With tougher standards, 48% of the state’s nursing homes—104 facilities—received a four- or five-star rating for staffing, data from the Centers for Medicare & Medicaid Services (CMS) show. Thirty-nine nursing homes (19%) earned a one- or two-star rating for staffing levels. Nursing Home Compare’s five-star system (5 being “much above average,” 4 “above average,” 3 “average,” 2 “below average” and 1 “much below average’) examines quality of care delivered, staffing and overall performance, among other factors. It gives consumers the ability to compare quality among facilities. CMS updated the rankings in April, following the release of new payroll data that gives insights into nursing home staffing trends.
The state Department of Public Health has fined five nursing homes for various violations, including two in which residents went missing. Blair Manor in Enfield was fined $3,000 after a resident with dementia and neurocognitive disorder left the facility. Staff noticed the resident was missing around 7:20 p.m. on Oct. 4, 2016. According to the Department of Public Health (DPH) citation, earlier that day five staff members separately witnessed the resident saying he was going to leave the facility and packing his belongings, but none reported it to their supervisors.
Six nursing homes have been fined in connection with one resident who was physically abused, one who broke a leg and one who was hospitalized with severe dehydration and later died. In two state Department of Public Health [DPH] citations on Dec. 7, Touchpoints at Farmington was fined a total of $2,810 in connection with a resident who was hospitalized in May 2015 in intensive care with severe dehydration and then transferred to hospice care. Maura Downes, DPH’s spokeswoman, said the resident died more than two weeks after the incident, but DPH officials were not able to “substantiate causation between the incident and the resident’s death.”
The home was fined $1,580 in connection with the resident’s decline in fluid intake over eight days in May 2015. The home’s records failed to show that a doctor had been notified about the resident’s fluid intake, the citation said.