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Message
As 11 Nursing Homes in Louisiana are now named clusters, how many folks did greed kill?
Posted on 3/28/20 at 2:01 pm
Posted on 3/28/20 at 2:01 pm
https://www.nola.com/news/coronavirus/article_2ec86a06-711d-11ea-9cbb-ef02124b9c1d.html
The folks owned by the Nursing Home Lobby like a Ukranian gang owns the hookers they kidnap blocked a bill that would have allowed thousands of families to keep their loved ones at home. How many of these folks died before their time?
https://www.theadvocate.com/baton_rouge/news/politics/legislature/article_b2e985be-31e5-11e8-bbef-a304bc561aea.html
The folks owned by the Nursing Home Lobby like a Ukranian gang owns the hookers they kidnap blocked a bill that would have allowed thousands of families to keep their loved ones at home. How many of these folks died before their time?
https://www.theadvocate.com/baton_rouge/news/politics/legislature/article_b2e985be-31e5-11e8-bbef-a304bc561aea.html
This post was edited on 3/28/20 at 2:04 pm
9
Posted on 3/28/20 at 2:05 pm to Anaximander
Did I read it right? If you are on Medicaid they can make you go into a nursing facility??
Posted on 3/28/20 at 2:08 pm to rsbd
quote:
Did I read it right? If you are on Medicaid they can make you go into a nursing facility??
SOme will argue different but it is just semantics. You are correct.
This post was edited on 3/28/20 at 2:09 pm
Posted on 3/28/20 at 2:27 pm to Anaximander
On a serious note, there is a patient in the nursing home where I work, there is a chance she may have it. Spent a month or so in the hospital/icu, before she DC’d to the nursing home. She ran a fever and had a cough for the last couple of days. Recently transitioned to a peg tube. I feel like the NH is being reckless and suppressing the symptoms with medications. Hopefully it’s just pneumonia.
Posted on 3/28/20 at 2:28 pm to rsbd
quote:
Did I read it right? If you are on Medicaid they can make you go into a nursing facility??
How was this shite even allowed to pass?
I haven't had time to read it, btw. But if that is, in fact, true....how and why?
Posted on 3/28/20 at 2:30 pm to Dave_O
quote:
On a serious note, there is a patient in the nursing home where I work, there is a chance she may have it. Spent a month or so in the hospital/icu, before she DC’d to the nursing home. She ran a fever and had a cough for the last couple of days. Recently transitioned to a peg tube. I feel like the NH is being reckless and suppressing the symptoms with medications. Hopefully it’s just pneumonia.
What obligation, if any, do you have to report your suspicions?
Posted on 3/28/20 at 2:33 pm to Anaximander
They should send those that voted against that to a nursing home to help care for those sick with it.
Posted on 3/28/20 at 2:36 pm to Anaximander
Lambeth House the first where this started is a social scene for the elderly of New Orleans where tenants pay 30,000 to 80,000 just to get in and then higher rents than almost anywhere in the city.
I suspect the reason it started there is because when the residents are not there they are globetrotting around the world on cruises or other exotic destinations.
I suspect the reason it started there is because when the residents are not there they are globetrotting around the world on cruises or other exotic destinations.
Posted on 3/28/20 at 2:41 pm to OleWar
quote:
Lambeth House the first where this started is a social scene for the elderly of New Orleans where tenants pay 30,000 to 80,000 just to get in and then higher rents than almost anywhere in the city.
I suspect the reason it started there is because when the residents are not there they are globetrotting around the world on cruises or other exotic destinations.
I know Lambeth is high end and it can cost more than that for some units. There are 11 homes now listed as clusters.
This post was edited on 3/28/20 at 2:42 pm
Posted on 3/28/20 at 2:47 pm to Dave_O
We have two that were tested after negative flu swabs .. I think that one is actually aspiration pneumonia and the other is coughing up yellow stuff so that doesn't seem to fit the trend. Both are long term residents who've been there for quite some time.
Posted on 3/28/20 at 2:52 pm to rsbd
I don't think that they can ... but I can tell you that in our 100 bed facility we have 3 private pay residents. 23 beds are for SNF and some of those are insurance (Humana, AETNA, etc) but some are Medicaid.
I'm not a social worker but do know that Louisiana does have some type of waiver program and if the person qualifies (I dont know what the qualifications are) they are able to get services at home after d/c. That said, many of our residents aren't really able to be well cared for at home by family as their medical situations just aren't great. Even if they qualify for a waiver program, many have families that even come to visit so the well being of these residents at home would be in question if waiver services weren't enough.
