35 Burst results for "Nursing Home Facility"

"nursing home facility" Discussed on KFI AM 640

KFI AM 640

04:19 min | 3 months ago

"nursing home facility" Discussed on KFI AM 640

"A nursing home facility without having gun your own license by the California Department of Public Health first, And even if your license application is denied, which has happened in this case with Solorzano, you can continue running the nursing homes while your appeals process plays out, and sometimes that can take years, So the state has deemed an operator unfit by denying a license to them, But you can still continue operating them while your appeals are processing. You know, in your reporting, you found out the rejection rate is very low, I think was only 5% that have been denied. And there wasn't any applications that were denied between 2016 and 2019 until these nine from Solorzano, So those numbers kind of about that They found a lot of issues at the facilities that she was operating already. And then they also cast out a little bit on character. As you mentioned earlier, there was this issue where I guess she's might have submitted some false documents with regards to some of her credentials on all of this, and you mentioned you kind of got wind to this story about a lack of testing or withholding of testing for Cove it on social media. Solorzano was posting things that were casting doubt on vaccines and the nursing homes in California, at least, were some of the first places to be getting Ah lot MENSA vaccine but on the social media that she Was posting she was sharing just a lot of misinformation. So the California department public Health had charged that when someone's on a plane to be a nursing home administrator, she submitted fraudulent college transcript. That's one of the reasons why they tonight her the licenses to take over the facilities. And then in further in our reporting we saw in her instagram stories that in December she had posted a syriza of post that spread misinformation about the covert vaccine. One post repeated the falsehood that the vaccine changes your didna, which has been Repeatedly debunked by medical experts. Another Post said quote the covert vaccine should be avoided at all costs, and she has about 11,000 followers, so she had shared a number of posts to her followers. And when we shared these social Media flight post with Dr Michael Wasserman, who's part of the California Vaccine Advisory Committee, he told us that it's unconscionable that someone who's in the leadership position in a nursing home for nursing home chain would do this. So, as you said, I mean, nursing home residents were among the first to be able to get the vaccine when it was first okay by the FDA. Yeah. I mean, it's been a quick rise for Crystal. So Lozano and renew health group and, you know, amassing these 26 facilities right now that they're responsible for and you know, we've kind of talked to all the stuff. Obviously, This is the story that we're focusing on. For right now, but you know, it's just kind of the theme that we've kind of put forward. Nursing homes have been in the spotlight throughout this pandemic, and a lot of these problems have been highlighted on what's going on. So you know the story. Obviously, you know, highlights bad actors in the game, but also to talk about reforms. You know, there is some reform coming in Sacramento on the California side, you know something to do with this issue of these licensing borrowing licenses. So tell us, you know what kind of action is being taken there? There's a bill introduced in the state Legislature this year. That would really address this issue of being able to take over a nursing home before getting your license so that it would Banned that practice. It would require nursing home operators to get approval to get a license first from the state to be able to start operating a nursing home. And then it would also ban this practice of quote unquote borrowing licenses from previous owners. That bill is currently In a committee. But we've been told by legislators and that it's a two year bill. So it'll be tabled until next year. Yeah, that's a B 15. Oh, too, But I find it only kind of makes sense that you would need those proper licensing to take over a facility, especially as I mentioned. These are our most vulnerable citizens here, and things need to be on the up and up. These nursing homes have a history. Unfortunately of not always taking care of them, And you know you, then you hear stories and actors like this and people kind of shake. Head at it. So hopefully you know these stories highlight that hopefully the action gets taken. And, you know, we'll see what happens on that front. Ellie, you investigative reporter for Ella's and Kpcc. Thank you very much for joining us. Thanks for having.

California Department of Publi California Ellie California Vaccine Advisory Co Sacramento December Michael Wasserman 2019 2016 two year 26 facilities next year this year tonight about 11,000 followers instagram FDA 5% one Crystal
"nursing home facility" Discussed on Progressive Talk 1350 AM

Progressive Talk 1350 AM

04:30 min | 3 months ago

"nursing home facility" Discussed on Progressive Talk 1350 AM

"Take over a nursing home facility without having On your own license by the California Department of Public Health first, And even if your license application is denied, which has happened in this case with Solorzano, you can continue running the nursing homes while your appeals process plays out, and sometimes that can take years, so You know, the state has deemed an operator unfit by denying a license to them, But you can still continue operating them while your appeals are processing. You know, in your reporting, you found out you know that a lot of The rejection rate is very low, I think was only 5% that have been denied. And there wasn't any applications that were denied between 2016 and 2019 until these nine from schoolers on Oh, so those numbers kind of bound that they found a lot of issues at the facilities that she was operating already. And then they also cast out a little bit on character. As you mentioned earlier, there was this issue where I guess she might have submitted some false documents with regards to some of her credentials on all of this, And you mentioned you kind of got wind to the story about a lack of testing or withholding of testing for Cove it on social media. Solorzano was posting things that you know we're casting doubt on vaccines. And you know the nursing homes in California, at least where some of the first places to be getting Ah lot MENSA vaccine but on the side Social media that she was posting she was sharing just a lot of misinformation. So the California department public Health had charged that when someone's on a plane to be a nursing home administrator, she submitted fraudulent college transcript. That's one of the reasons why they tonight her the licenses to take over the facilities. And then in further in our reporting we saw in her instagram stories that in December she had posted a Syriza's of post that spread misinformation about the covert vaccine. One post repeated the falsehood that the vaccine changes your didna, which has been Repeatedly debunked by medical experts. Another Post said quote the covert vaccine should be avoided at all costs, and she has about 11,000 followers, so she had shared a number of posts to her followers. And when we shared these social Media flight post with Dr Michael Wasserman, who's part of the California Vaccine Advisory Committee, he told us that it's unconscionable that someone who's in the leadership position in a nursing home for nursing home chain would do this. So, as you said, I mean, nursing home residents were among the first to be able to get the vaccine when it was first okay by the FDA. Yeah. I mean, it's been a quick rise for Crystal. So Lozano and renew health group and, you know, amassing these 26 facilities right now that they're responsible for and you know, we've kind of talked to all the stuff. Obviously, This is the story that we're focusing on. For right now, But you know, it's just kind of the theme that we've kind of put forward. Nursing homes have been in the spotlight throughout this pandemic, and a lot of these problems have been highlighted and what's going on. So you know the story. Obviously, you know, highlights bad actors in the game, but also to talk about reforms. You know, there is some reform coming in Sacramento on the California side. You know something to do with this issue of these licensing borrowing licenses, So tell us you know what kind of action is being taken there? There's a bill introduced in the state Legislature this year. That would really address this issue of being able to take over a nursing home before getting your license so that it would ban that practice. It would require nursing home operators to get approval to get a license first from the state. To be able to start operating a nursing home. And then it would also ban this practice of quote unquote borrowing licenses from previous owners. That bill is currently In a committee. But we've been told by legislators and that it's a two year bill so it'll be tabled until next year. That's a B 15. Oh, too, But I mean, it only kind of makes sense that you would need those proper licensing to take over a facility, Especially as I mentioned these air our most vulnerable citizens here and things need to be on the up and up. These nursing homes have a history. Unfortunately of not always taking care of them, And you know you then you hear stories and actors like this and people kind of shake their head at it. So hopefully you know these stories highlight that hopefully the action gets taken. And, you know, we'll see what happens on that front. Ellie, you investigative reporter for Ella's and Kpcc. Thank you very much for joining us. That's it from day..

Ellie California California Vaccine Advisory Co Sacramento California Department of Publi December Michael Wasserman 2016 2019 two year 26 facilities next year One post tonight this year 5% instagram about 11,000 followers one Kpcc
"nursing home facility" Discussed on WHAS 840 AM

WHAS 840 AM

01:33 min | 3 months ago

"nursing home facility" Discussed on WHAS 840 AM

"Financial advisor Troy aren't on the same page, this really isn't a very good retirement plan is no. You don't have a plan. At that point you have you have separate parts pieces of the puzzle, but you don't have a full puzzle. That's one of the biggest things that Alan and I talked about with, especially when it comes to state planning. Most people when you sit down They're like, Yeah, I have. I have a will. All that's taken care of. I have beneficiaries. But does your estate planning have gifting privileges? The attorney that we use a couple of them that we use actually. Say that it is a requirement in their eyes to have gifting privileges within their in the state, Kentucky because at that point, spouses can give money to somebody else to protect it from nursing homes. So if you are not thinking that far ahead And making those plans now, then you're missing out and you could possibly spend hundreds of thousands of dollars in nursing home facilities. When you didn't have to, so important that I mean, we've talked today and we've hit on a market money We've hit on income we've hit on health care. We hit on legacy planning. We've hit on taxes. I mean, these are all the spokes really, of the bundle that we offer at material wealth Advisors. We're gonna make that offer to you and give you that opportunity to check off all of these boxes in the bundle coming up in just a second here, but before we get there I gotta I gotta strange. I didn't even know about this. But there is a new show on Netflix, and it's called Wedding versus house or marriage or mortgage. Take a listen to this. This is the opening theme song here..

Alan Kentucky Netflix today one Troy hundreds of thousands of dolla material wealth Advisors biggest things
At Cook County Chicago's biggest nursing home, workers and residents still not vaccinated against COVID-19

John Williams

00:56 sec | 4 months ago

At Cook County Chicago's biggest nursing home, workers and residents still not vaccinated against COVID-19

"Union representing nursing home workers at City View, multi care in Cicero says no residents or staff members have been vaccinated. Yet we get more from WGN Studio, Wang residents and staff here are still waiting. This comes at a time when the federal agency that regulates nursing homes. Is saying it. Nursing homes could soon allow more visitors. The union for the Nursing staff, accuses management of failing on several levels. City view Multicare Center is the biggest Skilled nursing facility in the state. It has had a history of covert related issues. There have been 249 covert cases and 15 deaths. S C I U says the facility is experiencing another outbreak. The union claims city of you failed to enroll in a Trump administration program to vaccinate people in long term care facilities in partnership with major pharmacies and WGN reached out to city view for comment, But so far no response.

