Long Term Care Community Coalition

LTCCC News

November 2016 List of 2015 State CMP Projects. States are permitted to retain a portion of nursing home fines (Civil Money Penalties or CMPs) to use for certain activities that benefit nursing home residents. One important potential use of the money is for projects that improve resident care or quality of life. This Excel file, provided by the federal Centers for Medicare and Medicaid Services (CMS), provides information on all of the projects that each state funded with these monies in 2015.  Note that states are listed in the tabs under their CMS Region. To find which Region your state is in, go to https://www.cms.gov/About-CMS/Agency-Information/RegionalOffices/RegionalMap.html. For more information on CMPs and their potential value for residents, please visit our dedicated CMP web page at http://www.nursinghome411.org/articles/?category=civilpenalties.

November 2016:  LTCCC's Eighth Annual Reception November 9, 2016 Honoring New York State Comptroller Thomas P. DiNapoli

October 2016:  Information on Nursing Homes Across the United States

Information on the quality of nursing homes is important for current and prospective residents, their families, LTC Ombudsmen and policymakers interested in ensuring that the public pays for – and receives – decent care. There are now a variety of different federal data available for all nursing homes that provide services to Medicare and Medicaid beneficiaries. While these data are not perfect, we believe that they are the best resource for learning about quality of care and whether the public is getting value for the money spent for that care in individual facilities.

Notes: (1) The following are derived from publicly available sources, principally Nursing Home Compare on www.medicare.gov; (2) we will endeavor to update the data periodically and maintain historical data so that one can access historical information on nursing home quality, staffing, violations of minimum standards, etc…; (3) The links will download an Excel file from our homepage, www.ltccc.org

US Nursing Homes – Uploaded October 2016 (Excel)

October 2016: US Nursing Home Antipsychotic Drugging Rates

The non-risk-adjusted antipsychotic drugging rates for every licensed nursing home. We have formatted these data to facilitate their usefulness. Each state has a tab in which is listed all of its nursing homes and each facility's county, zip code, percent of residents who did not receive AP drugs and percent who did (based on data reported by CMS for the second quarter of 2016. [Excel]

October 2016: New Federal Regulation for Nursing Homes 

On October 4, CMS released new federal regulations for nursing homes.  They were published in the Federal Register at https://www.federalregister.gov/documents/2016/10/04/2016-23503/medicare-and-medicaid-programs-reform-of-requirements-for-long-term-care-facilities#h-179. Below are some preliminary resources.  Please visit our dedicated website, www.nursinghome411.org and our Facebook page, www.facebook.com/ltccc, in the future for additional news, information and resources as they become available.

LTCCC’s Alert on the New Nursing Home Standards

LTCCC’s Summary of Some of the Major Standards

CMS’s Pre-Publication Release of the Nursing Home Requirements, with detailed responses to comments raised by the public.

April 2016:  LTCCC Issues Memorandum in Support of NYS Legislation to Protect Adult Care Facility Residents (pdf)

March 2016:  US Nursing Home Antipsychotic Drugging Rates

March 28, 2016 marks the fourth anniversary of the launch of the federal campaign to reduce inappropriate antipsychotic drugging in nursing homes across the country.  Click on the links below for LTCCC’s Alert on progress to date and to find out how the nursing homes in your state are doing.

LTC Alert Antipsychotic Drugging.  News alert on the anniversary of the campaign and the latest data on antipsychotic drugging.

