The Future Of Nursing Homes

THE FUTURE OF NURSING HOMES In the U.S., nursing home residents and staff make up 36% of coronavirus deaths* IN SOME STATES NURSING HOMES ACCOUNT FOR UP TO 54% OF DEATHS * as of 1/21/21 COVID-19 will have far reaching consequences for the NURSING HOME INDUSTRY NEW CHALLENGES FOR NURSING HOMES Public Perception The pandemic brought attention failures in long term care Healthy residents forced to share rooms with those who tested positive Ineffective antibiotic cocktails prescribed to prevent infection Experimental treatments given without family members' knowledge Nursing home staff becoming a vector for disease transmission Families shocked to find banning visits failed to protect their loved ones Nursing home workers refusing to accept the coronavirus vaccine 20 states have granting legal immunity to nursing homes 1 IN 2 AMERICANS feel more negatively toward nursing homes than they did before the coronavirus pandemic Falling Occupancy In 2020, nursing home census fell by nearly 20% of pre-pandemic levels 85.2% 72.2% 74.7% 68.5% FEBRUARY MAY ОСТОВER DECEMBER WHAT CAUSED THE DECLINE? Decline in incoming residents Suspension of non-essential surgeries Deaths from COVID-19 and other causes Admissions bans after outbreaks Rising Costs A A A A O A A NA A 65% 25% of nursing homes are now operating at a loss are operating with a margin of less than 3% Top Cost Drivers Due To COVID-19 Hiring & Overtime PPE Testing FROM MAY TO JULY, 1 IN 5 NURSING HOMES REPORTED "SEVERE" SHORTAGE OF PERSONNEL AND PPE – WITH NO IMPROVEMENT AS THE PANDEMIC DRAGGED ON While 90% of people want to avoid nursing homes – 70% OF SENIORS WILL NEED LONG TERM CARE AT SOME POINT IN THEIR LIVES PLANNING FOR THE FUTURE Amid the pandemic 3 in 4 adults have changed Americans have become more aware of how they think about the future the threat posed by new illnesses 40% 33.3% 65% 53% are now more have taken actions to For loved ones For themselves willing to save for long term care financially prepare for long term care "The inadequacy of the current system has been put on display, and it is time to develop new strategies to better match the care provided with the needs of the Nursing home must put their best foot varied subsets of the institutional long-term care population" forward to attract National Academy of Medicine Commentary Terry T. Fulmer, Christopher F. Koller, new residents & John W. Rowe Residents and their families have new expectations More than half of those looking for an assisted living or memory care facility want an onsite physician or Frequent and visible cleaning shows residents and their families a facility is safe– disinfection can no longer be confined to the night shift telemedicine available INFECTION CONTROL IS KEY TO QUALITY CARE – even after the pandemic has ended А РАTH FORWARD Traditional nursing homes design brings residents together and easily spreads disease Infrastructure Organization Low staff to resident ratios, limiting ability to increase monitoring Workforce Low pay and high staff turnover, making Shared rooms and large groups are common, spreading infection workforce less resilient A Good Reputation Starts With Cleanliness On Yelp, 25% of nursing home reviews mention cleanliness The #3 most mentioned topic after staff attitude and responsiveness Prospective residents want to know if a facility is clean before they show up Many use the "sniff test" to determine cleanliness Black & Latino families rank cleanliness higher when looking for a nursing home As more diverse generations age, cleaning will continue to be key Key Areas To Consider Education & Training Consistent and effective cleaning protocols improve residents' comfort and health– and ease help worries about a possible outbreak Easy-Of-Use Simplify with one-step multi surface cleaner and disinfectant – that kills Sars-CoV-2 as well common infections like MRSA, influenza, and C. diff + Promote Hand Washing Encourage frequent and proper hand washing by staff, visitors, and residents and provide the necessary products Smells & Scents Smells often indicate a facilities isn't truly clean– but a familiar clean scent can provide a sense of comfort and security **..