Wgn Studio Union For The Nursing Staff City View Multicare Center Cicero Wang Trump Administration WGN
At Cook County Chicago's biggest nursing home, workers and residents still not vaccinated against COVID-19

Bob Sirott

00:56 sec | 4 months ago

At Cook County Chicago's biggest nursing home, workers and residents still not vaccinated against COVID-19

"No residents or staff members there have been vaccinated yet. Of Eugene's Judy Wang, reports, residents and staff here are still waiting. This comes at a time when the federal agency that regulates nursing homes is saying it nursing homes could soon allow more visitors. The union for the Nursing staff, accuses management of failing on several levels. City view Multicare Center is the biggest Skilled nursing facility in the state. It has had a history of covert related issues. There have been 249 Covic cases and 15 deaths. S C I U says the facility is experiencing another outbreak. The union claims city of you failed to enroll in a Trump administration program to vaccinate people in long term care facilities in partnership with major pharmacies and reached out to city view for a comment, But so far no response. The Cook County Health Department is releasing 20001st. Stones. Vaccine appointments

Judy Wang Union For The Nursing Staff City View Multicare Center Covic Eugene Trump Administration Cook County Health Department
Federal officials say most indoor nursing home visits can resume

WTOP 24 Hour News

00:36 sec | 4 months ago

Federal officials say most indoor nursing home visits can resume

"Related guideline for nursing homes After being on lock down those facilities can welcome back visitors, regardless of the vaccination status of either the resident or the guest. Outdoor visits are preferred here. But indoor visits will be allowed as whether or the resident's health could make it out to our visit, and practical officials say that they're relaxed rules reflect new environment of vaccinations and a slowing of Corona virus infections. And deaths and nothing. A nursing facilities. Data indicates that residents and nursing homes account for 33% of covert deaths of neurologist at Johns Hopkins University who helped us understand a

Johns Hopkins University
Mass. Funeral Home Workers, Teachers Pushing To Be Added To Phase 1 Of COVID Vaccination Plan

WBZ Morning News

01:22 min | 6 months ago

Mass. Funeral Home Workers, Teachers Pushing To Be Added To Phase 1 Of COVID Vaccination Plan

"Statewide. Funeral home workers in Massachusetts pushing to be added to phase one of the state's vaccination plan is WBZ TV Stephanie Chan. What's phase one of the state's vaccination plan underway. There's a growing demand by several industries to get a dose before the general public. Joseph Russo has been running his funeral home in Roslindale for more than half a century. When families can't go in. And a death happens. We have to go in and a pandemic. The 70 year old in a staff have had a tough job coming into contact with the deceased going into hospitals nursing facility through so is joining the push to get funeral directors in staff vaccinated now alongside first responders, or they could be waiting until March. Understand that we provide a essential role. We should be in that first category. He's not the only one eager for the cove in 19 shot K through 12. Educators want their vaccine sooner to since they'll be working with students in person Every day. That passes is a day that kids are not in the classroom. Several South Shore superintendents are calling on the governor to release their doses ahead of Phase two. So they can get it into the arms of teachers with no delays in a Baker recently allowed dentists and chiropractors to be

WBZ Stephanie Chan Joseph Russo Roslindale Massachusetts South Shore Baker
Vaccines reach more than 45,000 Los Angeles residents

News, Traffic and Weather

00:17 sec | 6 months ago

Vaccines reach more than 45,000 Los Angeles residents

"LOS Angeles vaccinating more than 45,000 residents in the past week at the end of the day tomorrow. We will finish vaccinations for everyone in the city of Los Angeles, who lives in skilled nursing facilities, hospitalizations and infection rates have fallen slightly from their peaks in that city.

Los Angeles
Arizonans 65 and older will be eligible for the COVID-19 vaccine starting next week

Dave Ramsey

14:28 min | 6 months ago

Arizonans 65 and older will be eligible for the COVID-19 vaccine starting next week

"This hour we took you live to the Arizona Department of Health Services Update on the covert 19 vaccine distribution. We had some technical difficulties, but we have those resolved and we want to bring you now. The rest of that briefing with all the details. Here's Dr Carol Chris, director of our State Health department. So now provide some updates on covert 19 vaccine and implementation of our program here in Arizona. One of the exciting updates that we made today. It is not this week that is not reflected on our chart. It will not be reflected until Tuesday, but Arizona made the decision that Arizonans 65 8 years of age and older are now prioritized. To be vaccinated against covert 19 in our prioritized phase one be along with our education and child care services and our protective services occupations, which includes law enforcement, corrections and fire. This recommendation was approved by the Arizona Vaccine and Antiviral Prioritization Advisory Committee, which is intended to protect those who are most at risk for severe outcomes due to Cove in 19. So we know that those there are over the age of 65 have all higher likelihood of hospitalization and death, and by be getting people vaccinated in several weeks from now we hope to reduce the strain on Arizona's hospitals. And you can find additional information on our website at easy Health. Doc Dub slash find vaccine. And on Tuesday, we will be updating that to provide clarity about which counties are going to be vaccinated the 65 to 74 year old age group at their vaccination sites. We also have counties that have moved into our prioritized. Phase one B and we have some that are fully in phase one B. So if you look at the map of Arizona, the counties that Aaron Black are still in phase one A. So does our healthcare providers and our long term care facility, residents and staff. When you look at our darker gray, that's the prioritized phase one be, so that's going to be the face that we just talked about. Currently. We are vaccinating age 75 older. Along with educators and child care and their support staff and our protective services occupations. When we increase to one be that also includes our Sent can keep our society functioning. That will be people who work in the transportation industry, including gas stations, shipping those types of things. The food industry, including agriculture. S so there's a large number of there's a large list of employees that are eligible for the one B category that is located on our website. Um But you can find out what what phase Each county is in, and we update this infographic daily, and you can link to it off of easy health. Doc Club slash find a vaccine. As of today, over 232,000 doses of vaccine have been administered statewide. So now we'll move into Arizona's vaccine allocation and administration. Over the next few weeks, A DHS will be working to increase access to vaccine increase the rate of vaccination into streamline communications. So as you look at the vaccine, I'm distribution overview. Arizona currently follows a local Allocator model for vaccine distribution. Our local part partners are the backbone of the vaccine program implementation and know their counties that are no they're partners and their counties the best so our federal partners every week provide our Arizona's allocation to the state. We divide that allocation of based on priorities to our local partners, who then will determine which providers in their local jurisdiction will receive that scene for that week. We collect all of those orders on Ben. We place Arizona's full order for that week, and then the federal government will ship those orders directly to the providers that we have ordered on behalf of as vaccine becomes more and more available. We will no longer need to use this local Allocator model and providers such as pharmacies, community health centers and physician's offices will be able just to directly order vaccine from the manufacturers. So this week we received additional first dose allocations of Fizer, which were distributed again. Toe America and Pima County's All 15 counties received Madonna doses, and so we continued to reserve given the unique storage requirements for our Fizer vaccine. We continue to reserve our Majority vaccine for our local or rural health departments. Um In addition to receiving that first those first doses of visor and Madonna vaccine we have received our second doses so that we can continue vaccinating those that I've already received their first US. And have had that either 21 or 28 Day waiting period. This is Dr Cara Chris State Health director, speaking at the Health Department's covert 19 vaccination rollout. Press briefing on Katie Our news 92 3 FM. So during the week of January, 18th Arizona will have been allocated 803,150 doses total. You can see how that's been allocated across the state. You can see at the bottom where we have prioritized our CDC Long term care facility partnership by providing them with the vaccine that they need to vaccinate our Our staff and residents that are long term care facilities. And then you can also see the number of doses that have gone to the state of Arizona. Um Not all of these doses of the 803 have arrived in Arizona. A number of these doses have been allocated to, um Have been ordered for our county partners and will arrive next week. They We anticipate that with the federal holiday. Usually they arrive Monday through Wednesday. We anticipate that they will arrive Tuesday through Friday of next week. So we continue to add additional sites for vaccine administration, So we have initial phase one and phase one B vaccination sites throughout the state. We have over 200 vaccination sites on our website. We also have activated the second phase of the CDC pharmacy partnership, which began the week of December. 27th. So we initially prioritized in phase one of that partnership are skilled nursing facilities, which are highest security, long term care facilities. Um As of the end of this week, all of those facilities will have had at least their first visit from CVS or Walgreen's, and they are scheduling appointments to start assisted living facilities throughout the state next week. So as additional state. Um uh, that scene becomes available, We will be adding additional providers we've had over 730 providers on bordered with a DHS and over 800 pharmacies statewide have enrolled in the CDC pharmacy program to provide in store vaccinations. We have talked on each week about the long term care partnership that CDC put together with our pharmacy partners. So our pharmacy partners code into the facility's and vaccinate the staff and residents of that facility. Um as of this week over 140 skilled nursing facilities scheduled to receive vaccinations, and they will begin vaccinating are assisted living and our group homes starting next week. We've got over 2000 facilities enrolled in the federal program where one of the states with the highest number of facilities enrolled, and our goal is to cover approximately 450,000 residents and staff over the next couple of months. So this is part of the infographic that we post each day on our website. If you look you can see by county what phase That county is currently vaccinating. The total vaccines and ministered along with the vaccination rate per 100,000. And so you can see statewide 232,000 vaccines have been administered. Um, This may not include some of the doses that are provided by our tribal Our federal partners is this is pulled out of the States Immunization registry. So to talk about updates and announcements of this week. On Monday, we had a soft launch of the State Farm Stadium Probate 19 vaccination site. So far we've administered over 20,000 vaccinations at that site, and we are averaging apart between 203 100 vaccinations per hour. We have booked tens of thousands of appointments through January 31st and anticipate opening up additional appointments. That will be between February 1st and February 28th. Those appointments will open up on January 19th at 9 A.m.. We're very excited. Because our partners have really made this endeavor possible. It's a whole community partnership. And again, we just want to thank the Department of Emergency and Military Affairs, the Arizona Cardinals and state from Stadium Blue Cross Blue Shield of Arizona, The Catherine and Ben I. V Foundation. Arizona State University and Walgreens. All of these, these groups are playing a large role at the site on D have made this possible. Way also are very excited about the launch of our second state run of vaccinations site. This will be located at Phoenix Municipal Stadium. We are still looking to see how many doses we will have available for that. For that site, so the number of appointments will depend on the available vaccine again. We're partnering with the Arizona Department of Emergency and Military Affairs and Arizona State University to run this site. Arizona State University currently runs a testing a saliva based testing site at this location and so they will scale up to provide vaccination administration. Again. Registrations for appointments are going to open up Tuesday, January 19th at 9 A.m. for this site. We updated our easy health. Dr. Hobbes Flash find vaccine website with an interactive map. You can go onto the map. It has all of the current locations with vaccine, you can select a sight and a box will pop up that has information about that site and a link to their registration. So not all of them. Not all vaccine providers are utilizing the state's vaccine management system. Some providers air using their own appointments software, but we will link to them whenever we have that information so that it's one stop shopping when you go to our our map. We will continue to update this map with additional vaccination sites as they come. In a couple of other exciting announcements, we have been expanding access. So a DHS activated the CDC retail pharmacy program. This is going to add up to 100 pharmacy stores over the next few weeks. The first pharmacies to come on board in Arizona are gonna be fries, Safeway and Albertsons. And so those will be included on our sites as we get notified, which pharmacies which specific pharmacy locations will have that scene? But they will be on our website and will be another source for those that are eligible to receive vaccine to go get vaccinated when this program becomes fully activated, more than 800 pharmacies will have covert 19 vaccine available in Arizona. We currently have more than 200 vaccination sites on our website that have received vaccine and this includes 45 community health centers as well. So if you are eligible and you receive care at one of our community health centers You could check on our website to see if they have received vaccine. And again just another update on helping our Arizona hospitals. We have been recruiting nurses with a nursing staffing contract here in the state. That's been one of our most successful endeavors. We are very excited. The majority of the nurses are here. When they arrive. They will stay on site for eight weeks with an opportunity to extend that On gesso. As of last week. 348 nurses have started work. We anticipated almost 200 more arriving this week again that We don't necessarily count them until we've heard that they have Arrived in the state and are attending on boarding at their assigned hospital. But we continue to work with our staffing contract to get all of the nurses that we can here in. Arizona State health director Dr Cara Crist went with her press briefing on covert 19 vaccine rollout that coming from the state Health Department. Go

Arizona Dr Carol Chris CDC Arizona Vaccine And Antiviral Aaron Black Doc Club Arizona Department Of Health S DHS Fizer Dr Cara Chris State Health Department Madonna Arizona State University Walgreens Pima County States Immunization Registry State Farm Stadium Department Of Emergency And Mi Health Department Stadium Blue Cross Blue Shield
Orange County Reports Record High Of 528 COVID-19 ICU Patients

Fork Report

00:24 sec | 7 months ago

Orange County Reports Record High Of 528 COVID-19 ICU Patients

"The number of patients in the hospital with coronavirus in Orange County is down from a record high of 2259 yesterday to 20. 2 2221. Today, the number of people in the ICU climbed from 514 to a record 528 43 more people have died in Orange County from Cove in 19. With more than 4200 new confirmed cases. 10 of the people who died were residents of skilled nursing facilities.

