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Nursing Homes Dumping Poor Patients

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Nursing Homes Dumping Poor Patients

St. Louis American/New America Media, News Feature, Rebecca S. Rivas

 ST. LOUIS—The call comes in about four times a week.

Nursing-home residents call in a panic: First they are sent to a hospital for a medical or mental health condition. Then, when the hospital discharges them, the nursing homes won’t take them back.


It’s called “hospital dumping,” said Marilyn McCormick, regional coordinator for St. Louis Long-Term Care Ombudsman Office, which is funded under the federal Older Americans Act. 

The dumping of mostly low-income nursing-home patients—including a growing number of African-American elders, such as those in North St. Louis—is a nationwide problem, one involving a complicated dance between nursing homes that complain of low Medicaid payments, hospitals put on the spot to find another facility that will take the person, and frail elders and their families.

Federal law requires skilled-nursing facilities to give residents 30 days notice if they want them to leave. As nationally mandated advocates for elders, local ombudsman offices in every American community receive complaints about legal violations at long-term care facilities. 

Nursing-home administrators have various reasons for hospital dumping, McCormick said. Perhaps the residents require extreme care or have behavioral issues, such as emotional agitation or abusive outbursts. Professional training is available to help employees handle these situations, but the cost is not covered by the already low Medicaid reimbursement. READ MORE HERE



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