We have been railing about for-profit nursing and rehabilitation facilities for years: when an elder care facility, any version of elder care, is for-profit, there is utter lawlessness. Money flows like water through a sieve, unencumbered by laws or oversight.
A thorough review of the names of for-profit nursing homes and rehabilitation facilities in New York, cross-checked with PPP Loans reveals that many of them (and/or their attorneys) were some of the largest recipients of PPP Loans during the first round of Covid relief. The second round remains to be seen. They will likely be the first to get PPP Loan forgiveness even though many of them did little, or more accurately nothing to protect their employees or their patients. In fact, the word “nothing” here is quite forgiving. It would mean a passive omission, simple apathy.
To put the narrative in a more truthful perspective, many of the for-profit nursing homes fed their own pockets with the Covid-19 funding. That money should have guaranteed staffing but they were underpaying wages or not hiring. And, many of the country’s nursing homes are owned by the same or similar groups of owners, and they actively manipulated and continue to manipulate the system to profit from Covid-19. Yes! To profit!
Many nursing homes (though not all) take out life insurance on their patients with them as beneficiaries of the policy, when the patient signs in. If that patients makes it past 30-days to 60-days depending upon the policy, the death of the patient generates income to the homes. It is a win/win. Well, the insurers are out – but there is little oversight there either. These are small money policies that generally are unregulated by the insurance industry.
LeadingAge, the “elder care facility advocacy group” believes that the failure of many of these homes cannot be fixed by oversight it can only be fixed by adding money. The comments by LeadingAge imply that there is not enough money to help these facilities take appropriate care of their patients. That is a vile and utterly false interpretation of events. The business model is profit above all else. A view from 30,000 feet shows his analysis doesn’t match the math with respect to many, if not all, of the for-profit elder care facilities.
The problem, in this blogger’s humble opinion: YOU CANNOT BUY MORALITY. IF YOU ARE LACKING IN A MORAL COMPASS, THERE IS NO AMOUNT OF MONEY IN THE WORLD THAT WILL FIX THAT. ADDITIONAL MONEY SIMPLY FEEDS THE MONSTER!
The nursing and rehabilitation home industry is a well-played, well-gamed and manipulated system run by super savvy individuals or groups who know how to game every aspect of the operation. Many are partially owned by the attorneys who represent them and some of those attorneys, at least in NY, help decide who runs on political tickets. These “moblike” industry is a web of somewhat incestuous industry connections. The Elder Care Centers will contract out linen and food services to friends, family or even themselves (a rose by any other name…). They buy drugs from distribution or drug companies owned or operated by their friends, colleagues or even their own corporate enterprises who provide a scratch on their proverbial backs. Foodservice is provided by friends, family or interrelated entities. Mobile medicine is provided by interrelated companies.
These facilities use inexpensive sharps for things like insulin and other injectable drugs that often result in more pain to the patient but less pain to the bottom line. Many reuse insulin or other injectable drug vials but charge each patient for their own, sometimes stockpiling the extra meds and sidestepping laws that prevent the reuse of needles or vials. Instead of giving their patients the name-brand drugs they may have used before admission to their facilities, they give them the generics and file claims for name-brand. They often fail to provide necessary services: occupational, speech, physical and other therapies, they claim to provide those services and bill for them; but many of the patients will attest to what they are not getting and therapy is on the top of that list. They charge for doctor’s visits that don’t happen or are substituted by RN’s, NP’s or PA’s so the doctors are often paid multiple times for the same hour in a day – a reward for often misdiagnosing ailments or over-diagnosing meds.
Facilities that have specialized Dialysis centers associated with their services have little reason to protect a diabetic’s kidneys when a slow destruction of the kidneys yields greater profit. Dialysis is far more profitable then kidney treatment and insulin.
These numbers can be obtained for the asking by law enforcement or anyone reading this blog. Nursing homes and rehabilitations centers need strict oversight absent loopholes. For-profit nursing homes need to be de-licensed – all of them. The ownership of the homes is available on public links. The links between owners in different states can be found by cross checking ownership state-by-state. We have done this analysis with respect to about 30 of the largest of the and most mafia-like ownership groups, which, by the way, own some of the country’s worst nursing homes. We are not stating anything that is not otherwise publicly available and we have been making these claims for years.
No one should be listening to the lobbyists. They have an agenda and quality care for elderly and vulnerable individuals is a far too altruistic endeavor. The lobbyists also have skin-in-the-game and it amounts to a fortune!
The Democratic-led New York state Assembly released a package of nearly 20 nursing home accountability bills Friday, aimed at tightening restrictions on the hundreds of for-profit facilities.
Among the 19 bills is one sponsored by Assembly Health Chair Dick Gottfried (D-Manhattan) that would prohibit the creation of any new for-profit homes and impose a morratorium expanding the capacity of existing homes.
“Lots of people have been discovering that there are enormous problems in our nursing homes. COVID may have brought them to light and made them worse but a lot of us know those problems have been there for many, many, many years,” Gottfried said during Thursday’s remote Joint Legislative Budget Hearing on Health.
He railed against the for-profit industry in an interview later Thursday evening with NY1, arguing those nursing homes often have higher infection rates and instances of bed sores among patients.
“We’re not going to license any more for-profit nursing homes or for-profit beds,” he said. “We should stop the creation of for-profit beds…you should [operate a nursing home] to care for people not because you want to make money.”
Right now, there are 401 for-profit, privately owned nursing homes out of the roughly 619 in the Empire State, according to a January report from the office of state Attorney General Letitia James.To continue reading in The New York Post