Orange County ICU
Los Angeles Fire Department medics to administer COVID-19 vaccines

Morning Edition

00:41 sec | 7 months ago

Los Angeles Fire Department medics to administer COVID-19 vaccines

"Is up for a covert 19 immunization, you may be getting a shot from a member of the L. A Fire department. Fire Chief Ralph Terrazas says 20% of the department's 1000 strong team of medics have been trained to administer the vaccine. We've been leaning forward every step of the way with the expectation at some point That we would be, um, providing vaccines at these 15 sites that currently exists, and we also have a mobile testing capacity, which can be converted to mobile vaccinations, and that's where the medics will come in. By next week, the medics should be able to vaccinate health care workers and four out of 15 L, a city testing sites and a 20 skilled nursing facilities. Support for

L. A Fire Department Fire Chief Ralph Terrazas
Nursing homes should see 'some indication' of vaccines having an effect 'as early as this week,' Gottlieb says

Sean Hannity

00:29 sec | 7 months ago

Nursing homes should see 'some indication' of vaccines having an effect 'as early as this week,' Gottlieb says

"Most people won't get a vaccine for the coronavirus for many months, but former FDA commissioner Scott Gottlieb tell CBS that targeting elderly people in long term care facilities as Florida has done could show benefits much sooner. We will start to see some indication that the vaccines are probably having an effect, maybe as early as this week because we know that immunity does start to kick in. Maybe a week after vaccination, they went into the skilled nursing facilities. First, health experts projected for things to return to normal 70 to 85% of people would need to get it back.

Scott Gottlieb FDA CBS Florida
NJ nursing homes won't get COVID-19 vaccine this week over missed deadline, New York

Heartland Newsfeed Radio Network

00:42 sec | 7 months ago

NJ nursing homes won't get COVID-19 vaccine this week over missed deadline, New York

"President at new jersey nursing homes. We'll have to wait another week to get corona virus. Vaccinations to start giving the covid. Nineteen vaccination shots to those nursing homes. Today new jersey. Health officials had an information deadline of december seventh which was missed by one day. state health. Commissioner judith persecution says it happened because of quote sheer volume of information that had to be entered skilled nursing facilities long term care facilities assisted living facilities of which we have about over six hundred sixty offers. Six hundred and fifty it comes. New jersey is also getting fewer vaccine doses from visor and madonna persecu- says the state was promised more than four hundred ninety two thousand doses this month. But we'll get one hundred thousand fewer than that

New Jersey Commissioner Judith Madonna Persecu
Covid Outbreak at Nursing Facility in Washington State: 23 patients and 23 Staff Infected

News and Perspective with Tom Hutyler

00:15 sec | 8 months ago

Covid Outbreak at Nursing Facility in Washington State: 23 patients and 23 Staff Infected

"19 struck a long term care facility in North Bend, The King County health, says 23. Residents of the Regency north bed have tested positive for the virus to residents have died. 23 staff members also infected they raided. See Northman has 42 residents, 55 staff members and all

North Bend King County Northman
"nursing home facility" Discussed on WMAL 630AM

WMAL 630AM

01:51 min | 8 months ago

"nursing home facility" Discussed on WMAL 630AM

"New York governor Andrew Cuomo will receive this year's international Emmy founder's award in recognition of his leadership during the covert 19 crisis, specifically his daily briefings. It seems a bit bizarre that a governor will get a television Emmy until you look at who else. This group has honored Al Gore or pro Winfrey, Norman Lear and CNN's Christiane Amanpour is an award by a liberal organization for the liberal Democratic governor of New York. But Fox is Howard Kurtz add. Some are very critical. Cuomo's handling of the pandemic more than 6000 covert night covered positive patients were led into these nursing home facilities from hospitals under his administration's policy on the State Health Department says that 6800 more than that actually have died in nursing homes that adult care facilities. Kurds appearing on Fox is America's news headquarters. An update now on the shooting that took place of the more than what? We're toast a Wisconsin on Friday. Police are releasing some information about the motive of the shooter. They said the bloodshed here was the result of an altercation. This was not a random act of violence, but they're not saying much about the identification of the gunman, other than he is a white male in his twenties or thirties. It was just before three o'clock when shots rang out. Eight people were shot. One of them was a teenager. No one was killed, but panic ran through the mall, Fox's Mike Tobin Open. 19 is forcing many American households to limit their Thanksgiving dinner guest lists some areas of threatening to impose fines on those who don't abide by limits. But many Americans say they will not comply like to D. Smith CHAIR Electively Clackamas County, Oregon Board of Commissioners have noticed a trend across America that sheriffs and in Oregon Are rebelling against these orders. It's an attempt of government to trying to control people in their own homes. And that is wrong. Smith appeared on Fox's food.

Fox Andrew Cuomo Emmy New York America Christiane Amanpour Al Gore founder Norman Lear State Health Department Wisconsin CNN Oregon Board of Commissioners Smith Clackamas County Oregon D. Smith Mike Tobin Winfrey
Retirement in America in 2020

Bull 'N Bears

08:29 min | 9 months ago

Retirement in America in 2020

"Happy to bring onto the program. Dr Ken Dike Wall, the founder and CEO of age wave. Can just keynoted, the financial planner retreat that we held here at Edelman financial engines last week. This time, of course, was done. Virtually Ken's clients include half the Fortune 500. He received the American Society on a Jing's award twice. He's one of the 35 most influential thought leaders in the financial services industry, according to investment news. Ken. Thank you so much for coming back on the program record is always great to be with you. Now. The reason that I asked him to come on is because of something can said at our retreat. That I've heard. Can you say that several times you and I have known each other for 20 years. I've seen you speak more times than I can remember. You're one of my favorite public speakers. And you said something again in this event, but this time it finally hit me and it got me thinking you gave the following statistic as part of your conversation with us. You said every year in America. We produce about four million babies. And we are also producing about 20 million caregivers. Now that statistic itself is shocking five times as many people are caring for elders as they are for babies. That was really your point reflecting the aging society, right? That was the point you were making. Yes. But it got me thinking it's even worse than that, isn't it? Because when you have four million babies that doesn't mean four million new moms, lots of mom's air having their second or third baby. Which means we're not producing four million new moms were producing Maybe one or two million new moms versus the 20 million new caregivers. The dispersion is even worse than the statistic itself. Suggests, isn't it? Yeah, it's something that sort of off the radar, but it's not off the radar. I'm sure for all of your listeners because nearly every one of us is touched by this in our life, you know, looking after a mom or a dad or a spouse or brother or a sister. It's become a major part of life now and There's a couple of valuables and erected, really pull it together. First, we a cz, you know, and your listeners know we're all living quite a bit longer than humans have ever lived before. The life expectancy in the beginning of the 20th century was 47. Today. It's about 79. But by the way, I'll also tell you that there are 33 countries in the world that have a higher life expectancy than we do. We are very middling when it comes to longevity. But the really interesting piece of it is what's called health span. So our health span doesn't seem to be matching our lifespan. What I mean In the United States. On average, we spend about 10 years sick at the end of our lives, and sometimes we can even spend years dying. Now what that does is, it creates an entire segment of our population. Turning that suffering for whom Our health care system has not done a good job preventing illness or disease but also causes family members. Tohave tow walk away from their jobs, their take every Tuesday afternoon off or relocate. In order to look after either their spouse or their mom and dad and the numbers are enormous. You mentioned 20 million new ones last year, but all in is over 40 million elder caregivers right now in America. And that number can on ly get bigger, right? Yeah, it's going to get bigger and a little more complicated, and I'll explain this. First of all, one of the major variables here has to do with the relation between Men and women and let me explain in America. The average woman who's partnered with a man has a man whose 2.5 years older than her. That's the average right now. The women live five years longer than men. So what usually happens then, At the end of one's life, the mangroves, Il begins to falter. The wife will put everything inside and care for her maid for her loved one. He dies, she might be emotionally depleted. They might even be financially depleted because they perhaps didn't have the resources. Handle what happens when someone is ill. But then she's going to live another 7 to 10 years. Who's going to care for her now for boomers. Now I'm a boomer, and I think you are, too. When our parents were having us. They were averaging four kids each, so the greatest generation in the silent generation had a lot of kids. And they were kind of close at hand. Boomers only averaged about two kids each and about almost 20% of the boomers had no kids at all. And so what happens is when we enter into our later years. Who's going to care for us? And so there's gonna be more of a caregiving crunch, which means at home care industries. They're goingto surge. More and more people are going to seek out housemates. More and more. I think we need to put pressure on the medical system and our scientific systems. Because if we could knock out diseases like Alzheimer's, if we could wipe out I know that's something you're committed to if we could wipe out some of the really nasty diseases of the later years. Then we wouldn't have so many older people suffering and therefore we wouldn't have such a need for caregivers. So we've got to get the lifespan and the health span to be more in sync exactly. So this is something that is as fundamental is a gets from a financial planning perspective what we were now referring to as life planning to help people realize what your future is likely to hold, and you've got to think about it in terms of your intergenerational aspects of your family. How many Children do you have? How many of them can you rely on either because of proximity because of willingness because of financial wherewithal to be able to be a caregiver to you, And if you have suspicions that that's not going to be available to you for any of the above reasons you need to start thinking about alternative ways that you can get the care that you're going to need and not just you, but also for your spouse. Right. And another thing that's happened, Rick is it during this horrible covitz situation? 46% of all the deaths have occurred in nursing homes and still nursing facilities. And they're probably not completely to blame because they housed some of the most struggling elders by half of whom have Alzheimer's and dementia. But what happened as a result of that Is that a whole lot of people are saying to themselves, man. I don't think I want to be in a nursing home. Well, okay, then. Then you need to sit down with your financial planner and make sure you've got some resources or talk to your family. So that you could be looked after the comfort of your home in the way you want to be looked after without having to worry about being parked in a nursing home can thank you so much for raising this issue it is. I think something that we're not giving a lot of thought of. We've got an election coming up in a few days. We have the midst of the covert crisis in front of us. Andi. It's very difficult for people to look beyond the here and now given what our nation is facing imminently to looking ahead 5 10 20 years into our financial future, but it's extraordinarily important that we do so especially in the context of the election because it's our nation's leaders who were about to send or return to Washington. That are going to be key for figuring out the public policies necessary to help protect tens of millions of aging Americans over the coming couple of decades. Exactly. Ken Dike. Well, thank you so much for mentioning this your book. As I mentioned what retirees want. It's hugely popular already hitting all the bestseller lists. You're subtitle really says it all, though, about what your new book What retirees want is all about. Subtitle is a holistic view of life Third age, and that's a lot of what I'm trying to put forward in this book for our grand parents when they reach retirement age. Had a couple of three years before their batteries were out today, most of us we had 60. We have another 30 years in front of us and trying to figure out how to make sure we can fund those years and also have a great time during that stage of our life, and maybe even make some great contributions. I think it's going to be the challenge of the future. So I encourage you to pick up a copy of Ken's brand new book What Retirees Want Available Booksellers everywhere. Ken Dyke, Wild founder and CEO of Age wave. Thanks so much Kan for being back here on the program. Stay healthy. Stay safe, Rick. Thanks.

