{"id":8956,"date":"2022-09-27T21:01:10","date_gmt":"2022-09-27T21:01:10","guid":{"rendered":"https:\/\/www.injuryinsiders.com\/?p=8956"},"modified":"2022-09-27T21:01:10","modified_gmt":"2022-09-27T21:01:10","slug":"witnesses-recount-dire-conditions-in-nursing-homes-during-covid-19-in-congressional-hearing","status":"publish","type":"post","link":"https:\/\/www.injuryinsiders.com\/?p=8956","title":{"rendered":"Witnesses recount &#8216;dire conditions&#8217; in nursing homes during Covid-19 in congressional hearing"},"content":{"rendered":"<p> [ad_1]<br \/>\n<\/p>\n<div>\n<p><span style=\"font-weight: 400\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-large wp-image-516668\" src=\"https:\/\/medcitynews.com\/uploads\/2021\/02\/GettyImages-1256717949-600x400.jpg\" alt=\"\" width=\"600\" height=\"400\" srcset=\"https:\/\/medcitynews.com\/uploads\/2021\/02\/GettyImages-1256717949-600x400.jpg 600w, https:\/\/medcitynews.com\/uploads\/2021\/02\/GettyImages-1256717949-300x200.jpg 300w, https:\/\/medcitynews.com\/uploads\/2021\/02\/GettyImages-1256717949-768x512.jpg 768w, https:\/\/medcitynews.com\/uploads\/2021\/02\/GettyImages-1256717949-1536x1024.jpg 1536w, https:\/\/medcitynews.com\/uploads\/2021\/02\/GettyImages-1256717949-2048x1365.jpg 2048w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\"\/><\/span><\/p>\n<p>Nursing homes became an elder care flashpoint during the Covid-19 pandemic, and while some of the problems were brought on by the virus, others reflect longstanding issues and a lack of regulatory oversight, industry stakeholders told members of Congress this week.<\/p>\n<p>Nursing home workers, policy experts and relatives of people who died were among those who testified before the Select Subcommittee on the Coronavirus Crisis, which held a hearing on Wednesday.<\/p>\n<p>Dr. David Grabowski, professor of healthcare policy at Harvard Medical School, described \u201cdire conditions\u201d in nursing homes in 2020. The pandemic \u201clifted the veil on nursing home care in America,\u201d he said.<\/p>\n<p><span style=\"font-weight: 400\">Grabowski shared research with the committee concluding that Covid-19 outbreaks in nursing homes <\/span><span style=\"font-weight: 400\">were largely a function of where in the country a nursing home was located versus other specifics about the facility.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cThis does not suggest there was nothing that could have been done to prevent Covid outbreaks,\u201d Grabowski said. \u201cRather, it suggests that policymakers needed to adopt a system-level approach to address this problem,\u201d Grabowski said.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Adelina Ramos, a <\/span><span style=\"font-weight: 400\">certified nursing assistant at a nursing home in Rhode Island, described the conditions in the nursing home in the spring of 2020. She recounted to the committee that while working with residents who <\/span><span style=\"font-weight: 400\">couldn\u2019t eat, drink, get out of bed or go to the bathroom without help, and who required oxygen to be changed every 15 minutes, she had to \u201cmake impossible choices about which residents to help\u201d because the facility was understaffed.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Ramos is now a member of a nursing union, which she attributes to improved working conditions, including paid sick leave and better health insurance. But she said it\u2019s up to the government to look at this struggling industry and provide oversight.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cWe want guidelines to ensure that we have safe staffing levels more often,\u201d Ramos told the committee.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cThe majority of nursing home workers are women and people of color and we are often called unskilled and uneducated,\u201d Ramos said. \u201cOur jobs are devalued and it\u2019s disgraceful that after two-and-a-half years of a daily pandemic we are still treated this way and we are fed up with the lack of respect from nursing home owners and lawmakers, so our workforce change needs to happen now.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Racism and structural inequities affect both staff and nursing home residents alike, according to witness <\/span><a href=\"https:\/\/u7061146.ct.sendgrid.net\/ls\/click?upn=4tNED-2FM8iDZJQyQ53jATUftrVon-2FzPhqn4ck-2F66SYI7WlOQ9OhEaMGEsm5S8-2BpriP4U7c2eZwrERBLEBwtSgTiAl3WNrA0C8VYJ-2B9-2FGRqW8-3Dnqkt_53Q6bEWHmH65-2BcPTDkaxUNcwtAqAnLIQHcUuB0E0AZSuQ9VVX4-2F0JDPYcSnrN1gXFGJh3JXYBEPtxQG9-2BP-2BjNEuYIzPdVvNs-2FI0qYyd3hhQXFIjZlas-2FbG5rdYPLiI-2BVNNIsuwclW4OXKyq3WPoHxlps2lXNsSwWfScnBNGRvlpls0Mz50WzUDMqkDqjQx8ESDGFUvaftajAUSyJqjmWKsLr-2BBCgxtJrf-2B-2BU3pNQP9sCgXo1-2BH8hXCH7XpIs4kzRq0IBAEkxoRICDnCG-2BOofRKOm7SH7Axt1c6IUQhc78SXf4dbMxhwzDXilJEntZlPrpVB3AC9gDTZYsMsE-2Be217078rosbvqzBn7R3euiHLS4-3D\"><span style=\"font-weight: 400\">Dr. Jasmine Travers<\/span><\/a><span style=\"font-weight: 400\">, assistant professor of nursing at NYU.<\/span><\/p>\n<p><span style=\"font-weight: 400\">She cited research showing that halls with any black residents experience significantly more Covid infections and deaths than homes with no black residents. This was a problem highlighted during the pandemic, but not created by it.