State Antipsychotic Drugging MDS Rates. State and national drugging rates downloaded from Medicare.gov on March 22, 2016 for fourth quarter of 2015. [Excel]

US Nursing Home Antipsychotic Drugging Rates. The non-risk-adjusted antipsychotic drugging rates for every licensed nursing home. We have formatted these data to facilitate their usefulness. Each state has a tab in which is listed all of its nursing homes and each facility's county, zip code, percent of residents who did not receive AP drugs and percent who did (based on data reported by CMS for the end of 2015 (fourth quarter). [Excel]

CMS Facility Psychoactive Drug Data for Antipsychotics. The raw data provided from CMS upon which “US Nursing Home Antipsychotic Drugging Rates” is based.  Provided for reference. [Excel]

Antipsychotic Drugging Rates for All NY Nursing Homes (as of 2015, fourth quarter, Excel)


February 2016:
  Information on Nursing Homes Across the United States

Information on the quality of nursing homes is important for current and prospective residents, their families, LTC Ombudsmen and policymakers interested in ensuring that the public pays for – and receives – decent care. There are now a variety of different federal data available for all nursing homes that provide services to Medicare and Medicaid beneficiaries. While these data are not perfect, we believe that they are the best resource for learning about quality of care and whether the public is getting value for the money spent for that care in individual facilities.

Notes: (1) The following are derived from publicly available sources, principally Nursing Home Compare on www.medicare.gov; (2) we will endeavor to update the data periodically and maintain historical data so that one can access historical information on nursing home quality, staffing, violations of minimum standards, etc…; (3) The links will download an Excel file from our homepage, www.ltccc.org

US Nursing Homes – Uploaded February 2016 (Excel)

February 2016: LTCCC Newsletter Reveals Problem NYS Nursing Homes In Line for Multi-Million Dollar Payout

Read the Feb 22, 2016 Press Release

See NYS Troubled SNFs With Rate Appeals (excel)

New York State Office of the State Comptroller Nursing Home Surveillance Audit

February 2016:  LTCCC Executive Director Testifies Before NYS Assembly Hearing on Mandatory Arbitration  Click here to read the testimony  (pdf).

January 2016:  LTCCC Issues Memoranda in Support of Key NY State Legislation

October 2015:  LTCCC Seventh Annual Reception October 20, 2015, Alzheimer's Association, New York City

October 2015:  LTCCC Submits Comments On Proposed Federal Regulations For Nursing Homes (pdf)

Comments from other organizations:

MFY Legal Services (pdf)

Voices For Quality Care (pdf)

New York Legal Assistance Group (NYLAG) (pdf)

Justice in Aging (pdf)

California Advocates For Nursing Home Reform (CANHR) Dementia Care and Chemical Restraint Provisions (pdf)

California Advocates for Nursing Home Reform (CANHR) Other Aspects of the Proposed Rules (pdf)

 New Yorkers for Patient & Family Empowerment (On behalf of 13 NY public interest organizations) (pdf)

Comments of 15 State Attorneys General on Arbitration Agreements

National Association of State Long-Term Care Ombudsman Programs (NASOP)

May 2015:  LTCCC Issues a Media Advisory: Latest Sanctions Against NYS Nursing Homes For Violations, Including Fraud, Resident Abuse & Neglect - Summer Newsletter (pdf)

March 2015: Nursing Home Resident Advocates Support Changes in Federal Rating System

Feb. 18, 2015: NYS Assembly Hearing on Antipsychotic Medications in Nursing Homes. NYS Assembly member Richard Gottfried, Chair of the Committee on Health, held a hearing on February 18, 2015 in New York City to hear testimony on the appropriate and inappropriate use of antipsychotic drugs in NYS nursing homes.

Hearing Notice (pdf)

Video and Audio of  the 2-18-15 Public Hearing on the Use of Antipsychotic Medication in Nursing Homes  Go to: 2-18-15 Public Hearing on the Use of Antipsychotic Medication in Nursing Homes.

