The Centers for Medicare and Medicaid Services (CMS) on Tuesday added
more names to its list of under performing nursing homes, known as "special focus facilities." One of them is in Ogden, Utah. This questionable distinction belongs to the Mount Ogden Health and Rehabilitation Center. It will now be inspected by state officials twice as often as those not on the list. By releasing the list, the CMS hopes to get nursing homes to do the job right or get out of the business.
Kerry Weems, acting administrator of
CMS, briefed the media stating that all the SFF facilities are "chronic under performers" that "have caused actual harm to residents at some point."
Of course, just because a nursing home is not on the list doesn't mean it is safe. I recently represented a family in a claim against another nursing home in Utah where an elderly man with Alzheimer's disease was allowed to wander unattended. He fell out of a second story window to his death, only to be found hours later. The necessary safeguards were obviously not followed.
As a Utah attorney, I have also seen cases involving decubitus ulcers (bedsores), falls, medication errors, and other abusive and negligent behavior in Utah nursing homes. Our elderly loved ones deserve better. Reporting substandard care facilities is clearly a step in the right direction, but my experience shows there continues to be room for improvement.
Here is more from an article in the Deseret News:
"Being the sole Utah nursing home on the list doesn't mean it is or
isn't the worst in the state, said Greg Bateman, long-term-care survey
manager for the Utah Department of Health. CMS gave Utah a list of 15
facilities based on an undisclosed formula and asked it to pick one for
consideration as an SFF program facility.
"Even though its most
recent recertification survey was not very adverse, its history in the
past three years included two surveys which cited 'immediate
jeopardy,"' Bateman said -- including "one that showed actual harm to
residents."
In its last full survey last May, Mount Ogden, 375
E. 5350 South in Ogden, was cited with several lower-level deficiencies
"posing a potential for harm." Those all were corrected, he said. No
facility "can go beyond six months in noncompliance" without being
decertified.
Mount Ogden administrator Sam Hickcox said the
serious deficiencies contributing to its poor three-year survey average
occurred in 2005 and were one of the reasons Ensign Group, which owns
and operates 64 facilities, bought it in July 2006. The company buys
facilities "that are underperforming clinically and turns them around.
That is our business. We feel like we're in the business of improving
our industry," he said.
The new owners have made significant
improvements, he said, including new equipment, beds and floors. The
nursing home also has new management and upgraded clinical care and
communication. Its census has risen from 49 to 61.
Each state
is asked to look at certain facilities and suggest for the SFF list,
"but that doesn't mean all of them make the list," says CMS regional
spokesman Mike Fierberg. In cases where there's immediate jeopardy to a
resident, it all goes out the window. Nursing homes are put on
immediate termination track and are "toast unless they get this done.
Stop what you're doing and fix this issue," he said.
Larry
Minnix, president of the American Association of Homes and Services for
the Aging and a strong advocate of pointing fingers at facilities that
fail to perform well, hopes all the facilities on the list will be able
to graduate.
"We're in favor of this effort," he said. Of
nursing homes previously identified as poor providers, "a number have
gotten better and stayed better for a period of time. There are some
that haven't, and I hope CMS will cancel their contracts. We think they
should be even more aggressive."