![]() Unclean hair and unwashed skin as well as dirty clothes and bedclothes can mean the nursing home staff is cutting corners. Residents with poor hygiene-Insufficient staffing can be evidenced by unkempt residents.Other telltale circumstances that not only are indicative of neglect as a result of staffing issues, but also are frequent bedsore causes, include the following: Inattentive, indifferent, or incompetent care providers.Low nursing staff levels and high staff member turnover rates.The following are considered indicators of circumstances within nursing homes that could interfere with that home’s ability to support an elderly resident’s physical, mental, and psycho/social well-being, all of which are necessary in preventing nursing home neglect: Staffing issues in nursing homes can contribute to instances of nursing home abuse and nursing home neglect. Preventing Nursing Home Neglect and Abuse ![]() For people using Care Compare to help in choosing a nursing home, this data should provide insight into how homes with similar staffing star ratings compare regarding weekend staffing. According to McKnights, turnover calculations of the average number of RN and total nurse hours worked per resident per day are based on weekends. CMS posts data on Care Compare that shows both weekend RN and total nurse staffing levels for all nursing homes. Maintaining adequate levels of staffing within nursing homes throughout the week and weekend promotes consistency in care and help in preventing nursing home neglect. “If providers don’t make deep, meaningful changes, it will come to haunt them.”ĬMS said one aim in revealing data on facilities’ weekend staffing is to inspire homes to boost staffing levels on weekends. “Staffing challenges are harder than ever before,” said Melissa Brown, OT, chief operating officer of Gravity Healthcare Consulting. ![]() CMS’s publication of the rate of turnover at a given facility aims to encourage that facility to curb the usage of agency staffing and to seek ways to secure longer-term staffing solutions and staff retention. Nursing homes left to grapple with vacancies have increasingly sought to fill positions, at least temporarily, with agency staffing, according to an article in Skilled Nursing News.īut the relationships between residents and their long-term caregivers, deemed necessary to the patients’ wellbeing and quality of life, cannot be achieved with temporary staff or in circumstances of high staff turnover. Issues with nursing home staffing predate the coronavirus pandemic, but the challenges of COVID have served to worsen the problem.Īs the CMS makes additional nursing home staffing data public, workers are continuing to leave their jobs according to the Bureau of Labor, since February 2020 about 420,000 nursing home workers have resigned. In addition to data regarding nursing home staffing averages previously available on the Medicare Care Compare site, the Centers for Medicare & Medicaid Services have begun posting staff turnover rates and weekend staffing levels on the site, says a McKnights article. The transparency regarding these two aspects of nursing home staffing issues seeks not only to better inform consumers who are choosing a nursing home, but also to encourage facilities to make significant improvements toward preventing nursing home abuse and neglect by boosting and securing staffing. The public availability of staff turnover data and weekend staffing rates may prompt staffing policy changes that help in thwarting nursing home abuse and preventing nursing home neglect. Facilities with low administrative turnover are likely to have stable leadership, clear direction, and efficient operations, which can help staff provide more consistent care.CMS Makes Additional Nursing Home Staffing Data Public: In examining the relationship between staff turnover and quality, CMS’ preliminary analysis found that homes with a lower RN, total nurse, and administrative turnover had higher Five-Star Ratings.
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