Nursing Home Care

‘Promise you’ll never put me in a nursing home’

Whenever Sarah Harris and her husband, Ernie, drove past a nursing home, he would say the same thing: That’s where you’re going to put me. That’s where I’m going to be sent. “I would say, ‘No, I don’t think that’s going to happen,’ ” said Harris, of Fairfax, Va. Her husband had been diagnosed with Alzheimer’s […]

The Nursing Home Culture-Change Movement: Recent Past, Present, and Future Directions for Research

This article uses a retrospective approach to critique the research base underlying the nursing home culture-change movement—an effort to radically transform the nation’s nursing homes by delivering resident-directed care and empowering staff. The article traces the development of the movement from its inception 10 years ago to 2005, when the Centers for Medicare and Medicaid […]

What working in a nursing home taught me about life, death, and America’s cultural values

The first thing I noticed when I began working in a nursing home was the smell. It’s everywhere. A mix of detergent and hospital smell and, well, people in nursing homes wear diapers. It’s one of those smells that takes over everything — if you’re not used to it, it’s hard to think about anything […]

When to Ignore a Promise to ‘Never Put Me in a Home’

Our new patient, 88 years old, had been demented for years. She was admitted to the hospital with a deep, malodorous and infected pressure sore stretching from the top of her right shoulder down to the middle of her spine. It took us a only few seconds to choose her antibiotics, but a half hour […]

How N.Y.’s Biggest For-Profit Nursing Home Group Flourishes Despite a Record of Patient Harm

Charlie Stewart was looking forward to getting out of the nursing home in time for his 60th birthday. On his planned release day, in late 2012, the Long Island facility instead called Stewart’s wife to say he was being sent to the hospital with a fever. When his wife, Jeanne, met him there, the stench […]