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What to look for when choosing an assisted living facility or nursing home
What to look for when choosing an assisted living facility or nursing home

CBS News

time5 days ago

  • Health
  • CBS News

What to look for when choosing an assisted living facility or nursing home

The process of finding safe, supportive, and dignified care for a loved one when they become a senior can be quite challenging. "It can be both emotionally draining as well as exhausting," said Paul Lanzikos, the co-founder of Dignity Alliance Massachusetts. "You're not looking for long term care just because you want to... There's a demand for it, there's a pressing need," he explained. Whether you're considering a nursing home, assisted living, or at-home care, AARP Massachusetts state director Jennifer Benson recommends using the company's services to help you make an informed decision. "We have a checklist of what to ask: Is the home safe? Do they need someone 24 hours a day or just a few hours a day to help with those activities of daily living," she said. While most families start looking for care in the midst of a crisis, Benson and Lanzikos agree the process shouldn't be rushed. "Start as early as possible to have these conversations to get a sense of what choices are on the table," Benson said. "It's always good to check with management about what their staffing ratios are," Lanzikos added. It's especially important after nine people died in Fall River Sunday night after a fire broke out at the assisted living Gabriel House. According to the mayor and an employee at the facility, there were 70 residents and just two staff members working. While Lanzikos says he was sad to hear the news, he wasn't surprised to learn about the staffing. "I wish I could tell you it's unheard of, but it's not," he said. According to the Massachusetts Department of Elder Affairs, the state does not require a minimum staffing level. "What the state says is that there should be a reasonable number, but it doesn't give a number or a ratio or anything like that," Benson explained. When choosing a location, she emphasized the importance of doing research and asking detailed questions. "Is it clean? Are there enough safety precautions as far as handrails? do they have a disaster or emergency plan?" Benson said. Lanzikos recommends utilizing state and local resources for support. If you have concerns about dangerously low staffing, "I would report it to the long-term care ombudsman," he said.

Deadly fire highlights minimal regulations that govern assisted-living facilities

time5 days ago

  • Health

Deadly fire highlights minimal regulations that govern assisted-living facilities

The Massachusetts assisted-living facility where a fatal fire killed nine people was caring for dozens of aging residents reliant on wheelchairs and oxygen tanks, but it lacked the safety measures and most of the staffing requirements that are commonplace in nursing homes. As an assisted-living center, Gabriel House in Fall River, about 50 miles (80 kilometers) south of Boston, offered a type of housing for older residents that has expanded nationally in recent decades. But advocates argue that the absence of any federal regulations and spotty state rules mean the sector is largely left to police itself. 'The real issue is that assisted livings operate in an environment like the Wild West,' said Richard Mollot, executive director of the Long Term Care Community Coalition, a nonprofit that advocates for improved care in nursing and assisted-living facilities. 'They can pretty much do what they want with impunity, and that results in a lot of, I would say, mini-catastrophes every day, frankly.' The fire that tore through the three-story structure late Sunday raised a host of questions about conditions at the dilapidated facility and put the spotlight on the growing number of assisted-living centers in the state and nationwide. Created in the 1980s, assisted living has been marketed as an option for older adults who need some assistance but not as much help as a nursing home. Advocates argue that regulations for the facilities have not kept up as more locations have opened. Nursing homes, for example, are governed by federal regulations because they receive Medicare and Medicaid while there are no federal regulations for assisted-living facilities. Nursing homes must have a minimum number of staffers and trained medical professionals such as doctors and nurses, but assisted-living facilities have no such requirements. 'The regulations are minimal,' said Liane Zeitz, an attorney who is also a member of the state Assisted Living Residences Commission, a body created to make recommendations about the sector. She has advocated for more regulations for assisted-living facilities. The facilities were lightly regulated because initially they were regarded as residential, with lower levels of care and less oversight, she said. But now those facilities are caring for a population "that is much frailer, and the population is growing.' Not only are the regulations weaker for assisted-living facilities, but advocates argue that the enforcement of the existing rules is often lax. Paul Lanzikos, a former Massachusetts secretary of elder affairs and co-founder of the advocacy group Dignity Alliance, described a 'patchwork' of regulations across the country, with different agencies involved depending on the state. 'Some of the states are much more regulated. Some are regulated as a health care entity. Others, as we do here in Massachusetts, are considered a residential housing model,' he said. U.S. Sen. Elizabeth Warren, a Massachusetts Democrat, has been advocating for increased oversight for years, particularly after the release of reports about health and safety problems in 2018. 'These are serious problems that have been going on for years,' she said at a hearing last year. 'But we hear so much less about what's going in assisted-living facilities than we do in other facilities, like nursing homes.' At that hearing, Mollot noted that scandals in the nursing home industry pushed Congress to act in the 1970s and 1980s, and that such a reckoning could be coming soon for assisted living. He described two major risks: increasingly sick and vulnerable assisted living residents and financial exploitation by owner investors. Speaking Wednesday after learning about the Gabriel House fire, Mollot said the problems that plagued that facility are not unique to Massachusetts. 'Unlike nursing homes, assisted living has no federal state requirements, no requirement for staffing, no requirements for staff training, no requirements for safety protocols, no requirements for inspections,' he said. 'That falls to the states, and the states have overall very weak rules.'

