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High risk of neglect in for-profit nursing homes, study shows

October 23, 2018
by I Advance Senior Care
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New research from the University of Illinois at Chicago suggests that residents in for-profit nursing homes have the highest risk of receiving neglect-related diagnoses, and its authors claim the industry needs stronger oversight across all facility types.

The team, led by Lee Friedman of UIC’s School of Public Health, looked at the records of about 1,100 people over the age of 60 who were discharged from hospitals in the Chicago area from 2007 to 2011. The majority had entered the hospital from home, while 49 came from assisted living communities, 369 lived in for-profit SNFs, and 61 lived in non-profits, according to Skilled Nursing News

Friedman and the researchers then used an internally developed metric, the Clinical Signs of Neglect Scale, to assess whether the patients experienced harmful or abusive treatment leading up to their hospitalizations; the figure adds extra weight to diagnoses strongly associated with neglect, such as broken catheters or pressure ulcers, and puts less emphasis on dehydration and malnutrition — signs that are more weakly associated with likely neglect.

“Patients receiving care in for-profit institutions were diagnosed with substantially more clinical signs of neglect than patients residing in not-for-profit facilities and low-functioning, community-dwelling patients,” the researchers concluded. “As reported in prior research, for-profit facilities caring for the patients in this study were significantly inferior across nearly all staffing, capacity, and deficiency measures.”

Read the full story at Skilled Nursing News.

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