Gauging nursing home care quality can be tricky

October 1st, 2008 by Jennifer Walker-Journey

More than 90 percent of  were cited for violations of federal health and safety standards last year, according to the New York Times . Seventeen percent of nursing facilities had serious deficiencies such as bedsoresmedication mix-ups, poor nutrition, and  and .

However, of the 37,150 complaints inspectors received in 2007 about the condition of , only 39 percent were substantiated and about 20 percent of those verified complaints involved patient .

Measuring the quality of a nursing home is not always clear-cut. More that 1.5 million people live in 15,000  throughout the country. Each facility is inspected annually and must meet federal standards in order to participate in Medicaid and Medicare. Unfortunately, while the standards are the same from state to state, deficiency rates vary.

“Inspectors are subjective and inconsistent. They interpret federal standards in different ways,” the Times quotes Bruce A. Yarwood, president of trade group American Health Care Association. Thus, some states show much higher percentages of deficient than others, in what may not necessarily indicate a vast difference in quality of service.

In December, the Bush administration will institute a five-star system to rate overall quality of care in nursing facilities. The rankings will be published on a federal Web site, according to the New York Times report.

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