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cBeyond the pandemic when compared to their white counterparts Black or Latino residents are likelier to experience pressure ulcers falls and under treatment for pain, ordered anti-psychotics, put in restraints and are less likely to receive preventative care,\u201d Travers said. Residents who identify as LGBTQ+ and are living with dementia often do not receive required care, Travers said, because of limited staff knowledge, training and a failure to hire staff that is \u201cculturally congruent\u201d to residents.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">She recalled the pungent smells that \u201cstung\u201d her nose when visiting nursing homes during the pandemic because the Centers for Medicare and Medicaid Services waived inspection requirements.<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cI urge the subcommittee to recognize that older adults do not want to stop living, although they might need help living,\u201d Travers said.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Several witnesses blasted the failure of former New York Gov. Andrew Cuomo to address the crisis in nursing homes, saying he was preoccupied with a book deal. One committee member, <\/span><span style=\"font-weight: 400\">Rep. <\/span><a href=\"https:\/\/abcnews.go.com\/alerts\/scotus\"><span style=\"font-weight: 400\">Steve Scalise<\/span><\/a><span style=\"font-weight: 400\">, R-Louisiana, <\/span><span style=\"font-weight: 400\">asked the witnesses for statistics on whether New York nursing homes were pressured to not follow CDC guidelines, after hearing many accounts about Cuomo\u2019s failure to address nursing homes in the state while he was in office.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Though none of the witnesses had statistics on hand about the direct impact of the governor\u2019s orders on nursing homes, one New Yorker described how the virus affected his family.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Daniel Arbeeny, a Brooklyn resident, said in one week in April 2020 four of his family members died from Covid-19, including his father, uncle, and two cousins. Three were in nursing homes. Arbeeny cited guidance he received from the nursing home where his father was that said he needed to bring his father home, where it would safer there than the nursing home. He said the nursing home had been instructed by New York regulators to readmit Covid-19 positive residents to their facility even if they were unequipped.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cIt was like a hurricane. I have no other way to describe how my family came together and made a plan,\u201d Arbeeny said, recalling when he received the news from the nursing home that his father would be safer at home. \u201cWe were in a race for our lives and we knew it,\u201d though his father eventually died at 88 from the virus while at home a week later.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Rep. Scalise said he would find answers and statistics about directives from the New York regulators that influenced the decisions affecting those like Arbeeny and his family, and would hold to account the authorities that abandoned New York nursing homes.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The John A. Hartford Foundation, based in New York City, is a private, nonpartisan, national philanthropy dedicated to improving the care of older adults. The foundation released a statement following the hearing saying it was \u201c<\/span><span style=\"font-weight: 400\">a critical step toward accountability and action to improve America\u2019s nursing homes.\u201d<\/span><\/p>\n<p><em>Photo: Tempura, Getty Images<\/em><\/p>\n<\/div>\n<p>[ad_2]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[ad_1] Nursing homes became an elder care flashpoint during the Covid-19 pandemic, and while some of the problems were brought on by the virus, others reflect longstanding issues and a lack of regulatory oversight, industry stakeholders told members of Congress this week. Nursing home workers, policy experts and relatives of people who died were among [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":8957,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[27],"tags":[],"class_list":["post-8956","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-premises-liability"],"_links":{"self":[{"href":"https:\/\/www.injuryinsiders.com\/index.php?rest_route=\/wp\/v2\/posts\/8956","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.injuryinsiders.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.injuryinsiders.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.injuryinsiders.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.injuryinsiders.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8956"}],"version-history":[{"count":0,"href":"https:\/\/www.injuryinsiders.com\/index.php?rest_route=\/wp\/v2\/posts\/8956\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.injuryinsiders.com\/index.php?rest_route=\/wp\/v2\/media\/8957"}],"wp:attachment":[{"href":"https:\/\/www.injuryinsiders.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8956"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.injuryinsiders.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8956"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.injuryinsiders.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8956"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}