The Top Complaints Residents Have About Nursing Homes - Caitlin Morgan Insurance Services (2024)

The Top Complaints Residents Have About Nursing Homes - Caitlin Morgan Insurance Services (1)

Throughout the United States, millions of elderly and disabled individuals receive care in nursing homes and skilled care facilities. By and large, these facilities provide patients with the compassionate and accurate medical care they need. Unfortunately, even the best nursing homes will face complaints from residents and family members. Nursing home insurance is one part of a facility’s risk management plan, but it is critical that healthcare facilities recognize and respond to common complaints in order to minimize liability issues.

The State of the Nursing Home Industry

The nursing home industry is continually faced with challenges. These challenges come in the form of ever-changing regulations, declining profits, and staffing shortages. Of course, these factors can lead to less-than-adequate care as staff are expected to do more complex treatments with fewer resources. Regulatory changes, particularly in financial penalties for high levels of hospital readmissions and in smaller reimbursem*nts by Medicare, have forced many skilled care facilities to add treatment options for patients. With staffing shortages and financial shortfalls, negligence claims have risen dramatically over the past decade. In fact, liability claims cost millions of dollars in unexpected expenses, negatively impacting the healthcare industry as a whole.

Common Resident Complaints in Nursing Homes

There are many complaints among nursing home residents. Many of these are valid, while others indicate a perceived lack of quality care in the eyes of residents and family members. Common complaints include:

  • Slow responses to calls.When residents seek help using in-house calling systems, the response time can vary. Staff members have extremely high workloads, and may not respond as quickly as patients demand. This can lead to significant numbers of complaints, as patients do not feel as if their needs are being addressed in a timely fashion.
  • Poor food quality. Long the bane of every healthcare facility, complaints about food, both in quality and in variety, have risen in recent years. While it impossible to cater to every taste while providing healthy, nutritious meal options, nursing homes need to take a proactive approach in addressing food quality issues.
  • Staffing issues. With some facilities facing serious staffing shortages and high workloads among existing staff, patients in these nursing homes often feel as if their needs are not being met. Complaints arise regarding patient lifting equipment, under-trained staff members, and a host of related issues surrounding care delivery and staff responsiveness.
  • A lack of social interaction. Many elderly patients grow to feel isolated from the world around them. Dwindling family visits are often the cause for this isolated feeling, and patients come to expect that staff members replace family in social interactions. Unfortunately, staff members do not have the time and may not have the training for this role.
  • Disruptions in sleep. Care never stops in nursing homes; these facilities provide around-the-clock care for residents. Interruptions in sleep, such as when staff members stop in to take vital signs or to deliver medication, are common. Residents often complain about loud neighbors and even the conversations between workers during nighttime hours.

Handling Common Complaints: Reducing Liability Exposures

Forward-thinking nursing homes and skilled care facilities understand that they are not only healthcare providers but also customer service-oriented operations. To address complaints and to improve service, many of these facilities have adopted unique approaches. Regular review of policies and procedures is typically the first step in reducing complaints. Many facilities will seek the input of patients and family members, usually through some form of survey instrument. With this information, the facility can then create initiatives to address common complaints.

As mentioned earlier, food-related complaints are very common in any healthcare facility. To address this, facilities often create long-term food rotation schedules, such as four-week rotations. These facilities may also seek higher-quality food vendors and enhance presentation of food items to head off any potential complaints.

Staff training and retraining is an important part of risk management, just as is nursing home insurance. By making sure staff members are equipped with the knowledge and skill needed to provide expert care, complaints tend to plummet.

With these practices, nursing homes can continue to provide care for the many patients who rely on their service. Being responsive to emerging complaints is a powerful risk management tool, helping to improve the quality of care and the life of so many elderly citizens.

About Caitlin Morgan

Caitlin Morganspecializes in insuringassisted living facilitiesandnursing homesand can assist you in providing insurance and risk management services for this niche market. Give us a call to learn more about our programs at 317.575.4440.

Tags: nursing home, Nursing Home Care, Nursing Home Insurance, Nursing Home Resident Complaints, Nursing Home Resident Satisfaction, Nursing Homes

The Top Complaints Residents Have About Nursing Homes - Caitlin Morgan Insurance Services (2024)

FAQs

What is the biggest complaint in nursing homes? ›

Slow response times

The most common complaint is that nursing home staff are slow to respond to the needs of the residents in their care.

Who is the largest payer for nursing home care? ›

Medicaid is a joint federal and state program that helps people who have a limited income and resources pay medical costs. It is the largest single payer for nursing home care in the country.