I'm not a social worker but do know that Louisiana does have some type of waiver program and if the person qualifies (I dont know what the qualifications are) they are able to get services at home after d/c. That said, many of our residents aren't really able to be well cared for at home by family as their medical situations just aren't great. Even if they qualify for a waiver program, many have families that even come to visit so the well being of these residents at home would be in question if waiver services weren't enough.
Posted on 3/28/20 at 2:55 pm to Anaximander
quote:
The folks owned by the Nursing Home Lobby like a Ukranian gang owns the hookers they kidnap blocked a bill that would have allowed thousands of families to keep their loved ones at home. How many of these folks died before their time?
Is it more expensive to send nursing care to individual houses than it is to care for these people in a nursing home setting?
Posted on 3/28/20 at 2:58 pm to Jack Bauers HnK
quote:
Is it more expensive to send nursing care to individual houses than it is to care for these people in a nursing home setting?
That (shouldn't) matter at all if a family is willing and able to take care of someone at home. Home Health is a thing for a reason, and most are privately owned and operated.
Posted on 3/28/20 at 3:04 pm to LegendInMyMind
quote:
That (shouldn't) matter at all if a family is willing and able to take care of someone at home. Home Health is a thing for a reason, and most are privately owned and operated.
Aren’t we taking about Medicaid? Completely state paid for healthcare because these people have no insurance or funds of their own?
If they want to come out of pocket for the care they need, surely no one is committing them to nursing homes against their will, are they?
Posted on 3/28/20 at 3:06 pm to Dave_O
quote:
Hopefully it’s just pneumonia.
hard times.
Posted on 3/28/20 at 3:07 pm to Jack Bauers HnK
Sorry, I wasn't thinking about Medicaid.
Posted on 3/28/20 at 3:23 pm to LegendInMyMind
quote:
That (shouldn't) matter at all if a family is willing and able to take care of someone at home
"ABLE" being key. We've discharged patients who were there short term for rehab. They were d/c to their home for their family/spouse to take care of and were given instructions and likely had home health for a time period. Some of those returned to our facility not long after worse off with bedsores, malnutrition, etc -- again they may be willing but they must be ABLE.
Posted on 3/28/20 at 3:32 pm to tiger91
I agree with that. I just don't like the idea of taking the decision completely out of the family's hands.
My grandmother nearly died in a rehab/nursing home facility due to terrible care.
My mother and aunt brought her home with home health, and a few years later, Hospice. We were convinced she would have died had she stayed in the rehab center. I know, it is an anecdotal case, but it is our experience.
My Dad died with ALS. His was not a long, drawn out fight, but the roughly year that he was fighting it was brutal. We kept him at home, and with the help of family and home health we managed. He was bedridden only for around a month prior to his passing, but could not walk, talk, or eat for months prior. He had a feeding tube and all that goes along with it. We were provided equipment and help from the local ALS clinic that was invaluable.
That said, I fully understand that alot of families cannot and should not do that.
My grandmother nearly died in a rehab/nursing home facility due to terrible care.
My mother and aunt brought her home with home health, and a few years later, Hospice. We were convinced she would have died had she stayed in the rehab center. I know, it is an anecdotal case, but it is our experience.
My Dad died with ALS. His was not a long, drawn out fight, but the roughly year that he was fighting it was brutal. We kept him at home, and with the help of family and home health we managed. He was bedridden only for around a month prior to his passing, but could not walk, talk, or eat for months prior. He had a feeding tube and all that goes along with it. We were provided equipment and help from the local ALS clinic that was invaluable.
That said, I fully understand that alot of families cannot and should not do that.
Posted on 3/28/20 at 3:37 pm to LegendInMyMind
quote:
I agree with that. I just don't like the idea of taking the decision completely out of the family's hands.
Is that really what happens? I honestly don't know.
quote:
My grandmother nearly died in a rehab/nursing home facility due to terrible care.
My mother and aunt brought her home with home health, and a few years later, Hospice. We were convinced she would have died had she stayed in the rehab center. I know, it is an anecdotal case, but it is our experience
Truly sorry for this ... it's things like this that give nursing homes a bad name. Oh and Hospice is a fantastic thing.
Also very sorry to hear about your dad .. His last name didn't start with a C did it?
Posted on 3/28/20 at 3:37 pm to Anaximander
Also, I known there is no way of tracking how the virus got into these nursing homes now, but one has to wonder if there is some common source? Could it have come in with deliveries? Could it have been a single person that had business at all the nursing homes? Or something else?
Most likely, it was just community spread to places with large numbers of the most at-risk people.
Most likely, it was just community spread to places with large numbers of the most at-risk people.
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