Dr Ken Dike Wall Founder And Ceo America Alzheimer Rick Edelman American Society Ken Dyke Ken Dike United States IL KAN Washington
Self-Advocacy Through Storytelling with Katie Vigos, RN

The WoMed

06:44 min | 11 months ago

Self-Advocacy Through Storytelling with Katie Vigos, RN

"Welcome back to the moment everybody I am speaking with Katie Vigo's today she is a registered nurse and founder of the empowered birth project. I'm so excited to speak with you today we've had a few technical difficulties in hopefully those stay at bay now but yeah, welcome to the woman. I'm so glad we finally got you on. Thank you so much for having me. I'm excited for our conversation you work in Icu Poe right now correct yes. That's right. Critical Care is still my primary specialty the moment. Love that when did you know you want it to be a nurse led you to this field? I've always been interested in anatomy and physiology as a kid I found the human body to. Be. So fascinating and I was just drawn to those sciences and when I was a senior in high school my offered a free course to become certified as a CNA nursing assistant, and so I immediately saw Kinda, this golden opportunity to get certified to start working in this field that I'd always been interested in. So I took a class and then got my first job working in skilled nursing facility and I've pretty much never stopped. I love. That's the thing that's basically the road I talk to you like I. Well, I knew I wanted to be a nurse but like as soon as I could take that scene a course I did that a great way to get started. A it definitely will introduce you to to see if you can handle being around that much bodily fluid. That will particular job was like probably the most backbreaking Labor I've ever done in my life. Yeah. Yeah. All have only gone up hill from there their gotten better from there that was so hard. I was too young and inexperienced to even know any better I was just excited to be working in. You know getting started with my career yeah. One hundred percent I mean I started working on a med surge floor and I literally never been in more pain in my life than when I would come home from working. At. A shift there. I have so much respect for MED surge nurses. I S honestly think it's harder in many ways that what to do in critical care respect for floor nursing same same I ended up in the Nikki I've had enough of adults like I can't. I can't move them. No, it's. It's physically, very challenging. Mentally emotionally, spiritually challenging job it requires like our whole being so he has. Yes people. Yeah. What is life and free since the pandemic started with working still being in the ICU I it's you know it's been a roller coaster I at the time that Kobe really started to hit the United States where we went on lockdown here. In California, I was on a full time loan to cardiovascular is you which was a challenging assignment, but I took it because I wanted you know some fulltime work for a few months and I was just a few weeks instead assignment and starting to feel a little bit more comfortable, and because I was per diem and because all almost all elective non emergent surgeries completely stopped onus unindicted unit was way overstaffed and they're like, well we. Don't need you any more sorry and I was like, okay. So I lost that Gig and then I had been working in outpatient surgery as well with a facility for three years and back completely shut down. So ironically I was kind of gearing up in those early weeks. I'm like all right here we go. Like I've been training my whole life for this and I was it just didn't play out the way I expected a now a sudden I'm worried about you know getting enough work as I in pandemic. And there are a lot of reasons for that that you know I'm sure you're aware of many people listening are aware of, but you know the per diem crowd got hit hard and everything just shifted around so quickly and then it was like travel nurses coming in, you know my co workers are you know leaving and getting work elsewhere because they can't Get at our hospital and it just felt so chaotic and uncertain, and I have had also been working for the private sector for the last eight or nine years here in Los Angeles Oh come on a lot of pride in doing her thing and so I'm really networked into that field as well here and so I was able to just hustle in. Find some private work and just like piecing everything together like a lot of us per diem nurses are good at doing you know. Yeah. So I was able to get through you know kind of those early months and then things started to pick up again at my hospital and so now that I'm able to work more kind of back mostly full in the ICU again, doing some a private work as well and aside it's it's changed everything I mean regardless of where we work like. Especially, at first like the policies and procedures were just changing daily, you know as mere figuring out the best ways to protect ourselves, screen all of our patients and everything, and so that was overwhelming to keep up with, and for example, I was floated to. Telemetry one day at a unit I. Believe once before come on shift and I have a patient who is like in basically in respiratory distress did not like the level of a rapid response per se. But like he's on iphone as will Kanye like eighty percent like fifty liters or something like that, and you know he has tech Nick and all this stuff and I'm just like, are we going to test this guy for covert like your and? where's PP P now, as I kinda, don't want to go in the room unless I have that, and then I really had to advocate for myself and be like you know, let's test this guy that was before my hus-, my husband's testing everybody. But like those early weeks were really stressful that way because there are so many unknowns and it was it was scary to walk into work which previously was familiar and comfortable to me is an experienced nurse and two now just feel. So on edge

Icu Poe Katie Vigo Respiratory Distress Founder California United States Nikki Kobe Los Angeles Kanye Nick
Cautious optimism from Snohomish County, north of Seattle, as COVID-19 infection rates decline

News, Traffic and Weather

00:42 sec | 11 months ago

Cautious optimism from Snohomish County, north of Seattle, as COVID-19 infection rates decline

"Virus cases in Snohomish County continues to decline. The county health officer warns people to be vigilant. Almost Charlie Harder has the story after Chris Peter says the good news is that there have been five straight weeks of successive declines in case numbers, numbers, he he says says they're they're not not seeing seeing the the widespread widespread outbreaks outbreaks and and places places for for the the elderly elderly or or disabled. disabled. Smaller Smaller numbers numbers of of cases cases it's it's tending tending to to affect affect assisted assisted living living an adult family homes more than skilled nursing facilities. He's concerned that around 20% of people who test positive, though, aren't speaking with contact tracers. And that is important to do so, in order to even further slow the spread of the Corona virus. Charlie Harder camo news. The Sea Tac

Charlie Harder Chris Peter Snohomish County Sea Tac Officer
Coronavirus In Washington, DC: 41 New Confirmed COVID-19 Cases, 4 Additional Deaths

WTOP 24 Hour News

00:28 sec | 11 months ago

Coronavirus In Washington, DC: 41 New Confirmed COVID-19 Cases, 4 Additional Deaths

"41 new cases in DC today. DC cases of remains relatively steady over the past month. Region also reporting for new deaths from Corona virus today and nursing homes in Virginia, reporting the highest number of confirmed Covad 19 cases since June, according to the Virginia Hospital on Health Care Association. A number of people license than nursing facilities have been confirmed. Positive reached. 651 number was as low as 368 in late July

DC Virginia Hospital On Health Ca Covad Virginia Corona
"nursing home facility" Discussed on The Healthcare Policy Podcast

The Healthcare Policy Podcast

05:54 min | 11 months ago

"nursing home facility" Discussed on The Healthcare Policy Podcast

"Welcome to the healthcare policy podcast on the host David Intra. . Kosovo. . With me today Dr Rachel Dolan the US House of Representatives ways and Means Committee majority staffer to discuss the majority staffs recently released report titled Under enforced and over prescribed. . ANTIPSYCHOTIC drug epidemic ravaging America's nursing homes. . Dr Dole and welcome to the program. . I David thanks so much for having me. . Please call me Rachel. . While this'll be the last time Dr Dolan's bio is posted on, , of course, , the podcast website. . In testimony before the House Energy and Commerce Committee two, , thousand seven, , the FDA's Dr David Graham stated quote. . Unquote. . Fifteen thousand adults elderly people in nursing homes are dying each year from the off label use of antipsychotic medications. . For an indication that the FDA knows the drug doesn't work the problem has been only FDA for years and years close quote. . Legal the FDA does provide a black box warning label. . Regarding off label use of these drugs, , eleven years later, , Human Rights Watch published a report titled They Want Docile. . How. . Nursing homes in the US overmedicated people with dementia. . The report found in two thousand, sixteen, , , seventeen quote unquote massive use or abuse of Anti Psychotics, , for example, , Sarah. . Quel. . Doll and Rispler doll that have serious side effects including sudden cardiac death. . The human rights report estimated in an average week over one hundred, , seventy, , nine, , thousand, , long-stay Nursing Home Facility patients who administered antipsychotic drugs. . Without a diagnosis which the drugs are indicated or approved rover, , polar disorder and schizophrenia in testimony the ways and means. . Committee. Heard . this past November Richard Mollet Executive Director of the Long Term Care Community coalition concluded quote the use of San Anti psychotics in skilled nursing facilities is so extensive that puts the US in violation of internal conventions and covenants on torture and cruel inhumane and degrading treatment or punishment. . Close quote. . This is my third related interview. . In December twenty twelve I discussed the topic with Diana Zuckerman. . And in February, , eighteen high interviewed Hannah Lamb who authored the above mentioned human rights report. . With me again to discuss the ways and means report just released titled Under enforced and over prescribed is Rachel Dolan the reports lead author. . So that Rachel as background let's get right into this or immediate <hes> neatly into the specifics of the report. . What did the report find regarding <hes> the extent to which? ? They're persists overuse or misuse of anti psychotics in skilled nursing. . David. . So the report showed what what you what we would expect from your introduction, , which is the use of antipsychotic does persist in nursing homes across the country and it remains quite high and not of course, , has implications for patient safety and and health <hes>. . We found in the fourth quarter of Twenty nineteen approximately twenty percent of all skilled nursing facility residents in the US. . So that's about two, , hundred, , Ninety, , eight, , thousand, , six, , hundred, , fifty people every week received some form of antipsychotic medication <hes>, , and most of that was without any psychosis diagnosis for which these drugs are indicated <hes>. . So specifically, , we actually looked at trends and surveyor citations for unnecessary medication use in nursing home. . So that's kind of the. . Part of this study and what we found was a clear change in citation rates for these facilities between the change in administrations from the Obama Administration to trump administration <hes>. . So we found citations for antipsychotic misuse in sniffs increased by two hundred percent between twenty, , fifteen, , twenty seventeen but then declined by twenty two percent from two thousand, , seventeen to twenty eighteen, , and importantly a ten percent of citations associated with actual harm or immediate jeopardy to a residence health or safety. . So those are some of the most severe citation surveyors ever capture resulted in no fine from twenty seventeen to twenty eighteen under the trump administration. . So you know. . I. . Would say even though this study in particular couldn't determine causation <hes> we we did see a clear association between the Trump Administration's regulatory rollback campaign twenty, , seventeen, , twenty eighteen and a reduction in citations for these particular drugs. . Okay thank you and we'll get into the trump administration's <hes> regulatory decisions in this regard in a minute let me just ask as a follow up or an aside question and I don't think I saw this new report. . So you may not have these numbers top of mind but worth asking, , can you give an approximation of the cost? ? To the Medicare program at least relative to the overuse I, , mean, , this is a massive amount of money in reimbursement for these medications. . I don't remember offhand. . Let's see I think in the in the actually in the report we got <hes>. . About one third of older adult Medicare part d enrolling with dementia who spent more than one hundred days in a nursing humber prescribed antipsychotic in two, , thousand, , twelve constituting roughly three, , hundred, , sixty, three, , , million part D plan payments that year <hes>, , and of course, , there's also cost associated with hospitalizations for inappropriate use of these drugs <hes>. . So I would expect you know that that that is obviously very under an understatement <hes> understated estimate that does not capture the full realm of payments. . So it's it's fairly substantial. .