** Get The Best Professional cleaning companies offer highly trained subject matter experts – credentialed in the science of cleaning and disinfecting Beyond COVID-19 Just 2.5 week after delivering the first dose of vaccines to nursing home residents Connecticut reported a 50% drop in new cases Julululu BUT, CONTROLLING THE SPREAD OF DISEASE DOESN'T STOP WITH CORONAVIRUS Nursing home residents are more likely to develop Antibiotic-Resistant UTIS Lower Respiratory MRSA Carriers Sepsis Tract Infections +40% +4200% 2000% +3000% and 7x more likely to be severe IMPROVED SURFACE CLEANING AND DISINFECTION may reduce healthcare-associated infections by as much as 85% Stay safe and clean with GBC: gbcfacilityservices.com Sources ahrq.gov/nursing-home/index.html ncbi.nlm.nih.gov/pmc/articles/PMC7353831 ncbi.nlm.nih.gov/pmc/articles/PMC4874936 GBC nozin.com/nosocomial-infections-in- ajicjournal.org/article/S0196-6553(13)00055-2/fulltext#tbl1 blog.nic.org/skilled-nursing-occupancy-remains-depressed academic.oup.com/g -in-nursing-homes Facility Services p.com/gerontologist/article/58/4/e273/4980329 .com/riproweb/productinfo/pdf/624701-SD.pdf pro.genworth.com/iproweb/productimiurpumoza. warren-county-ny-covid-19-warrencountyny.hub.arcgis.com o.genworth.com/riprowebrprodoctinfo/pdf/624701-SD.pdf DEVELOPED BY naityexecutive Coursing-numes N NOWSOURCING -in-the-wake-of-covid-19 e.com/2018/06/cleaning-long-term-care-facilities nytimes.com/interactive/2020/us/coronavirus-nursing-homes.html longtermcare.acl.gov/the-basics/how-much-care-will-you-need.html cbsnews.com/news/genesis-healthcare-ceo-george-hager-bonus-exit nic.org/wp-content/uploads/pdf/SNCT-Insights-Report-Special-Issue.pdf ohiocapitaljournalcom/ nymag.com/intelligencer/ foxnews. wshu.org/post/connecticut-sees-major-drop-nursing-home-covid-cases-following-vaccination#stream/0 infectioncontroltoday.com/view/when-covid- /2020/12/30/60-of-ohio-nursing-home-workers-refuse-vaccine nlintellinencer/2020/06/the-american-nursing-home-is-a-design-failure.html igencer72020/00/the amene cvsrebah-natients-covid-19-vaccine-politician-claims -nursing- home-refused-to- rore2030n0/830348837/covid-19-nationte ges/Cleaning-and-Disinfecting-in-the-Era-of-COVID-19.aspx -given-unproven-drug-in-texas-nursing-home-garnering-criticism mp.org/2020/047 or do0 0hoiraroommates-hard-covid19-their-nhio-nursing-home-kept-them-there-anyway citybeat.com/news/blog/21148267/their-roommates-had- nbcnews.com/know-your-value/feature/39-covid-19-deaths-have-occurred-nursing-homes-many-could-ncna1250374 fiercehealthcare,.com/hospitals/survey-majority-nursing-homes-won-t-make-it-next-year-if-covid-19-operating-losses mcknightsseniorliving.com/home/news/covid-19-has-not-changed-consumer-sentiment-toward-seniors-housing-survey skillednursingnews.com/2020/06/early-data-reveals-10-nursing-home-census-drop-but-covid-19-reporting-remains-incomplete skillednursingnews.com/2020/08/at-least-1-in-5-nursing-homes-report-severe-shortage-of-staff-and-ppe-with-no-progress-since-may communitysolutions.com/research/mcgregor-pace-program-demonstrates-success-community-based-alternative-older-ohioans-greater-risk-contracting-covid-19