We hypothesized that implicit–explicit self-esteem discrepancies foster autoaggressive behavior and dysphoria, and impair self-perception. This story was published by The Center for Public Integrity, a nonprofit, nonpartisan investigative news organization in Washington, D.C.The present study examined whether discrepancies between explicit and implicit self-esteem are associated with symptom severity in a sample of patients with borderline personality disorder (BPD). New types of health care delivery are improving the 'patient experience'īlistering inspector general report says feds are failing to fight Medicaid home care fraudĬopyright 2014 The Center for Public Integrity. Praise for UK-style health system vindicates spurned nomineeĪdvocates for nursing home reform push back against proposed health watchdog cuts Why Medicare Advantage costs taxpayers billions more than it should Click here to read more stories in this topic. Click here to read the rest at the Center for Public Integrity. Similar cost reports made to the federal Medicare program were analyzed by the Center those reports showed daily staffing levels that were lower in thousands of cases. Those financial documents, which are harder for the public to locate and analyze, contain data about the home’s revenues, expenditures and resident population during the year. In 2005 the agency said the cost reports made annually to the state-federal Medicaid program are a more accurate source of information than Nursing Home Compare. ![]() The self-reported staffing levels are also a crucial metric in the federal government’s broader quality rating of nursing homes on the Compare website, from one star to five stars. The Centers for Medicare and Medicaid Services (CMS), the federal agency responsible for overseeing nursing homes, has talked repeatedly since 2001 about the inaccuracy of self-reported data. As a result, critics say, those staffing levels may be artificially inflated. Advocates say many homes work hard to prepare for those visits. Nursing homes across the country had similar reporting discrepancies between the two sources, the Center’s analysis reveals.ĭata on the publicly available Nursing Home Compare website, which is promoted and operated by the government for comparison shopping, reflects staffing levels self-reported by nursing homes during a two-week period before annual federal inspections. Related: Nursing homes serving minorities offering less care than those housing whites Related: Poorly rated nursing homes got HUD-guaranteed mortgages anyway 19 hours, or about 11 minutes, of registered nurse care each day for its residents in 2012.īut harder-to-find federal financial documents examined by the Center for Public Integrity reported average daily staffing levels at the home that were lower. On the public website where facilities post their daily staffing levels, Chenal Heights said it provided. Related: Methodology for our nursing homes investigation The nursing home, which has since been renamed as part of an ownership change, declined to comment. Sanders said she arrived at the home to find her mother sitting in her own feces. Related: Running a five-star nursing home The daughter assumed that the staffing levels and care her mother was to receive there would match the neighborhood’s attractiveness.Īfter just one week Irvin was hospitalized for a bowel obstruction. She decided to move her mother to Little Rock and, after a couple of months, into the Chenal Heights home. Related: Track discrepancies in nursing home staff levels ![]() Sanders agreed with her mother's doctor that Irvin could no longer take care of herself.
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