FDA Dr David Graham Rachel Dolan Dr Dole US Human Rights Watch Nursing Home Facility House Energy and Commerce Comm Diana Zuckerman Hannah Lamb Rispler Richard Mollet Sarah Executive Director Long Term Care Community
Dr. Rachel Dolan Discusses The Antipsychotic Drug Epidemic

The Healthcare Policy Podcast

05:54 min | 11 months ago

Dr. Rachel Dolan Discusses The Antipsychotic Drug Epidemic

"Welcome to the healthcare policy podcast on the host David Intra. Kosovo. With me today Dr Rachel Dolan the US House of Representatives ways and Means Committee majority staffer to discuss the majority staffs recently released report titled Under enforced and over prescribed. ANTIPSYCHOTIC drug epidemic ravaging America's nursing homes. Dr Dole and welcome to the program. I David thanks so much for having me. Please call me Rachel. While this'll be the last time Dr Dolan's bio is posted on, of course, the podcast website. In testimony before the House Energy and Commerce Committee two, thousand seven, the FDA's Dr David Graham stated quote. Unquote. Fifteen thousand adults elderly people in nursing homes are dying each year from the off label use of antipsychotic medications. For an indication that the FDA knows the drug doesn't work the problem has been only FDA for years and years close quote. Legal the FDA does provide a black box warning label. Regarding off label use of these drugs, eleven years later, Human Rights Watch published a report titled They Want Docile. How. Nursing homes in the US overmedicated people with dementia. The report found in two thousand, sixteen, seventeen quote unquote massive use or abuse of Anti Psychotics, for example, Sarah. Quel. Doll and Rispler doll that have serious side effects including sudden cardiac death. The human rights report estimated in an average week over one hundred, seventy, nine, thousand, long-stay Nursing Home Facility patients who administered antipsychotic drugs. Without a diagnosis which the drugs are indicated or approved rover, polar disorder and schizophrenia in testimony the ways and means. Committee. Heard this past November Richard Mollet Executive Director of the Long Term Care Community coalition concluded quote the use of San Anti psychotics in skilled nursing facilities is so extensive that puts the US in violation of internal conventions and covenants on torture and cruel inhumane and degrading treatment or punishment. Close quote. This is my third related interview. In December twenty twelve I discussed the topic with Diana Zuckerman. And in February, eighteen high interviewed Hannah Lamb who authored the above mentioned human rights report. With me again to discuss the ways and means report just released titled Under enforced and over prescribed is Rachel Dolan the reports lead author. So that Rachel as background let's get right into this or immediate neatly into the specifics of the report. What did the report find regarding the extent to which? They're persists overuse or misuse of anti psychotics in skilled nursing. David. So the report showed what what you what we would expect from your introduction, which is the use of antipsychotic does persist in nursing homes across the country and it remains quite high and not of course, has implications for patient safety and and health We found in the fourth quarter of Twenty nineteen approximately twenty percent of all skilled nursing facility residents in the US. So that's about two, hundred, Ninety, eight, thousand, six, hundred, fifty people every week received some form of antipsychotic medication and most of that was without any psychosis diagnosis for which these drugs are indicated So specifically, we actually looked at trends and surveyor citations for unnecessary medication use in nursing home. So that's kind of the. Part of this study and what we found was a clear change in citation rates for these facilities between the change in administrations from the Obama Administration to trump administration So we found citations for antipsychotic misuse in sniffs increased by two hundred percent between twenty, fifteen, twenty seventeen but then declined by twenty two percent from two thousand, seventeen to twenty eighteen, and importantly a ten percent of citations associated with actual harm or immediate jeopardy to a residence health or safety. So those are some of the most severe citation surveyors ever capture resulted in no fine from twenty seventeen to twenty eighteen under the trump administration. So you know. I. Would say even though this study in particular couldn't determine causation we we did see a clear association between the Trump Administration's regulatory rollback campaign twenty, seventeen, twenty eighteen and a reduction in citations for these particular drugs. Okay thank you and we'll get into the trump administration's regulatory decisions in this regard in a minute let me just ask as a follow up or an aside question and I don't think I saw this new report. So you may not have these numbers top of mind but worth asking, can you give an approximation of the cost? To the Medicare program at least relative to the overuse I, mean, this is a massive amount of money in reimbursement for these medications. I don't remember offhand. Let's see I think in the in the actually in the report we got About one third of older adult Medicare part d enrolling with dementia who spent more than one hundred days in a nursing humber prescribed antipsychotic in two, thousand, twelve constituting roughly three, hundred, sixty, three, million part D plan payments that year and of course, there's also cost associated with hospitalizations for inappropriate use of these drugs So I would expect you know that that that is obviously very under an understatement understated estimate that does not capture the full realm of payments. So it's it's fairly substantial.

Dr Rachel Dolan FDA David Intra United States Antipsychotic Trump Administration Nursing Home Facility Dr Dole Us House Of Representatives Dr David Graham Human Rights Watch Kosovo House Energy And Commerce Comm Means Committee Diana Zuckerman America Obama Administration Psychosis Rispler
"nursing home facility" Discussed on The Healthcare Policy Podcast

The Healthcare Policy Podcast

02:52 min | 11 months ago

"nursing home facility" Discussed on The Healthcare Policy Podcast

"Dr Dole and welcome to the program. I David thanks so much for having me. Please call me Rachel. While this'll be the last time Dr Dolan's bio is posted on, of course, the podcast website. In testimony before the House Energy and Commerce Committee two, thousand seven, the FDA's Dr David Graham stated quote. Unquote. Fifteen thousand adults elderly people in nursing homes are dying each year from the off label use of antipsychotic medications. For an indication that the FDA knows the drug doesn't work the problem has been only FDA for years and years close quote. Legal the FDA does provide a black box warning label. Regarding off label use of these drugs, eleven years later, Human Rights Watch published a report titled They Want Docile. How. Nursing homes in the US overmedicated people with dementia. The report found in two thousand, sixteen, seventeen quote unquote massive use or abuse of Anti Psychotics, for example, Sarah. Quel. Doll and Rispler doll that have serious side effects including sudden cardiac death. The human rights report estimated in an average week over one hundred, seventy, nine, thousand, long-stay Nursing Home Facility patients who administered antipsychotic drugs. Without a diagnosis which the drugs are indicated or approved rover, polar disorder and schizophrenia in testimony the ways and means. Committee. Heard this past November Richard Mollet Executive Director of the Long Term Care Community coalition concluded quote the use of San Anti psychotics in skilled nursing facilities is so extensive that puts the US in violation of internal conventions and covenants on torture and cruel inhumane and degrading treatment or punishment. Close quote. This is my third related interview. In December twenty twelve I discussed the topic with Diana Zuckerman. And in February, eighteen high interviewed Hannah Lamb who authored the above mentioned human rights report. With me again to discuss the ways and means report just released titled Under enforced and over prescribed is Rachel Dolan the reports lead author. So that Rachel as background let's get right into this or immediate neatly into the specifics of the report. What did the report find regarding the extent to which? They're persists overuse or misuse of anti psychotics in skilled nursing. David. So the report showed what what you what we would expect from your introduction, which is the use of antipsychotic does persist in nursing homes across the country and it remains quite high and not of course, has implications for patient safety and and health We found in the fourth quarter of Twenty nineteen approximately twenty percent.

FDA Dr David Graham Rachel Dolan Dr Dole US Human Rights Watch Nursing Home Facility House Energy and Commerce Comm Diana Zuckerman Hannah Lamb Rispler Richard Mollet Sarah Executive Director Long Term Care Community
Arizona seeing highest number of new coronavirus cases per capita

All In with Chris Hayes

05:08 min | 1 year ago

Arizona seeing highest number of new coronavirus cases per capita

"Joining now from where things stand is to reject director for the Arizona Public Health. Association will humble. He's also the former director of the Arizona Department of Health Services and I know that. We've got data reportings very lumpy, and we're coming off a holiday weekend, and so the picture is not as clear on this Tuesday, as it normally would, because of those reporting delays, but this jumped out to me as of today Arizona not the cove infections per capita of any state, but also the most of any state has ever had. We hit five hundred and twenty eight per million, new. York topped out at five nine on April tenth. What what does it look like to you in Arizona, right now. That really says it all, doesn't it? I mean everybody knows what happened in New York and now it's happening in Arizona and who would have thought that it would happen in a state like Arizona but his shows you that the policy decisions that you're elected. Officials make have real life consequences and the decisions, the decisions in May and early June or lack of decisions are really what set in the cascade of events that ended up where we are today with a graph just saw. We're also seeing an inflection point in deaths in Arizona. We saw it also just I just saw about an hour ago. I think Texas reported its highest fatality level. I'm a very long time today. There's been this lag. Obviously between cases and battalions were catching more cases. There's a hope that fatalities won't be as high right now. What are you seeing the fatality data? Where do you think this is going? So. There's a couple of things that may be moderating the death rate here in Arizona. Number one is that the new cases are really exploding in twenty and thirty year old people who are. Less likely to end up in an ICU bed, and less likely to die. It happens, but it's less likely the other thing is that clinicians are getting better at treating people for covid. Nineteen at the beginning was just supportive care now there's a couple of medications that can improve the course of the illness, so as physicians learn a little bit more about how to treat illness I think that may be working in our favor a little bit and finally. I I'm hoping that this also represents an improvement in infection control within assisted living and skilled nursing facilities I. Don't know that for a fact. I do know that they are trying harder than they were and personal. Protective equipment is more available, but really there's no substitute for weekly testing of staff that work in those facilities. I don't think that that's happening. In terms of testing seeing, it's really maddening. We're seeing bottlenecks again, and you're seeing that in that positivity rate going up, and it's upright now. It's almost thirty percent I think in Arizona I mean the the recommendation the are you want the positivity right below three percent, which basically shows that you're testing enough? The MARICOPA county reported Covid, nineteen positivity rate of twenty eight point eight percent. This is the Phoenix Mayor tweeting. We've seen testing sites where people waited for more than eight hours in one hundred and ten degree heat to get tested. This is unacceptable. Arezzo needs more testing and context racing to slow the spread. This seems like a major major and acute failure right now as as the state tries to get a hold of this. positivity rate is off the charts, and as you said, it needs to be ten times lower than it is right now. We're at twenty five percent positive. The next highest state I think is Texas and Florida. They're in the the teens, so we're much higher that we need to be on that regard. The other thing is that our turnaround time on these tests is really pretty bad like we're looking at turnaround times between getting A. A sample collected from a patient and getting those results back from the lab of seven eight nine, even fourteen days, and what that means. Is that your contact tracing capacity? Your contact tracers can't do their job because by the time they get the data. The patient has already either gone back to work infected their roommates or co workers, and and it doesn't matter how good contact tracing capacity is if you're getting the results that late. It's going to be ineffective at Saint. We've gotta just get more tests, but faster testing. You know months ago. There's a lot of debate about the Swedish model Sweden was one of the few countries that had had you know. Had the virus didn't shutdown did close some things here? There? Make some efforts, and there was some question about. Can you avoid the worse consequences both economically and also of sort of social and physical and emotional health of lockdowns, and I your piece today basing no, it's not it's a cautionary tale. It was sort of a failed experiment. It does seem to me. We're headed towards the sun belt. Sweden experiment in the US I mean governor Ducey does seem reluctant to take any more steps and he has. We're just GONNA. Find out how bad it can get back. I Isaac, we adopted the Swedish model right around Memorial Day to be honest with. I've said that publicly that I think what we're really doing is going down the Swedish road and. And what we see is we can learn. The previous segment you talked about learning for mothers. You know I this is an example where we could have learned from others and I hope other people learn from us because this experiment isn't going well.