Link to Spring 2015 Issue of LTCCC's Newsletter With Article on the Hearing (pdf) 

Richard Mollot, Executive Director, Long Term Care Community Coalition's Testimony (pdf)

Dan Cohen, Executive Director, Music and Memory's Testimony (pdf)

Michelle Synakowski, Policy Analyst/Assistant Director of ProCare, LeadingAge New York's Testimony  (pdf)

Gilbert Sabater, Nursing home family council member's letter submitted for the record (pdf)

Jed Levine, Executive Vice President, Director of Program Services, Alzheimer's Association, NYC Chapter's Testimony (pdf)

Barbara Baer, Member, Elder Care Committee, Metro Justice Rochester's Testimony  (pdf)

Jeanette Sandor, Legal Nurse Consultant, Medical/Legal Nurse Consulting Services of Westchester's Testimony (pdf)

Deborah Truhowsky, Law Firm of D.F. Truhowsky's Testimony (pdf)

Christina Martinez, Associate, Mangan Ginsberg LLP's Testimony (pdf)

December 2014: LTCCC Issues Two Reports On The Effectiveness, To Date, Of The National Campaign To Address The Widespread, Inappropriate And Dangerous Use Of Antipsychotic Drugs On Nursing Home Residents. 

LTCCC Education Program On Dementia Care

On November 26, 2014, CMS issued a revision to the guidelines and protocols for state nursing home surveyors (inspectors).
Revisions to State Operations Manual (SOM), Appendix PP – “Guidance to Surveyors for Long Term Care Facilities” - the full text of the revision.
Changes to quality of care guidelines (extracted by LTCCC from the CMS revision).

LTCCC Holds Sixth Annual Reception October 22, 2014 in New York City

LTCCC Briefing Paper: CMS Final Rule On 2015 Prospective Payment System for Nursing Homes & Uses of Civil Money Penalties (CMPs) (August 2014)

Nursing Home Penalties Drop 33% in 2013 as New Federal Study Finds One in Three Harmed in Nursing Home Rehab – Majority Preventable

LTCCC's March 2014 Press Release

Pro Publica Report: One Third of Skilled Nursing Patients Harmed in Treatment (http://www.propublica.org/article/one-third-of-skilled-nursing-patients-harmed-in-treatment)

OIG Report: Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries (http://oig.hhs.gov/oei/reports/oei-06-11-00370.asp)

Enforcement Trends: 2007-June 2013 [This Excel file has national, regional and state-specific data on all nursing home enforcement actions by year.]

US Nursing Home Penalties [This Excel file has data from Nursing Home Compare on all penalties imposed by states for the years 2011, 2012 and 2013. Unlike the Enforcement Trends table, above, it does not include non-financial penalties, such as monitoring or termination (which are not published on Nursing Home Compare).]

Nursing Home Compare State Averages as of February 2014 [This Excel file provides data for each state on averages for: citations, direct care staffing, fines and selected nursing home Quality Measures. All data are for the last three cycles (years), as of February 2014, except for the deficiencies (for which only the most recent two years are included.]

LTCCC Memo in Support of Safe Staffing in NY Nursing Homes (2014)  

LTCCC Hold Symposium on Dementia Care Without Drugs

LTCCC Holds Fifth Annual Reception at Alzheimer's Association, New York City October 16, 2013.

We were pleased to honor Ann Wyatt, Residential Care Consultant, Alzheimer's Association, NYC Chapter, and Jose Matta, Assistant Director, 1199SEIU Training and Employment Funds & 1199SEIU GNY Education Fund.  Their careers have been dedicated to building a better future for nursing home residents and the nursing home workforce.

The event was a terrific success! Thank you to all of our attendees and sponsors. Please click the link above for more information and pictures.

LTCCC Memo in Support of Legislation to Protect Assisted Living Residents  (April 2013).

Piecing Together Quality Long-Term Care: A Consumer's Guide to Choice and Advocacy in New York (April 2013) With funding from the National Consumer Voice, LTCCC has adopted a national guide for NY State, to help New Yorkers facing LTC decisions gain a better understanding of their choices and options and how they can advocate for themselves to get the services they need and want.

Consumers provide comments to CMS on proposed extension of the deadline to install sprinklers in nursing homes. (April 2013).

LTCCC's Fourth Annual Reception at Federal Hall was a great success thanks to all of our attendees and sponsors.

