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Facility-initiated discharges in nursing homes require further attention
Facility-initiated discharges in nursing homes require further attention
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Report in brief (United States. Department of Health and Human Services. Office of Inspector General)
- Contributor(s):
- United States. Department of Health and Human Services. Office of Inspector General. Office of Evaluation and Inspections, issuing body.
- Publication:
- Washington, D.C. : U.S. Department of Health and Human Services, Office of Inspector General, November 2021
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Government Regulation
Nursing Homes -- legislation & jurisprudence
Patient Advocacy -- statistics & numerical data
Patient Discharge -- economics
United States
United States. Department of Health and Human Services - Genre(s):
- Technical Report
- Abstract:
- Why OIG Did This Review. Nursing homes can legally discharge residents for certain reasons (known as facility-initiated discharges). Facility-initiated discharges that do not comply with regulations (i.e., inappropriate facility-initiated discharges) can be unsafe and a traumatic experience for the resident; media reports have highlighted the rise in these discharges. For example, the police found one resident on the streets after a nursing home discharged him to an unlicensed boarding house without notifying his family. In addition, State Ombudsmen have cited “discharge/eviction” as the top complaint from 2013 through 2019. Given concerns about inappropriate facility-initiated discharges and the risk to vulnerable nursing home residents, efforts to reduce these discharges warrant our examination. How OIG Did This Review. We surveyed State Ombudsmen in all 50 States and the District of Columbia. We also analyzed Centers for Medicare & Medicaid Services (CMS) administrative data to determine the number of nursing homes that received a deficiency related to facility-initiated discharge. We interviewed officials in the Administration for Community Living (ACL), CMS, and all 10 CMS Regional Offices (ROs) about efforts to reduce inappropriate facility-initiated discharges. We also interviewed five State Ombudsmen about the effect of COVID-19 on these discharges.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (40 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918383986206676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918383986206676