What company owns the most nursing homes? ›

The largest nursing home company in the U.S. is Genesis HealthCare, with a revenue of $5.7 Billion and 68,700 employees. As of 2021, the US nursing home industry has a market size of $146.9 billion. US nursing homes employ over 1.6 million people.

Which of the following are common problems in nursing home patients? ›

Poor Care
  • Problem #1: Providing Less Care to Medicaid-Eligible Residents. ...
  • Problem #2: Failing to Take Care Planning Seriously. ...
  • Problem #3: Disregarding Resident Preferences. ...
  • Problem #4: Failing to Provide Necessary Services. ...
  • Problem #5: Improper Use of Physical Restraints. ...
  • Problem #6: Improper Use of Behavior-Modifying Drugs.
Feb 21, 2024

What is the most common patient complaint? ›

What are the 6 most common patient complaints?
  1. Long wait times. After patient registration, how long are patients typically expected to wait before seeing doctors at your practice? ...
  2. Slow office response times. ...
  3. Lack of provider availability. ...
  4. Not enough time with the provider. ...
  5. A subpar checkout experience. ...
  6. Poor communication.

How do you deal with difficult residents in nursing homes? ›

Never argue, shout or use fear to get the resident to understand you. Distract and redirect rather than confront. 3. Even if you do not understand the words they are trying to communicate, reaffirm that you understand the emotional message they are communicating (“you are frustrated,” “you're safe now”).

Who provides the most payment for nursing home residents? ›

While Medicaid will pay up to 100% of the cost (indefinitely as long as there is a need), a nursing home resident must contribute nearly all of their income towards nursing home care as a Patient Liability. Note that Medicaid coverage is only provided for persons with limited financial means.

Who is the most responsible healthcare provider? ›

Who is the Most Responsible Health Practitioner (MRHP)? The MRHP is the physician or nurse practitioner who is overseeing the course of care for a patient.

How do most Americans pay for nursing homes? ›

The most common source of assistance is Medicaid, which offers several state-based programs to people who are eligible based on income or disability. These programs include home- and community-based services, adult foster care, and Medicaid personal care services. Contact your state Medicaid agency to learn more.

Who is the billionaire owner of nursing homes? ›

Forrest Lee Preston (born March 22, 1933) is an American billionaire businessman from Massachusetts. He is the founder, owner, chairman and chief executive officer (CEO) of Life Care Centers of America, a long-term elderly care company that he founded in 1970.

Who owns most of the nursing homes in the US? ›

Since 2015, 900 not-for-profit nursing homes and senior living communities nationwide have changed hands, with more than half of them acquired by for-profit operators. For-profit groups own about 72% of the roughly 15,000 nursing homes in the United States, which serve more than 1.3 million residents.

Where does the most funding for nursing homes come from? ›

Medicaid is the primary funding source for the majority of nursing home services in the US. Managed by states using a mix of state and federal funding, Medicaid covers more than 60% of residents nationwide.

What is the most common diagnosis in nursing homes? ›

One of the most common diagnoses seen in the LTC setting is dementia. A common misconception in regard to rehabilitation in the geriatric population is that patients with dementia cannot benefit from skilled speech pathology services.

What is a negative of nursing home? ›

Some cons of nursing homes include the high cost, loss of freedom, less privacy, limited visitation options and the risk of neglectful or abusive nursing home employees.

Which medical diagnosis is seen most commonly in home care patients? ›

Common diagnoses among home health care patients include circulatory disease (31 percent of patients), heart disease (16 percent), injury and poisoning (15.9 percent), musculoskeletal and connective tissue disease (14.1 percent), and respiratory disease (11.6 percent).

What is the most common crime at nursing homes? ›

What is the most common abuse in nursing homes? Emotional mistreatment is the most common form of nursing home abuse. Up to 81% of staff reported that other co-workers had emotionally harmed residents, according to recent elderly abuse in nursing homes statistics.

What are the most common types of nursing home abuse? ›

The most common type of nursing home abuse is psychological or emotional abuse. This includes behaviors that harm a person's self-worth or emotional well-being. Physical nursing home abuse, like hitting or kicking, is also common.

What are the chief complaints of the patients? ›

A chief complaint is a concise statement in English or other natural language of the symptoms that caused a patient to seek medical care. A triage nurse or registration clerk records a patient's chief complaint at the very beginning of the medical care process (Figure 23.1 ).

How would you handle patients who constantly complain? ›

5 Ways To Handle Patient Complaints
  1. 1) Listen Attentively.
  2. 2) Validate And Apologize.
  3. 3) Acknowledge The Patient's Feelings.
  4. 4) Take Corrective Actions.
  5. 5) Document the Complaints.

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