Arizona Arizona Department Of Health S Arizona Public Health Sweden Texas Director Covid York Arezzo Maricopa County Isaac Phoenix New York Governor Ducey United States Florida
"nursing home facility" Discussed on KQED Radio

KQED Radio

08:09 min | 1 year ago

"nursing home facility" Discussed on KQED Radio

"But what's the latest in terms of the state's response to that cluster of cases? Rain, So the governor has said that things are stabilizing at nursing home facilities in the state, and, but the same cannot be said for the state's prisons for it, so people who are incarcerated in facilities prison facilities in the state are there's a large population of people who are elderly who are medically vulnerable, who are in facilities that are overcrowded. And we've seen this very intense outbreak at San Quentin over 1/3 of incarcerated people there have tested positive and that's not including people who have actually declined to be tested. So there's a really serious situation it at San Quentin and Governor Newsome did did address it. He did say that that this is a top priority for him. He's going through sounds like individual by individual at this facility, possibly and other facilities in the state looking to see who is medically vulnerable, who could be up for parole earlier? And he also said that That the seat is working to expedite identification of housing right? So they don't want people Teo to just be released onto without a plan. And so regardless, you know, things are really, really bad at Saint Clinton right now. There. We just got notice just a few minutes ago from CDC are that three people? Three people who were incarcerated there died this weekend. And that's in addition to at least four other in needs, who were condemned inmates to people on death row who are thought to have died from committing the past two weeks. So We're definitely seeing things become very serious. Things have been serious there. There continue to be serious there, and the state is trying to address that in some way. Wow. So again, that's three additional inmates that we've just learned have died at San Quentin this weekend from covert 19th E governor said the state is, you know, decompressing the population there. You mentioned the early releases. But what else? What other Options. Does it really have to decompress the population there, right. So so the governor mentioned transfers in this peachy. There's definitely been dialogue about transferring people to an empty facility. No facility has been identified there. But the advocates are definitely against transfers from of people from San Quentin to other facilities that currently have people there that have no no cases. They really don't want to see what happened at ST Quentin happen again at a different prison. Write the scene. Quentin Outbreak as widely thought to have come from A transfer of 121 incarcerated people from the California Institution for Men in Chino to think women so they don't want that. A repeat of that situation. There's an emergency federal hearing today at 3 p.m. s o the state is gonna have Tio provide some next steps on what they're going to do to protect incarcerated folks throughout. See that throughout the system, the California Correctional System What they're going to do to protect staff and what they're going to do to protect these communities around these institutions. Right? We're seeing Marin go on this watch list, and Marin, of course, has a huge population of of people course in San Quentin and but also staff members and just the surrounding communities at risk when there's an outbreak at these institutions. The one outcome of this federal hearing. Maybe that there's a convening of a three judge panel that could grant these early releases for medically vulnerable people quicker than the governor can do so. Right. You mentioned Marin County That was one of the county's that has had to kind of roll back some of the re opening that they allowed just yesterday, the county announcing there will no longer be allowing in person dining for a few weeks. And as you know, the spread that you know may have originated at the prison through a transfer can then spread to the community through people who are working. At the prison. Newsome also talked about having a sense of urgency at other facilities within the CDCR system. Obviously, they may have learned that the way they handled the transfer San Quentin would be disastrous to repeat. Are there other facilities, other concerns that they're looking at right now in the system. Right. So there's a lot of attention on Saint Quentin. But there are still you know, they're still facilities that have legs. Sorry. They're still facilities that have infections. The California institution for men is still you know, trying to get there. They're outbreak under control. Very worryingly. Last week, we found out that the California Medical facility, which is in back of Il reported a case and that population has An elder care center hospice care center for people who are incarcerated but are also medically vulnerable and elderly. So there's and the judge who's in charge of overseeing Something to help the United States Medical response. He has said that that specific potential for an outbreak at the California men's facility is very worrying for him and that it's possible that we'll see an outbreak or at least a few cases in every institution throughout the state. So he is very worried. And I think that this Is rightly a huge concern for the governor and for the California Department of Corrections and Rehabilitation. That was Kate Wolf, who has been covering the Koven 19 outbreak it San Quentin State prison. I want to turn back to Kut science reporter Daniel Benton. Daniel. We talked at the top of the governor discussed enforcement measures that the state was taking against restaurants bars to try to keep in place some of the restrictions they've had. But it seems the general strategy is move. Risky activities from indoors outdoors. Is that kind of the sense you get. That is the sense I get. We are learning more and more about this virus, and all indications are that outdoor activities are much less risky than indoor activities and we've talked, You know a lot about the response in terms of county state regulations. I mean, part of this has to be just the individual decisions. You know, 40 million Californians are making the right on a daily basis. That's right. I mean, the decisions that my neighbor makes, but I make that you make you know affect the health of the whole community. The governor's talked again and again about the importance of education. And I think the idea behind that is that if you know the right thing to do, you're more likely to do it, He said. You know you mentioned at the top that there have been Thousands of in person visits to bars and restaurants talking about health and safety regulations, and he said that many people many businesses came into compliance after these visits. You know he had. He also mentioned that there were a number of citations. I think you mentioned about 50 over the weekend on DH. He's also threatened. That some counties could visit could miss out on state funding if they have a pattern of non compliance, so I mean, he's really appealing to people to do the right thing, but he's also holding out the possibility of some sticks along the way, not just carry it. We have about 30 seconds left. The governor did mention he'll be back later this week to discuss contact, tracing the state's effort to kind of trace the spread of the disease, enlisting county and state workers at what point does the increasing spread of the virus make tracing unrealistic or is that a potential concern? It's a potential concern. The state is not releasing contact tracing metrics yet so will be interesting to hear what he says. I think one of the things we need to keep in mind is if the virus is increasing in a community increases exponentially rather than nearly so things can get overwhelmed quickly. But I haven't heard that is overwhelmed yet. Great. That was science reporter Daniel Benton. Thank you.

San Quentin Governor Newsome Daniel Benton Saint Quentin Quentin California Department of Corre reporter California Marin County California Medical facility Teo Saint Clinton California Correctional System California Institution for Men Kate Wolf CDC Marin Tio Chino
Coronavirus outbreak reported in Hawaii’s largest nursing home

Glenn Beck

00:16 sec | 1 year ago

Coronavirus outbreak reported in Hawaii’s largest nursing home

"The number of residents diagnosed with corona virus at Hawaii's largest skilled nursing facility has grown to three highly ninety rehabilitation and nursing center in the Kiki is now fearing an outbreak as cases climb by the

Hawaii
"nursing home facility" Discussed on WTF with Marc Maron Podcast

WTF with Marc Maron Podcast

06:47 min | 1 year ago

"nursing home facility" Discussed on WTF with Marc Maron Podcast

"All right. Let's do this. How are you what the fuck? What the fuck stors. What the fuck it Delic's. What the Fuck Knicks? What the fuck cats. What the fuck nuts. I don't even know if I said that one in a long time. How are you mark mayor and this is my podcast? Wpf welcome to it. How's it going? Are you guys all right? Are you doing all right and then you are. You doing okay. What's going on? Snap out of it then. Don't fuck and fall into a hole. Look we're all in this together. Most of us who aren't standing on the steps of Capitol Buildings Dress like were prepared for war. Random flags dress characters some sort of video game. Jesus Christ whereas the demand for more tests no our sense of freedom in this country is very shallow almost infantile very shortsighted. Not Too many people thinking about the long game more about like Wind Guy Plays. I like I want to eat at the place I like. Why no one can tell me. I can't go to renew snits. Oh and eat inside if I want in my Bandanna hat with my goggles on and my gun I'll eat hot dogs. I don't know where that's coming from people. What's why is there any sniffles left? This is not a paid plug. I remember doing her Schnitzel. The you get a crowd dog at Dewinter sniffle or the Chicago style. Which had tomatoes on it which. I didn't like the Chili Dogs. Which was okay. I was acros guy which was weird. There was something about crowd when you're in high school. You know the other fellas like proud Mike. Yeah I was way ahead of the curve in this probiotic business. I knew what gut health was back when I was going. Diener Schnitzel in high school. Getting a crowd dog with mustard. Two or three of them. They're eating chili dogs. I'm like you guys are GONNA pay for that. Shit dog about the gut. It's all about the gut. Tell me you're asking. What about the Hotdog Dude? You know you got balance crowd sausage. You know what I mean. You want that fight to go on. That is the eternal conflict between probiotics. And what the fuck did you just eat? What's the fuck what is wrong with you man? How are we to even the probiotic bacteria or do we make it a little easier? Jesus Christ by the way. I'm GonNa Talk to Dan. Levy today of Shit's creek the other. Dan Levy I talked to another Dan. Levy a few weeks ago. Dan Levy now talking to Dan. Levy while you thought that Dan Levy was going to be Dan Levy but no it was not Dan Levy. Today's Dan Levy. Sorry for those of you who were disappointed by Dan Levy. No one's more disappointed by Dan Levy than Dan Levy so today Dan Levies here. Kind of here. I talked to him on the thing. Shits Creek Fund show. I talked to his father. Eugene Awhile back. I'll talk to Dan Levy about his father. Eugene Levy and how did with Eugene Levy? I think I did pretty well them you know. Here's the thing I know you're over it. Look I'm over it? I want nothing more than to just be able to go. Do things talk to people not wear masks? I'm not even sure what I'd like to do. How about socialize in a real way but look the point is despite the fact that some states are opening in that the leadership is non-existent or nebulous. They're still a lot of virus out. There were all sick of it. I know but there's virus out there. You can't avoid it just because you've decided it's Time Your Gut Calcio my gut tells me it's okay. Fuck your gut. I mean there is some leadership if you happen to have a decent thoughtful empathetic concerned governor or mayor but the leadership at the top is not giving any impression at their leading anything got an email from a guy who's in a nursing facility in Nursing Home Facility. He's got he's there for some other reason to. It's a convalescent home. He's convalescing for mental prize with a lot of older people. There's the virus in the place in Chicago and it started moving. Made me think that like those people are incredibly vulnerable. And it's a fucking disaster but Jesus man the reality for most people right now is that were without leadership without guidance and without any prognosis of how this is going to end and so for people in vulnerable situations nursing homes long term health facilities prisons public housing. It's even fucking more terrifying. And this guy he's in Chicago. Cook County one in four. Cova deaths are at the nursing home. So He's right these got it you know he's got a right to be to be fearful but as I said before you know if you're lucky living in a state where the citizens are concerned in the majority in the governmental leadership mayors and governors and people in the healthcare professions and law. Enforcement are are kind of like on top of the fact that look just because you're tired of this and just because what sort of coming down from the top is that It's kind of going away. It's not really. I don't WanNa be a Downer but hanging there. Let's lighten it up a little bit buddy. Oh friend of the show and me. We don't talk much but I always liked him. Mike Kaplan the comedian. That's M. Y. Q. Kaplan K. A. P. L. A. N. Jew has a new comedy album out. Mike Kaplan it's called. Mike Kaplan Aka comes out. This Friday may eighth He's very funny very tight. Writer interesting man. An interesting funny little man that Mike Kaplan I don't mean little little but he's he's short not saying that in a bad way. I think he would agree with me. You can pre order. Mike Kaplan Aka right now at blonde medicine DOT com. That'S B. L. O. N. D..

