduled at other nursing homes which could join the walkout.
Staffing shortages have worsened since the pandemic. Minnesota has lost 26 nursing homes since 2019 and statewide nursing home capacity shrunk by more than 3,000 beds since 2020, according to Care Providers of Minnesota, a trade association for the state's elder-care operators.
Lawmakers stepped in last spring with $300 million in rescue funding to prevent more nursing homes from closing, but some still struggled. The Minnesota Department of Health temporarily took over operation of the Bay View Nursing and Rehabilitation Center in Red Wing at the end of 2023 when its owner stopped paying bills and employees.
Survey responses last fall from 1,300 union workers at more than 100 Minnesota nursing homes found that almost half make less than $20 per hour. The union believes a $25 per hour minimum wage for nursing home workers would attract more people and address the care shortage.
Laundry worker Teresa Brees said her Roseville nursing home lost a badly needed coworker who loved her $15-per-hour job but earned much more by switching to a job with the U.S. Post Office.
"How many more great people will we lose?" said Brees, who blamed understaffing for a torn bicep tendon she suffered last year after working 23 straight days.
More than 17% of nursing assistant positions were vacant in mid-2022, according to the most recent Minnesota job vacancy data , though that includes some positions at clinics and hospitals as well as nursing homes. SEIU represents nursing assistants, nurses and workers in food service and housekeeping in 31 nursing homes across Minnesota. Facilities under strike will lose the majority of their nursing home workforce March 5, and could be forced to hire high-cost contract workers for the day.
SEIU is banking on public support similar to what Twin Cities hospital nurses received in 2022 when they engaged in a three-day strike over staffing and benefit levels. Gallup's latest public opinion polling last August showed 67% support nationwide for organized labor, down from 71% in 2022 but still one of the highest approval ratings since the 1960s.
"We believe the residents are supportive of us," Gulley said. "In many circumstances, the residents know our working conditions are their living conditions."
Jeremy Olson is a Pulitzer Prize-winning reporter covering health care for the Star Tribune. Trained in investigative and computer-assisted reporting, Olson has covered politics, social services, and family issues.
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Former Ohio Solicitor General Benjamin Flowers addresses the Ohio Supreme Court. (Photo courtesy of Ely Margolis/Ohio Supreme Court)
- Jake Zuckerman, [email protected]
COLUMBUS, Ohio – The nursing home lobby sued the Ohio Department of Medicaid last week, arguing the state is shortchanging elder care facilities to the tune of hundreds of millions of dollars.
The particulars of how the Ohio Department of Medicaid – a $36 billion agency that administers the state-federal health insurance program to the poor and elderly – distributes funding to 926 nursing homes serving 66,000 Ohioans is complex. Medicaid covers 65% of all residents in Ohio nursing homes.
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