There are many of us Bogleheads who are thinking and planning about long term care for ourselves one day. The current situation has made it clear what a challenge we face. It's critical that you and I begin now to apply our due diligence. How can we determine which facilities to avoid? Is there really much difference between facilities, regardless of how much they cost? We have a real challenge ahead of us, I'm afraid. Here's an article discussing some of the current situation and the reasons behind it:
https://www.marketwatch.com/story/the-n ... home-pageThe federal government regulates nursing homes through the Centers for Medicare and Medicaid Services, or CMS. They offer a “compare nursing homes” service in which each home is subject to a five-star rating system.
There are 42 New York state nursing that have admitted to at least 10 COVID-19 deaths so far.
More than half were given four or five stars overall, and just five were rated below average.
The rating system is “totally bogus,” says FATE’s Carol Herman. “I’ve had more problems with facilities that have a five-star rating where they’ve abused patients. I tell my clients, don’t look at the ratings. I never go on the CMS rating.” She says much of the data depends on self-reporting by the operators.
But problems run deep. The pay in the industry is low. The median hourly wage of a nursing assistant in America, says the U.S. Labor Department, is $14 and change.
One thing that’s likely to have helped spread COVID-19 through nursing homes: The parade of part-time staff and orderlies, doing shifts in one place and then another.