s/o. non profit nursing homes

[Anonymous]

I don't understand this all but I do understand that social services should not be operated on a for profit basis.


How to Restore the Care in Long-Term Nursing Care
May 2023

https://nonprofitquarterly.org/how-to-restore-the-care-in-long-term-nursing-care/

For decades, for-profit nursing homes and assisted living facilities have seen profit maximization overrun social mission. The result has been the neglect—or even abuse—of the frail and elderly, a situation that became patently clear amid the COVID-19 pandemic. Even though companies are funded through public Medicaid and Medicare dollars, patients receive little protection.

Fortunately, existing policy tools can address this. Specifically, we propose using federal tax credits, combined with Medicare and Medicaid dollars, to restructure the ownership and financing of the nursing care industry. By making federal payment contingent on partial employee and impact investor ownership, limiting the use of complex organizational structures, and sweetening the deal with tax credit incentives, we believe the federal government can restore the alignment of the nursing care and assisted living industries with a social mission of providing patients with top-quality care

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US long-term care businesses (see Table 1) often operate under conditions where they have an extreme information advantage over their customers. This is because those who pay for services are not typically the people directly receiving the services (Chou 2002). As a result, the buyer often unknowingly purchases poor-quality services for a vulnerable individual who is typically unable to communicate service shortfalls. We posit that an antidote to this situation is to rein in profit maximization that benefits private investors.

[Anonymous]

Nice idea but good luck trying to implement something like this.

The for-profit malignancy has already infected our long term care system. When money is to be made, you can bet that legislation changing it will be slow, if ever, to pass.

Money wins. Especially when there are Federal dollars being shoveled into the trough without any kind of real oversight or accountability and victims who are essentially voiceless.

No one cares about the elderly. Just look at the other posts here on DCUM; the majority of the next generations don't want anything to do with parental care and that's not likely to change.

[Anonymous]

The not-for-profit elder living communities aren’t necessarily less expensive….

[Anonymous]

Anonymous wrote:Nice idea but good luck trying to implement something like this.

The for-profit malignancy has already infected our long term care system. When money is to be made, you can bet that legislation changing it will be slow, if ever, to pass.

Money wins. Especially when there are Federal dollars being shoveled into the trough without any kind of real oversight or accountability and victims who are essentially voiceless.

No one cares about the elderly. Just look at the other posts here on DCUM; the majority of the next generations don't want anything to do with parental care and that's not likely to change.

I don't know - the Baby Boomers are a formidable voting block, and many of them HAVE money to pay for their care. But they want the care to be decent.

[Anonymous]

Anonymous wrote:The not-for-profit elder living communities aren’t necessarily less expensive….

But they usually provide better care.

[Anonymous]

Nonprofit doesn’t mean cheaper. Lots of Blue Cross/Blue Shield plans are nonprofit but they aren’t providing cheaper policies than for-profit insurance companies.

[Anonymous]

Anonymous wrote:The not-for-profit elder living communities aren’t necessarily less expensive….

From the linked article:

"Numerous studies demonstrate that for-profit senior care facilities show higher rates of neglect and abuse when compared with similar nonprofit entities (Comondore et al. 2009). These statistics hold true across time and national boundaries (Brennan et al. 2012) and demonstrate the failure of government regulations to rein in abuses (Coskun 2022; Silver-Greenberg and Gebeloff 2021). Moreover, the for-profit service quality gap worsens when private equity intersects with complex corporate structures. A rigorous study shows that private equity ownership of long-term care facilities increases the short-term mortality of Medicare patients by 10 percent (Gupta et al. 2021)."

[Anonymous]

On a side note, fear of abuse and neglect is why my dad’s resolved to take care of my mom who has dementia in their home with the help caregivers.

I’m not sure that, just because there may be more abuse/neglect in for-profit places, doesn’t mean there isn’t a lot of abuse/neglect with nonprofit as well. But this is definitely worth looking further into.

[Anonymous]

Anonymous wrote:On a side note, fear of abuse and neglect is why my dad’s resolved to take care of my mom who has dementia in their home with the help caregivers.

I’m not sure that, just because there may be more abuse/neglect in for-profit places, doesn’t mean there isn’t a lot of abuse/neglect with nonprofit as well. But this is definitely worth looking further into.

Guess away, but I will say that my friends and I have a lot of combined years with parents in AL/skilled nursing/memory care, and while some of the nonprofits had issues, none of them had abuse/neglect problems. Some of the for-profits did.

[Anonymous]

Anonymous wrote:

Anonymous wrote:On a side note, fear of abuse and neglect is why my dad’s resolved to take care of my mom who has dementia in their home with the help caregivers.

I’m not sure that, just because there may be more abuse/neglect in for-profit places, doesn’t mean there isn’t a lot of abuse/neglect with nonprofit as well. But this is definitely worth looking further into.

Guess away, but I will say that my friends and I have a lot of combined years with parents in AL/skilled nursing/memory care, and while some of the nonprofits had issues, none of them had abuse/neglect problems. Some of the for-profits did.

Same. Some of the neglect issues in for-profits arises right out of their title: they'll curb care if it eats into their profits. There's a reason why these entities lobby against patient:staff ratios. They'll do anything to ensure they have the least amount of staff on the floor, even if care is compromised.

[Anonymous]

Anonymous wrote:

Anonymous wrote:The not-for-profit elder living communities aren’t necessarily less expensive….

From the linked article:

"Numerous studies demonstrate that for-profit senior care facilities show higher rates of neglect and abuse when compared with similar nonprofit entities (Comondore et al. 2009). These statistics hold true across time and national boundaries (Brennan et al. 2012) and demonstrate the failure of government regulations to rein in abuses (Coskun 2022; Silver-Greenberg and Gebeloff 2021). Moreover, the for-profit service quality gap worsens when private equity intersects with complex corporate structures. A rigorous study shows that private equity ownership of long-term care facilities increases the short-term mortality of Medicare patients by 10 percent (Gupta et al. 2021)."

10% increase in short term mortality when private equity owns the long term care facility. Boom. Just didn’t want this line to be missed.

[Anonymous]

Non profit doesn’t mean what it sounds like. Kaiser health is also non profit. It’s more for tax purpose.

[Anonymous]

My parents were both in religiously affiliated non-profit facilities. It wasn’t luxury care, but it was solid and safe. (No requirement in either that residents be of the respective religion and most were not.)