Deadly Massachusetts fire highlights the minimal regulations that govern assisted-living facilities
Deadly Massachusetts fire highlights the minimal regulations that govern assisted-living facilities

Yahoo

time5 days ago

  • Health
  • Yahoo

Deadly Massachusetts fire highlights the minimal regulations that govern assisted-living facilities

The Massachusetts assisted-living facility where a fatal fire killed nine people was caring for dozens of aging residents reliant on wheelchairs and oxygen tanks, but it lacked the safety measures and most of the staffing requirements that are commonplace in nursing homes. As an assisted-living center, Gabriel House in Fall River, about 50 miles (80 kilometers) south of Boston, offered a type of housing for older residents that has expanded nationally in recent decades. But advocates argue that the absence of any federal regulations and spotty state rules mean the sector is largely left to police itself. 'The real issue is that assisted livings operate in an environment like the Wild West,' said Richard Mollot, executive director of the Long Term Care Community Coalition, a nonprofit that advocates for improved care in nursing and assisted-living facilities. 'They can pretty much do what they want with impunity, and that results in a lot of, I would say, mini-catastrophes every day, frankly.' The fire that tore through the three-story structure late Sunday raised a host of questions about conditions at the dilapidated facility and put the spotlight on the growing number of assisted-living centers in the state and nationwide. Created in the 1980s, assisted living has been marketed as an option for older adults who need some assistance but not as much help as a nursing home. Advocates argue that regulations for the facilities have not kept up as more locations have opened. Nursing homes, for example, are governed by federal regulations because they receive Medicare and Medicaid while there are no federal regulations for assisted-living facilities. Nursing homes must have a minimum number of staffers and trained medical professionals such as doctors and nurses, but assisted-living facilities have no such requirements. 'The regulations are minimal,' said Liane Zeitz, an attorney who is also a member of the state Assisted Living Residences Commission, a body created to make recommendations about the sector. She has advocated for more regulations for assisted-living facilities. The facilities were lightly regulated because initially they were regarded as residential, with lower levels of care and less oversight, she said. But now those facilities are caring for a population "that is much frailer, and the population is growing.' Not only are the regulations weaker for assisted-living facilities, but advocates argue that the enforcement of the existing rules is often lax. Paul Lanzikos, a former Massachusetts secretary of elder affairs and co-founder of the advocacy group Dignity Alliance, described a 'patchwork' of regulations across the country, with different agencies involved depending on the state. 'Some of the states are much more regulated. Some are regulated as a health care entity. Others, as we do here in Massachusetts, are considered a residential housing model,' he said. U.S. Sen. Elizabeth Warren, a Massachusetts Democrat, has been advocating for increased oversight for years, particularly after the release of reports about health and safety problems in 2018. 'These are serious problems that have been going on for years,' she said at a hearing last year. 'But we hear so much less about what's going in assisted-living facilities than we do in other facilities, like nursing homes.' At that hearing, Mollot noted that scandals in the nursing home industry pushed Congress to act in the 1970s and 1980s, and that such a reckoning could be coming soon for assisted living. He described two major risks: increasingly sick and vulnerable assisted living residents and financial exploitation by owner investors. Speaking Wednesday after learning about the Gabriel House fire, Mollot said the problems that plagued that facility are not unique to Massachusetts. 'Unlike nursing homes, assisted living has no federal state requirements, no requirement for staffing, no requirements for staff training, no requirements for safety protocols, no requirements for inspections,' he said. 'That falls to the states, and the states have overall very weak rules.' ___ Associated Press writers Holly Ramer and Matt O'Brien contributed to this report.