Dan Levy Mike Kaplan Eugene Levy Levy Dan Chicago M. Y. Q. Kaplan K. A. P. L. A. Knicks Dan Levies Delic Nursing Home Facility Diener Schnitzel Jesus Shits Creek Fund Writer Cook County B. L. O. N. D DOT Shit
"nursing home facility" Discussed on NewsRadio KFBK

NewsRadio KFBK

02:01 min | 1 year ago

"nursing home facility" Discussed on NewsRadio KFBK

"F. M. Pollock pines from ABC news hi Michelle Franzen social distancing measures starting to work in the hardest hit areas of the country but not quickly enough deaths now topping thirty five hundred in New Jersey and governor Phil Murphy also says his state will investigate the seventeen bodies found inside a nursing home facility to find out what happened to Jersey is living in our long term care facilities deserve to be cared for with respect compassion and dignity we can and must do better deaths across the country in nursing homes are becoming a new focus for state leaders in New York governor Andrew Cuomo says in the past twenty four hours cases continue to plateau but more than six hundred people died Wednesday alone still too high Cuomo says he's extending the stay at home measures in the state until may fifteenth and says the state has to come up with a plan though that keeps cases down and re opens the economy is no light switch it's not all businesses go back tomorrow it's what businesses what do they do what risks do they pose and what changes can they make in their businesses to make them more safe another round of jobless claims last week five and a half million Americans filing for unemployment benefits that surge affecting nearly every sector especially retail ABC's chief business correspondent Rebecca Jarvis has more on furlough more than twenty million Americans have likely lost their jobs in just one month with many of the latest losses in retail where sales of clothing and clothing accessories plunged more than fifty percent in March we had next to no sales hadn't had any for weeks Lisa lu expect the last thirteen years working as a sales associate at Macy's in Seattle her job along with thousands of others was furlough last month ABC's Rebecca Jarvis you're listening to ABC news and.

New Jersey Phil Murphy Andrew Cuomo ABC Rebecca Jarvis Lisa lu Macy Seattle F. M. Pollock Michelle Franzen New York
"nursing home facility" Discussed on KLIF 570 AM

KLIF 570 AM

02:37 min | 1 year ago

"nursing home facility" Discussed on KLIF 570 AM

"Ballot shaming that was going on people apparently were the election officials were yelling out loudly what kind of ballot you asked for public invalid or I got some good news bad news on the corona virus from the bad news is we've got a few more deaths in the state of Washington around the same nursing home facility the good news is most of the passengers on that princess cruise lines have now been taken out of Corentin allowed to go there in quarantine for fourteen days before that they were in quarantine on the ship for what three weeks or more I mean they were on a cruise they haven't been home in two months you know what I heard is they just dropped him off at a bus station what like they give them out a greyhound bus ticket what you get in like a car service center first class plane home haven't been home for two months they're being good about it I assume they're being as good as they can because they don't have any choice you have put a memo greyhound bus problem is is that if they were going if they were to go on an airplane it would probably cause complete chaos then yeah probably maybe they quietly wanted just put them on a bus lane so charter a plane for these poor people in our northeast of they're all going different places so I guess this is no way to do that that's gonna wrap up our cliff notes for now we've got more top news coming up at the bottom of the hour just five minutes away right now seven twenty five it's traffic time with Phil Jackson in Dallas it's been a big problem on I. forty five you try to get to downtown for a while forty five north bottle bar wreck with two right lanes blocked that's what it's jammed up now from Illinois Avenue all downtown and what Rogers west on the riverfront Boulevard the left lanes blocked by a wreck on I. twenty eastbound at Hampton the collision still blocked the right lane along I. thirty five be bill lot of problems with accidents is still with him the way northbound at six thirty five old school north bound at the ramp to one twenty one of Louis ville and southbound at northwest highway in Frisco a Dallas north tollway southbound past Warren parkway in accidents reported on one twenty one southbound past Plano parkway there's an accident in fort worth five thirty west bundled near the White Plains blocked by an accident back ups there both directions on I. twenty eastbound past Mansfield highway arek blocks a lane hello the northside thirty five W. south bonded one seventy and exit it was moved to the shoulder but it is causing that onlooker back up with KLIF traffic on the fives I'm bill Jackson I'm meteorologist Brad Martin we're gonna be rainy windy and cool and a bit stormy at least this morning showers and storms all across the area mostly just.

"nursing home facility" Discussed on WRIR.org 97.3FM

WRIR.org 97.3FM

09:52 min | 2 years ago

"nursing home facility" Discussed on WRIR.org 97.3FM

"Welcome back to background briefing. Im David Dan filling in for in masters and joining us now is Peter Harithi. He's a DC based investigative reporter for the Washington Post who focuses on economic and financial issues is reporting is one eight George Polk award in two thousand thirteen and his latest investigation at the Washington Post is overdoses bedsores, broken bones. What happened when a private equity firm sought to care for society's most vulnerable? Peter. Thank you for coming on the show. Thanks for having me. So maybe she give us some background on the private equity industry. These are investment firms and wondering what what their model is their business model, and you right? Also that they've been branching out in recent years to businesses that serve more vulnerable segments of society. So maybe explain that to right. So private equity firms what they generally do this variations on this model. But. Basically what they do is. They get a group of investors together a hundred or two hundred or three hundred usually which those investors are are big entities. Like, pension funds are churns companies wealthy people. They get a bunch of money, and then they buy companies, and then they sell the companies, and they try to turn a profit doing that. It's been amazingly successful for some people and in more recent years like starting around the time of the recession. You started to see them get into businesses that serve poor and otherwise vulnerable people. So for example, they private equity firms own prison phone service. They own a lending company that several ending companies that are either payday lenders or short term installment loan lenders. They moved into nursing homes, and then moved also into buying up houses that were for closed upon during the crisis, and they now rent them out. Some of the former residents said we're in there. Yeah. Single family rental market. But let's talk about then this nursing home facility. Manor care this chain. The transaction happened with a private equity firm called the Carlisle group and typical for these transactions. It was not purchased with money that the private equity firm had in its investment portfolio. But but through debt, maybe talk about what the terms of this transaction were Ryan. So that absolute right. That's what their model aside in addition to buying and selling companies, they buy the companies using a lot of debt. So in this case they bought manor care for six point one billion. But only one point three billion of it came from Carlisle and its investors. So the rest is borrowed and what happens is that debt. Then goes onto the company that purchased which makes their financial success quite a bit shaky. And in this case, eventually doomed the company. Yeah. And in this case things seem to fall apart when manor care had an additional financial burden and that was through this tactic known as a sale leaseback. Could you could you describe what the Carlisle group did? Yeah. So this is a very common move in private equity in a lot of the retail bankruptcies that people have been writing about what they do is. They buy the company it might be a bunch of stores. It might be a bunch of nursing homes, and they are going to make money not necessarily by improving service at those companies, but by selling the real estate, and it's called a sale leaseback because what they do this in this case, and in others, they sold all of the real estate at the company almost all of it. And then they agreed to lease it back you wouldn't necessarily do that with your own house. But it works for them because this gave them a big pulse of money. In fact, they they got back six point one billion dollars, which is what they had paid for the company in the first place. And then some of that was distributed to the investors. Yeah. It's kind of it to relate to a house almost like a home equity loan. They only the people who are living in the house. Don't get the money the financial managers. Money glance. So at this point manor care, they were they were company that was moving along. Now, they have to pay interest on the debt that was loaded onto them. They have to pay rental payments for the facilities, and how do they manage this financial burden and what was the impact of that on the operations themselves? The the amount of debt is was actually the rise in the amount of long-term financial obligation that the company is staggering. When Carlisle bought the property brought bought the company they had one less than one billion of dead after they bought the company using a lot of debt they then had five billion dollars after the real estate sale. They had six billion dollars in debt, and that turned out to be the main in retrospect looks like the straw that broke the camel's back because as soon as that happened. They never turned a profit or never again reported a profit in their financial statements. They started doing cost cutting the inflation adjusted amount they start spending on operation started shrink. And what we saw was some patients the patient care also suffered. Yeah, let's talk a little more about that. Because you did some. Alice's oath of the code violations in the company at the time that they started to cut costs, and you also, you know, had personal stories talk to people who had loved ones at these facilities. Also, former workers so was what did you find about the impact of this cost cutting on the quality of care? Well, what we saw statistically was that in the years after the Phillies back, which is when the debt really got overbearing and time they filed for bankruptcy, the number of health code violations, rose twenty five percent across the company, and this is for all kinds of things from no too much medication to little medication not properly handling people when you're moving them. So they might fall and break bones, not properly, preventing or treating bedsores that was kind of a mishmash of horrible incidents that we could see the incident reports from the companies, and as as you noted the violations that kept cropping up sort of all pointed back to understaffing, even though manor care and Carlyle said that no they had the same amount of staff and Seamount nurses per facility, the kinds of things that were going. Wrong where things that only would happen. If you didn't have enough staff. Yeah. Experts point know, the experts that we talked to you know, when I would say, look all these things were going wrong. They said that's almost always the result of stuffing. And it, you know, if you don't have enough people, you don't move people. So that they don't get bed sores. If you don't have enough people, you don't have an extra person around to prevent a fall. And and that's what we saw quite clearly in the health code violations. But we also heard it over and over from patients and also from nurses who would tell us. Yeah. There just wasn't enough help that we couldn't get to everybody as quickly as we needed to. Yeah. Just a reminder. We're speaking with Peter heuristic. He's an investigative reporter for the Washington Post focuses on economic and financial issues his article that we're talking about is overdoses, bedsores, broken bones. What happened when a private equity firm sought to care for society's? Most vulnerable the private. Equity firm, the Carlyle Group and the caring for the society's most vulnerable as their purchase of a company called manor care. I found it interesting that managed care they referred you to a consultant said that your figures weren't the figures that you should talk to this consultant that works with us on the violations, and he kind of found the same results that you that you guys did right? He did it was very strange because I said, no, no, no, Iran. And so we found that there was a twenty six percent rise in health code violations at the company over those five years and sure enough he found twenty six percent of health code violation arrive and healthca violation. You know, our our numbers varied in small small ways. But the oath, you know, the headline from both of our sets of figures less things weren't going. Well, they're the headline could have been manor care consultant finds this. Anyway. So Carlisle kind of cited Medicare reimbursement reductions as the real sort of triggering event that caused financial problems at the company, but it seems to me that that's the whole point that accompany not weighted down by debt would have room to adapt to whatever changing circumstances in the marketplace or in the business took place, but but manor care could not and that's kind of the whole issue with private equity, isn't it? Yeah. It just it makes companies risk much higher. And so there's a little bit of a wave of bad news..

