Adult Day Services: A Model of Person- and Family-Centered Care

A recent study found that more than a quarter million participants attend an estimated 4,800 community-based adult day service (ADS) centers in the U.S. Although most participants are older people, more than one-third of ADS participants are younger than 65. Nearly one in three ADS participants has Alzheimer’s disease or another form of dementia. ADS centers provide coordinated and reliable services and supports. Services for participants include social activities, meals, personal care (such as help with toileting), a limited array …

How Medicare Might End Surprise Nursing Care Penalties

By Susan Jaffe for Kaiser Health News Medicare officials have allowed patients at dozens of hospitals participating in pilot projects across the country to be exempted from the controversial requirement that limits nursing home coverage to seniors admitted to a hospital for at least three days. The idea behind these experiments is to find out whether new payment arrangements with the hospitals and other health care providers that drop the three-day rule can reduce costs or keep them the same …

Nursing Home Hit With $3.3 Million Negligence Verdict

Every now and then, a jury reaches deep into a defendant’s pockets to punish it for its reprehensible conduct and to deter others from engaging in similar acts. Such was the case in May, when a Colorado jury awarded 83-year-old James Sharon and his family $3.3 million after finding the nursing home entrusted with his care guilty of negligence. Sharon’s injuries included bedsores, skin tears and abrasions, dehydration, malnutrition, and E. coli and urinary tract infections – all because he …

Study: Support Services a Good Alternative to Nursing Home

You may feel you have stark choices for frail and elderly family members: Keep them at home without the help and support they need, or help them move to an assisted living facility or a nursing home to get those services. A new report from the Center for Housing Policy (CHP) encourages a third possibility: getting services for them in their home and community. The report, produced by the research arm of the National Housing Conference, says that option is less expensive and allows …

Choosing Home for Someone Else

I am my husband’s guardian. I was appointed by the Vermont probate court after a court hearing over 13 years ago. He had suffered a severe stroke, was disabled and could no longer manage his affairs. Although he had lost his speech, he developed his own sign language and could make his wishes known, at least to those of us who were close to him. And he clearly wanted to go home, and to make sure, he celebrated leaving the …