Deadly Massachusetts fire highlights the minimal regulations that govern assisted-living facilities
Deadly Massachusetts fire highlights the minimal regulations that govern assisted-living facilities

Winnipeg Free Press

time5 days ago

  • Health
  • Winnipeg Free Press

Deadly Massachusetts fire highlights the minimal regulations that govern assisted-living facilities

The Massachusetts assisted-living facility where a fatal fire killed nine people was caring for dozens of aging residents reliant on wheelchairs and oxygen tanks, but it lacked the safety measures and most of the staffing requirements that are commonplace in nursing homes. As an assisted-living center, Gabriel House in Fall River, about 50 miles (80 kilometers) south of Boston, offered a type of housing for older residents that has expanded nationally in recent decades. But advocates argue that the absence of any federal regulations and spotty state rules mean the sector is largely left to police itself. 'The real issue is that assisted livings operate in an environment like the Wild West,' said Richard Mollot, executive director of the Long Term Care Community Coalition, a nonprofit that advocates for improved care in nursing and assisted-living facilities. 'They can pretty much do what they want with impunity, and that results in a lot of, I would say, mini-catastrophes every day, frankly.' The fire that tore through the three-story structure late Sunday raised a host of questions about conditions at the dilapidated facility and put the spotlight on the growing number of assisted-living centers in the state and nationwide. Created in the 1980s, assisted living has been marketed as an option for older adults who need some assistance but not as much help as a nursing home. Advocates argue that regulations for the facilities have not kept up as more locations have opened. Nursing homes, for example, are governed by federal regulations because they receive Medicare and Medicaid while there are no federal regulations for assisted-living facilities. Nursing homes must have a minimum number of staffers and trained medical professionals such as doctors and nurses, but assisted-living facilities have no such requirements. 'The regulations are minimal,' said Liane Zeitz, an attorney who is also a member of the state Assisted Living Residences Commission, a body created to make recommendations about the sector. She has advocated for more regulations for assisted-living facilities. The facilities were lightly regulated because initially they were regarded as residential, with lower levels of care and less oversight, she said. But now those facilities are caring for a population 'that is much frailer, and the population is growing.' Not only are the regulations weaker for assisted-living facilities, but advocates argue that the enforcement of the existing rules is often lax. Paul Lanzikos, a former Massachusetts secretary of elder affairs and co-founder of the advocacy group Dignity Alliance, described a 'patchwork' of regulations across the country, with different agencies involved depending on the state. 'Some of the states are much more regulated. Some are regulated as a health care entity. Others, as we do here in Massachusetts, are considered a residential housing model,' he said. U.S. Sen. Elizabeth Warren, a Massachusetts Democrat, has been advocating for increased oversight for years, particularly after the release of reports about health and safety problems in 2018. 'These are serious problems that have been going on for years,' she said at a hearing last year. 'But we hear so much less about what's going in assisted-living facilities than we do in other facilities, like nursing homes.' At that hearing, Mollot noted that scandals in the nursing home industry pushed Congress to act in the 1970s and 1980s, and that such a reckoning could be coming soon for assisted living. He described two major risks: increasingly sick and vulnerable assisted living residents and financial exploitation by owner investors. Speaking Wednesday after learning about the Gabriel House fire, Mollot said the problems that plagued that facility are not unique to Massachusetts. 'Unlike nursing homes, assisted living has no federal state requirements, no requirement for staffing, no requirements for staff training, no requirements for safety protocols, no requirements for inspections,' he said. 'That falls to the states, and the states have overall very weak rules.' ___ Associated Press writers Holly Ramer and Matt O'Brien contributed to this report.

