Literature Review

Dozens of CarePartners patients in Asheville transferred to other facilities after HCA temporarily shuts down rehab, hospice center Asheville Watchdog; by Andrew R. Jones; 10/14/24 Hundreds of employees uncertain about their jobs after facility is closed to ease pressure on Mission Hospital. Mission Health’s CarePartners Health Services is temporarily closed following the pressures Hurricane Helene put on Asheville’s health care system, disrupting rehabilitative care for more than 50 patients and forcing more than 250 employees to take temporary jobs elsewhere in the system, according to employees and internal emails obtained by Asheville Watchdog.  ... The closing affected nearly 50 inpatient rehab patients, several long-term acute care patients, and eight hospice patients, all of whom were sent to home caregivers, skilled nursing facilities, other inpatient rehab programs, and UNC Health Caldwell in Lenoir, more than an hour’s drive to the east, according to one employee.

Kaiser Health Care: Navigating Aging: Older men’s connections often wither when they’re on their own Tahlequah Daily Press; by Judith Graham; 10/12/24 At age 66, South Carolina physician Paul Rousseau decided to retire after tending for decades to the suffering of people who were seriously ill or dying. It was a difficult and emotionally fraught transition. … Seeking a change of venue, Rousseau moved to the mountains. … Soon, a sense of emptiness enveloped him. … His work as a doctor had been all-consuming. Former colleagues didn’t get in touch, nor did he reach out. His wife had passed away after a painful illness, … His isolation mounted as his three dogs, his most reliable companions, died. Rousseau was completely alone — without friends, family, or a professional identity — and overcome by a sense of loss. “I was a somewhat distinguished physician with a 60-page resume,” Rousseau, now 73, wrote in the Journal of the American Geriatrics Society in May. “Now, I’m ‘no one,’ a retired, forgotten old man who dithers away the days.” In some ways, older men living alone are disadvantaged compared with older women in similar circumstances. Research shows that men tend to have fewer friends than women and be less inclined to make new friends. Often, they’re reluctant to ask for help.

Private equity in senior living an increasing focus of federal, state government McKnights Senior Living; by Kimberly Bonvissuto, Lois A. Bowers and Kathleen Steele Gaivin; 10/7/24 At press time [10/7], a bill that would require private equity firms and hedge fund organizations in California to give prior notice of acquisitions or changes in control to the state’s attorney general was sitting on the governor’s desk, to become effective Jan. 1 if he signed it into law. It is just one example of legislation recently put forth at the state or national level focused on the private equity and real estate investment trust funding sometimes used in senior living and in other industries. ... The legislation calls for greater transparency for private equity firms and for-profit companies that own healthcare entities, including nursing homes, hospitals, and mental or behavioral health facilities. ...

Florida health-care workers exhausted as Hurricane Milton approaches The Washington Post; by David Ovalle and Sabrina Malhi; 10/8/24The storm shutters are up at Stephen Johnson’s house near the water in North Fort Myers, Fla. ... But  Jones won’t be home when Hurricane Milton is expected to thunder ashore this week along the Gulf Coast. Instead, the paramedic — like thousands of health-care workers across Florida — intends to ride out the storm at work, then jump into action when the winds die down, the waters recede and people seek medical assistance. ... “It gets stressful. You don’t know if you’re going to come back to a home,” Johnson, 28, of Brewster Ambulance Service, said during a brief break Tuesday after two straight days of organizing evacuations of patients from hospitals and assisted-living facilities across Lee County in southwest Florida while surviving on granola bars and energy drinks. ... By Tuesday afternoon, Florida health officials had deployed nearly 600 ambulances, buses and other transport vehicles to ferry patients out of harm’s way. More than 200 health-care facilities — including 115 assisted-living facilities, 10 hospitals and five hospice providers — have reported evacuations, according to the state’s health department.

Newsweek: America's Best Nursing Homes 2025 Newsweek; introduction by Nancy Cooper, Global Editor in Chief; 10/8/24 ... This year's list recognizes 1,050 nursing homes across the 25 states with the highest number of facilities, according to Centers for Medicare & Medicaid Services data. The top nursing homes in each state were assessed and ranked based on four pillars: performance data, recommendations of medical professionals, accreditations and resident satisfaction.Editor's note: To access lists, click on the title's link and scroll down to select "... 50-99 beds," "... 100-149 beds," "... 150+ beds." Results are ranked and organized by state.

VIA Health Partners - NC & SC: Donate to Hurricane Helene Relief Fund VIA Health Partners, formerly Hospice & Palliative Care of Charlotte, NC; contact Tara Connelly, VP & Chief Growth Officer; 10/7/24 At VIA Health Partners our people are our strength.  Recently, so many of our people – hospice & palliative care patients, their families, staff members, and volunteers – have experienced unimaginable hardship at the hands of Hurricane Helene. Our clinical staff continue to serve their patients despite ongoing challenges to themselves and their respective families. In response to this growing need, VIA Health Partners has launched a Hurricane Helene Relief Fund. Donations will be used to support patients, families, and staff members directly impacted by the storm. To help us in our response, please consider donating today. Editor's Note: See this page for a map of the 9 counties in North Carolina and 21 counties in South Carolina counties in VIA's service area that are impacted by Hurricane Helene. On a personal note, Hospice & Palliative Care of Charlotte provided palliative and hospice care to my Dad through his death, with significant bereavement care for my Mom. Thank you VIA Health Partners for your hospice services past, present and future.

