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Typical nursing home gets 7 citations

WASHINGTON – The typical nursing home was cited for seven health and safety deficiencies last year, with for-profit homes more likely to have problems than facilities run by governments or nonprofits, federal investigators said Monday.

More than 90 percent of nursing homes surveyed were cited for at least one deficiency last year – a rate that has changed little over the past three years. About 94 percent of the for-profit homes surveyed generated a citation, compared to 91 percent for government nursing homes and 88 percent for nonprofits, said the inspector general for the Department of Health and Human Services.

The most common deficiencies centered on quality of care. That category includes such things as the appropriate treatment to prevent and treat pressure sores and urinary tract infections. The most common quality-of-life deficiencies involved housekeeping and maintenance problems. Another common problem involved meals, with 43 percent of homes cited for problems with dietary services.

The inspector general’s findings were included Monday in a memorandum to Kerry Weems, acting administrator for the Centers for Medicare and Medicaid Services.

About one in five homes surveyed last year were cited for the immediate jeopardy of patients or actual harm. Usually, the problem was isolated rather than a pattern or widespread, the inspector general said.

The percentage of nursing homes surveyed with deficiencies ranged from 76 percent in Rhode Island to 100 percent in Alaska, the District of Columbia, Idaho and Wyoming.


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