Nursing Home Association (LNHA) recently learned of a report by the Legislative
Auditor’s Office. Our association is proud of the high level of care provided
by our member facilities to approximately 26,000 of Louisiana’s frail and
elderly residents. LNHA believes several recent press articles have failed to
shed light on improvements listed in the report as well as the complexities
that must be analyzed in providing a quality service in an efficient,
nursing facilities have succeeded in achieving a number of quality initiatives.
One example is evidenced by the substantial number of nursing facilities that
improved their overall Five Star Quality Rating between 2009 and 2014.The
overall rating created by the Centers for Medicare and Medicaid (CMS) is based
on scores in three domains: health inspections, staffing and quality measures. The proportion of facilities with a
one-star overall rating in Louisiana has decreased by 57% and the proportion
with a five-star overall rating increased by 438% from January 2009 to May 2014,
and the percentage of facilities with a four-star rating increased
by 70% during the same time period.
example is that LNHA, working in concert with the Department of Health and
Hospitals, succeeded in reducing the number of overall beds and the number of
empty beds. Over the past 10 years, Louisiana’s nursing facilities accomplished
an intentional reduction of licensed beds by 10%. This reduction translates to
34 nursing facilities being closed. Additionally, occupancy has increased from
70% to 75%. Contrary to popular belief, nursing facilities are not paid for
excess capacity; in fact, they are penalized if occupancies are less than 85%.
federal government measures quality in nursing facilities. This data clearly
shows great improvement by Louisiana nursing facilities as follows:
staffing increased 75% in Louisiana nursing facilities as compared to 44% nationally
nurse staffing increased 19% in Louisiana as compared to 13% nationally
use of physical restraints and the development of pressure ulcers decreased faster
in Louisiana than the nation
medication use decreased 11%
According to the 2013 American’s Health
Rankings Annual Edition, Louisiana’s seniors rank second worst in the
nation in health measures such as diabetes, obesity, physical inactivity and
smoking. These complicating factors help determine the condition of residents
in nursing facilities. Louisiana nursing facilities admit residents that are
"older and sicker” than in the past; therefore, this contributes to the health
outcomes that are experienced in the facilities.
and our members will continue to strive to achieve these initiatives. LNHA is
proud of the high quality, dedicated care its member facilities offer their
residents. For more information on LNHA, visit our website at www.lnha.org.