Deadly Massachusetts fire highlights the minimal regulations that govern assisted-living facilities
Deadly Massachusetts fire highlights the minimal regulations that govern assisted-living facilities

Hamilton Spectator

time5 days ago

  • Health
  • Hamilton Spectator

Deadly Massachusetts fire highlights the minimal regulations that govern assisted-living facilities

The Massachusetts assisted-living facility where a fatal fire killed nine people was caring for dozens of aging residents reliant on wheelchairs and oxygen tanks, but it lacked the safety measures and most of the staffing requirements that are commonplace in nursing homes. As an assisted-living center, Gabriel House in Fall River , about 50 miles (80 kilometers) south of Boston, offered a type of housing for older residents that has expanded nationally in recent decades. But advocates argue that the absence of any federal regulations and spotty state rules mean the sector is largely left to police itself. 'The real issue is that assisted livings operate in an environment like the Wild West,' said Richard Mollot, executive director of the Long Term Care Community Coalition, a nonprofit that advocates for improved care in nursing and assisted-living facilities. 'They can pretty much do what they want with impunity, and that results in a lot of, I would say, mini-catastrophes every day, frankly.' The fire that tore through the three-story structure late Sunday raised a host of questions about conditions at the dilapidated facility and put the spotlight on the growing number of assisted-living centers in the state and nationwide. Created in the 1980s, assisted living has been marketed as an option for older adults who need some assistance but not as much help as a nursing home. Advocates argue that regulations for the facilities have not kept up as more locations have opened. Nursing homes, for example, are governed by federal regulations because they receive Medicare and Medicaid while there are no federal regulations for assisted-living facilities. Nursing homes must have a minimum number of staffers and trained medical professionals such as doctors and nurses, but assisted-living facilities have no such requirements. 'The regulations are minimal,' said Liane Zeitz, an attorney who is also a member of the state Assisted Living Residences Commission, a body created to make recommendations about the sector. She has advocated for more regulations for assisted-living facilities. The facilities were lightly regulated because initially they were regarded as residential, with lower levels of care and less oversight, she said. But now those facilities are caring for a population 'that is much frailer, and the population is growing.' Not only are the regulations weaker for assisted-living facilities, but advocates argue that the enforcement of the existing rules is often lax. Paul Lanzikos, a former Massachusetts secretary of elder affairs and co-founder of the advocacy group Dignity Alliance, described a 'patchwork' of regulations across the country, with different agencies involved depending on the state. 'Some of the states are much more regulated. Some are regulated as a health care entity. Others, as we do here in Massachusetts, are considered a residential housing model,' he said. U.S. Sen. Elizabeth Warren, a Massachusetts Democrat, has been advocating for increased oversight for years, particularly after the release of reports about health and safety problems in 2018. 'These are serious problems that have been going on for years,' she said at a hearing last year. 'But we hear so much less about what's going in assisted-living facilities than we do in other facilities, like nursing homes.' At that hearing, Mollot noted that scandals in the nursing home industry pushed Congress to act in the 1970s and 1980s, and that such a reckoning could be coming soon for assisted living. He described two major risks: increasingly sick and vulnerable assisted living residents and financial exploitation by owner investors. Speaking Wednesday after learning about the Gabriel House fire, Mollot said the problems that plagued that facility are not unique to Massachusetts. 'Unlike nursing homes, assisted living has no federal state requirements, no requirement for staffing, no requirements for staff training, no requirements for safety protocols, no requirements for inspections,' he said. 'That falls to the states, and the states have overall very weak rules.' ___ Associated Press writers Holly Ramer and Matt O'Brien contributed to this report. Error! Sorry, there was an error processing your request. There was a problem with the recaptcha. Please try again. You may unsubscribe at any time. By signing up, you agree to our terms of use and privacy policy . This site is protected by reCAPTCHA and the Google privacy policy and terms of service apply. Want more of the latest from us? Sign up for more at our newsletter page .

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