LTCCC's Third Annual Reception at Federal Hall  in appreciation for our attendees and sponsors, honoring Karen Schoeneman, Technical Advisor for the Nursing Homes Division at the Centers for Medicare & Medicaid Services (CMS).

LTCCC's Second Annual Reception at Federal Hall in appreciation of our attendees and sponsors, honoring Michael Burgess, Director of the State Office for the Aging and the Honorable Richard N. Gottfried, Chair, New York State Assembly Committee on Health.

LTCCC's First Reception at Federal Hall honoring the Medicaid Fraud Control Unit of the Office of the New York State Attorney General and all of our sponsors and attendees.

Press Release: LTCCC Issues White Paper on Affordable Assisted Living   (February 2008).

Powerpoint presentation on "Advocacy in the 21st Century" Presented by Richard Mollot at the NCCNHR conference in Washington, DC on October 22, 2007.

Powerpoint presentation for NYS ombudsman on Civil Money Penalties (CMPs)  Presented by Richard Mollot at the NYS Long Term Care Ombudsman Program Annual Conference in Rochester, NY on October 18, 2007.

Press Release: New White Paper Offers a New Vision of Long Term Care for NY State

Developing a New and Better Long Term Care System in NY State, 2006  A white paper for the new administration & state leadership to facilitate implementation of policies that better meet the future needs and preferences of all our citizens.

Nursing Home Oversight in New York State: A Regional Assessment  Vulnerable nursing home residents depend on the state to hold nursing home providers accountable for the care they receive by identifying problems during regular inspections and through investigations of complaints.  This report, supported with a grant from the New York Community Trust, examines the effectiveness of each regional office in ensuring resident safety and quality of life.  

LTCCC Special Report: Using Law and Regulation to Protect Nursing Home Residents When Their Government Fails Them

How Federal Civil Monetary Penalties and State CMPs/Fines Can Support Good Care for Nursing Home Residents:  This report examines utilization of CMPs nationwide and includes materials to help stakeholders encourage the use of CMPs to fund innovative programs to improve nursing home quality of life.

Nursing Home Residents at Risk: Failure of the NY State Nursing Home Survey & Complaint Systems: This report analyzes the effectiveness of NY State Department of Health's nursing home inspection and complaint systems, comparing it the performances of other states across the country and federal (CMS) surveys in New York.

LTCCC Resolution on Safeguarding Long Term Care Consumers During a Crisis

Single Point of Entry for Long Term Care and Olmstead: An Introduction and National Perspective for Policy Makers, Consumers and Advocacy Organizations.  The implementation of single points of entry (POEs) for long term care is a growing trend in states across the country. At the same time, all the states face the mandate of complying with the Supreme Court's landmark Olmstead decision, in which the Court determined that the unjustified institutionalization of people with disabilities is a violation of the Americans With Disabilities Act.

This report reviews and addresses, from a consumer perspective, national POE and Olmstead implementation. These converging developments will have a significant impact on virtually every facet of consumer care, from financing to consumer choice to access.

Assisted Living Guidebooks: Fostering Independence, Choice, and Decision-Making - Four guides are available: (1) For Those Looking for Assisted Living, (2) For Current Residents, (3) For Managers, (4) For Direct Care Staff.

Improving Working Conditions for Nursing Home Direct Care Staff:  Description of a project in two nursing homes in New York City and A Ten-Step Guide to Improving Working Conditions. 

Are the Federal Nursing Home Staff Posting Requirements Serving Consumers?: Report on a year long campaign of consumer experience with postings in their nursing home(s), with recommendations for regulatory improvement.

Certified Nurse Aide Screening and Continuing Education:  A National Survey of State Requirements with Recommendations for Improvement

LTCCC Urges New York State Leaders to Consider Costs of Poor Care

LTCCC Position Brief: NY State Must Stop Placing Vulnerable People into the State's Most Severely Understaffed Nursing Homes

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Long Term Care Community Coalition
One Penn Plaza, Suite 6252
New York, NY 10119
Tel: 212-385-0355