Hurricane Helene havoc: Major damage, evacuations, uncertainty at nursing homesMcKnight's Long-Term Care News; by John Roszkowski; 10/1/24Many nursing homes and senior living communities in Florida and North Carolina are reeling in the aftermath of Hurricane Helene, which resulted in forced evacuations of residents, major property damage, power outages and other issues. The hurricane was being blamed for at least 132 deaths in six Southeastern states and federal officials said at least 600 people were still unaccounted for as of Monday evening. Many people lacked power and cellular service, making the job of accurately assessing personal and property damage all the more difficult.

Employee engagement can define senior living’s value proposition: panel McKnights Senior Living, Washington, DC; by Kimberly Bonvissuto; 9/26/24 The senior living industry knew it had workforce challenges at least 15 years before COVID-19 hit, but it didn’t do enough about them. Today, the sector has the opportunity to be proactive and build a workforce to meet the rapidly increasing demand for senior living and care services by investing in workers and improving employee engagement. ... [Senior living leaders described the] pivotal role that cultivating a satisfied, engaged workforce plays in organizational success as well as the ability to significantly enhance operational efficiency, resident satisfaction and the bottom line through culture. Two-thirds of Fortune 500 companies invest resources in employee engagement, according to Todd Kiziminski, vice president of talent acquisition at Trilogy Health Services, who said they recognize the link between engagement strategies and the bottom line.

Survey: Older adults unsatisfied with current healthcare system McKnights Long-Term Care News; by Kristen Fischer; 9/17/24 Older adults aren’t too happy with the healthcare system and many think it doesn’t meet their needs and preferences, according to a new survey. The results of the survey, conducted by The Harris Poll, were published Tuesday, and were released by Age Wave and The John A. Hartford Foundation.  Four in five adults aged 65 and older said that the system isn’t prepared to handle the changing needs of Americans in their age group. In total, only 11% said the US healthcare system deserved a grade of “A.” Results show that older adults want solutions such as affordable care interventions, developments to prevent or reduce cognitive decline, and healthcare professionals who understand what matters to them when they discuss care options.

Kaiser Permanente to exit skilled nursing business Modern Healthcare; by Diane Eastabrrok; 9/11/24 Kaiser Permanente is getting out of the nursing home business, closing its lone skilled nursing facility, a spokesperson confirmed in an email Wednesday. The nonprofit health system is shutting down the 176-bed nursing home in San Leandro, California in November, which will displace approximately 250 workers, the spokesperson said. He added that staff are working to transition patients either to their homes or to other skilled nursing facilities in the area.

[UK] End-of-life care demand for dementia patients set to surge, study warns Jersey Evening Post, United Kingdom; by UK News; 9/16/24 The number of people living with dementia who require end-of-life care is set to “substantially increase” in the coming years, according to a study. ... Researchers said: “Previous projections of the number of people with dementia who will have palliative care needs in England and Wales were based only on the number of people who died with dementia, and did not take into account people living with dementia. Thus, it is likely that the prevalence of palliative care needs among people with dementia in England and Wales has been considerably underestimated. Our analysis shows that even if dementia incidence declines between 2018 and 2040, the number of people living with dementia in England and Wales who have palliative care needs will increase substantially by 2040, reaching levels far greater than previous estimates based on mortality data.”Editor's note: How do these projection processes in the UK compare or contrast with the USA data you use? For more immediate information about current resources, click here for the Alzheimer's Assocation "Support for People Living With Dementia" and click here for 

Parent company of three area senior living facilities files bankruptcy Springfield Business Journal, Springfield, IL; by Michelle Ownbey; 9/11/24  Three Springfield-area facilities that serve seniors have been listed for sale as part of a recent bankruptcy filing, but representatives from the parent company say no closures or immediate changes are planned. Midwest Christian Villages, Inc., doing business as Christian Horizons, recently filed for Chapter 11 bankruptcy and announced plans to restructure. The St. Louis-based nonprofit operates 12 communities with independent living, assisted living and memory care services and also has short-term rehabilitation and long-term health care centers. ... A statement posted on Christian Horizons’ website notes: “A series of events has put significant pressure on the company’s finances” and lists resident and patient volumes sharply declining at the outset of the pandemic, staffing shortages and increased costs to procure goods and services as factors. 

National Health Statistics Reports: Overview of Post-acute and Long-term Care Providers  and Services Users in the United States, 2020 CDC U.S. Centers for Disease Control and Prevention; by Jessica P. Lendon, Ph.D., Christine Caffrey, Ph.D., Amanuel Melekin, Ph.D., Priyanka Singh, M.P.H., Zhaohui Lu, M.S., and Manisha Sengupta, Ph.D; dated 8/27/24, released 9/7/24 Objective: This report presents national results from the National Post-acute and Long-term Care Study to describe providers and services users in seven major settings of paid, regulated post-acute and long-term care services in the United States. Methods - Data Sources: Data include about 11,400 home health agencies, 5,200 hospices, 1,200 inpatient rehabilitation facilities, 350 long-term care hospitals, and 15,300 nursing homes. Results: