Readers of this blog know how many times I’ve written previously in this blog about the atrocious conditions that many Massachusetts nursing home residents live in every day. It’s sickening, it’s cruel, it’s a stain on our society, and it’s a moral outrage. Yet it goes on, and on, seemingly unstopped.
Why? The answer lies in a collision of factors, but at the heart of the problem lies nearly one constant: Corporate greed and the never ending quest for profits at the expense of human dignity, exhibited in this industry by hiring incompetent and/or inadequate staff; cutting costs to bone, and reducing quality of care for the most vulnerable of patient populations. Yes, other factors do come into play also, not the least of which is the often abysmal ‘oversight’ by state and federal regulators charged with making sure that nursing homes and nursing facilities adhere to state and federal laws mandating quality patient care standards. Another major factor: The nursing home industry’s very conscious awareness that the regulators and inspectors charged with policing them, such as those employed at the Massachusetts Department of Public Health – Health Care/Nursing Homes Licensure Division – are woefully understaffed and lax in their “enforcement” of regulations that apply to them. Many, many Massachusetts nursing homes know full well that the Massachusetts DPH is a “paper tiger” – that the odds that any state or federal authority figures will “find them out,” or discover their lax care of patients – are extremely low. Understaffing at the DPH, state budget cuts, over-worked inspectors and staffers – all these factors coalesce to create the perfect environment, or “perfect storm,” for many Massachusetts nursing homes to flout laws, rules, regulations, and basic morality in how they run their facilities. Continue reading