Washington Post Peter Harithi Carlisle group investigative reporter consultant Carlisle George Polk David Dan Carlyle Group Phillies Iran Ryan Alice understaffing Carlyle twenty six percent five billion dollars
"nursing home facility" Discussed on WGIR-AM

WGIR-AM

01:57 min | 3 years ago

"nursing home facility" Discussed on WGIR-AM

"Going to have to move in that direction at some point so don't set yourself up so that every time that you have to draw out of your accounts is gonna get taxed and potentially at a much higher rate than we're paying today you know whether you want to stick your head in the sand or not you've got to be realistic about this well way too many people mark they ignore the longterm care piece of the retirement puzzling you know some people just too busy and they adopt the we'll figure it out later approach right others just want to avoid the subject altogether and end up procrastinating you need a plan and that plan doesn't have to be you know buying long term care insurance but you need to have a plan so that you know how you're going to deal with these things if they come up and many of us don't recognize don't want to understand the fact that seventy percent of us at some point i going to require some care whether it's in home care whether it's assisted living whether it's nursing home seventy percent the only thing that i i wanna make sure that you understand is that if you go into a nursing home it's gonna cost you medicaid does not kick in until you are realistically destitute the problem isn't with the person that's in the nursing care or the assisted living the problems with the person that's left behind that person will be left destitute if there are issues where they have to have that kind of care for more than one or two or three we all know that one of the biggest problems right now is is dementia things of that nature you can have a spouse living in assisted living or excuse me in a nursing home facility for seven eight nine ten years the person left behind it's going to be left destitute so understand that you need to have a plan that begins with your elderlaw slashes state attorney and with european advisor.

attorney advisor seventy percent seven eight nine ten years
"nursing home facility" Discussed on WDRC

WDRC

02:16 min | 3 years ago

"nursing home facility" Discussed on WDRC

"To take any risks with their money okay and that was compared to forty two percent of man so that's a big deviation between the two women are more realistic they take less risks where their money and they invest differently so you know it's just there impacted by circumstances that don't affect men like longevity and and some of the things will on it out as well and that so true and in fact if he were to walk into a nursing home facility you'll find that most of the people that our in there as patients are women young and i want rate it you know that it's great for the bed though because they're like it's like ten to one the ratio writings so awesome well listen young enough about that i mean we know that no matter who you are your man or woman or if you're just in different i guess now we could say you know with with general neutral and if okay we got a binion's on that but it will are going to talk about that but here that know that said you've got to protect yourself you've got to protect yourself against the future uh about things like research are a recession and inflation and you know who knows what lies ahead that's why we're proponents of doing what we call safe investing with the ramp strategy the retirement approach free of tax you know i've got so many people that ask us is that an annuity no of course it's not an annuity because annuities are tass oval whether they're qualified or nonqualified they're still taxable year on the gains or on the entire amount if it's a qualified in nudie but the rest strategy that a taxfree strategy so you can take money that you've already pay tax me being the bank savings that kind of thing put it into the ramp strategy habit linked to the performance of an indices like the s p or the dour the nasdaq with an average return of approximately seven percent per year then have the liquidity debt access that anytime you want and you know i mean really it's kinda like a roth ira on steroids if you will uh just a really really important thing to learn about that's exactly right dave and the whole purpose of this broadcast is to get you information about the raft strategy that's r a f t raft like a liferaft and.

binion dave forty two percent seven percent
"nursing home facility" Discussed on KSFO-AM

KSFO-AM

01:40 min | 3 years ago

"nursing home facility" Discussed on KSFO-AM

"You are here open phones this hour triple eight eight 255 to drive this tweet hand from robber they out you can follow me at daveramsey if you want that i was going over my mother's finances last night moving our into a longterm care facility she has nothing her mortgages upside down and she's been living off thirteen hundred dollars a month but according to credit wise her fico score is eight ten others there's a person that is completely penniless has a negative net worth in his living off of social security moving into a nursing home facility who has a fico score of eight ten so the next time you're brag about your fideco scoring like that makes you look smart you should rethink that before you open your stupid mouth fi co score is not an indication of wealth is not an indication your good with money it's an indication you borrowed money a lot of it over a long period of time and paid it back regularly so mama's current on her house paint but as what that says that she owed more on than it was worth what does that tell you that tells me she refinanced it and took money out or got a second mortgage on it to buy something because otherwise you don't home more on your home that it's worth in ninety six percent of the neighborhoods outage made that statistic up on the spot but i mean very few neighborhoods in america if you live there ten years do you owe more on your house than it's worth very very few unless you've continued to borrow on your home as.

america thirteen hundred dollars ninety six percent ten years
"nursing home facility" Discussed on KCMO Talk Radio

KCMO Talk Radio

01:55 min | 4 years ago

"nursing home facility" Discussed on KCMO Talk Radio

"One one 1966 so let's talk a little bit about estate planning why it's so important well of course you avoid probate that's a big thing yo course you avoid these costs of probate and one of these the potential things you can do is a void and we talked about this in the last part we talked about the need for longterm care why do you need it because you're gonna have to get medicaid the pay well you pay out a longterm care policy as opposed medicaid the pay medicaid if you need to get medicaid to pay for a nursing home facility you got to be broke you're married couple you're allowed one hundred two thousand as a single person your allow 2000 so how do you avoid this medicaid spend on their certain types of cross that you can implement that all help you around this medicaid spending on issue this is something the filkin talking about now if you've recently done h for you had one done seven or eight years ago matter of fact view had a willer trust on seven or eight years growing you want a second said is the look at it he give us a call well have you sit down a fill free of charge for an hour who talk to you more about that but if you've done that trust in home absolutely astonishing statistic seven out of ten that seventy percent obviously seventy percent of the trust go without getting funded you think you're what what the heck is at funding thing may matter of fact years it's become such a problem that the attorneys will have you sign a sheet saying that you've been told how to fund your trust it means you've got to put things in it people will literally go out and pay the big dollars for the trust three four or five thousand dollars and they never funded i've seen scenarios of trust come through here or they did at eleven years ago in the thing are great but they never put anything in it so if you're concerned that you didn't fund your trust give us a call we can kind of walk if you're over the phone woman in about ten fifteen minutes is all on the how twos on how to do that.

seventy percent eight years five thousand dollars ten fifteen minutes eleven years
"nursing home facility" Discussed on 1340 Big Talker

1340 Big Talker

02:07 min | 4 years ago

"nursing home facility" Discussed on 1340 Big Talker

"Facilities healthcare providers see the value and invest that becomes part of the budget so currently were not directly medicare medicaid reimbursable which is a shame and we we are working on that um but say you are a nursing home facility many of these facilities don't realize that they can document their music therapy minutes on that md s three point now under section oh and that as you document those music therapy minutes and you show that individualized quality care your proving all those metrics that the pair sources look for to determine reimbursement so is sort of an indirect investment but there is often too for those groups like the group pay option where day you add a few dollars per session to the bill for that facility by you spread that across the twelve or so residents who were there per session and so the therapist as being paid ethically and then the clients are receiving the service for variable costs so we get very creative in getting music therapy into the hands of our patients my aunt's house the house pay structures set up for those at home that would be private pay so that's typically consider private practice work and so typically they will contract with an individual therapist just like you know if my insurance we're not going to cover my counselling sessions i can go and i can swipe my debit card to talk to my talk their best i'm or any other kind of private contract setting foot as a typical session cost the private pay you know that vary so much based on the part of the country by it and then obviously the population that you're working with because some therapist can build the hospital using insurance coats and that's going to be a different set up then say private pay but typically it's going to be comparable to you if you were to contract an hour of any other in home therapy so spee each therapy physical therapy it's going to be in about the same ballpark range and we get data from our association about what a fair and reasonable rate is and so we we would do that but you know in this area it's going to be anywhere from fifty to seventy five an hour for an individual depending on the scale of your therapist.

physical therapy healthcare providers the house private practice
"nursing home facility" Discussed on BizTalkRadio

BizTalkRadio

02:11 min | 5 years ago

"nursing home facility" Discussed on BizTalkRadio

"Helps people protect assets oh boy bro baby heard get qualified for long term care in place of long term care insurance and it also helped you with privacy well that's a really great point that you're making it helps to avoid a probative and it also helps you with long term care how does that help the with long term care okay so when it's something happens so you're your spouse and you get stick you go to the doctor and the doctor says listen i don't feel comfortable with you going home you really need to go into a nursing home facility then they get a social worker involved and they help you select want and at that that facility the first question they ask is well how are you know paying are you going to help a which can range from ten thousand dollars per month to fifteen thousand dollars per month depending on the state which which you live all argued a long term care policy so you might have long term care insurance that's going to cover a portion of the cost or maybe the low cost depending on the policy you have to cover the cost of the care and then the third option is that you don't actually you don't have any more and the money to pay for care and that beat of there's backdrop the the whole system called medicaid okay not medicare medicated that he's for on their single care for people the qualifying no who qualifies very simply people if you don't have the but to pay for care of their own i'm and that's before single individual so if you re position your assets into a the right structure and it's created correctly and it's executed correctly we are not even if you may with and you know happen early in dollar most and drive with in the car and if there put into the trust the right way you actually qualify believe in or not for the state to pay for your care.

fifteen thousand dollars ten thousand dollars