{"id":14081,"date":"2020-07-24T22:47:55","date_gmt":"2020-07-25T02:47:55","guid":{"rendered":"https:\/\/www.ontariohealthcoalition.ca\/?p=14081"},"modified":"2020-07-26T22:50:41","modified_gmt":"2020-07-27T02:50:41","slug":"more-deaths-at-for-profit-nursing-homes-study","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/more-deaths-at-for-profit-nursing-homes-study\/","title":{"rendered":"More deaths at for-profit nursing homes: Study"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">(July 23, 2020)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">By: Colin Perkel, Chatham Daily News<\/span><\/p>\n<p><span style=\"font-weight: 400;\">TORONTO For-profit long-term care homes in Ontario saw significantly worse outbreaks of COVID-19 and more related deaths than their non-profit or municipally run counterparts, according to a new study released on Wednesday.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The paper in the peer-reviewed Canadian Medical Association Journal raises questions about the ownership status of nursing homes, a factor the association that speaks for the facilities said last year had no impact on quality of care.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The research looked at all 623 long-term care homes in Ontario, from March 29 &#8211; the date of the first reported case of coronavirus in a home &#8211; until May 20. Collectively, the facilities housed more than 75,000 seniors &#8211; most of them with multiple health conditions, both physical and cognitive.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In all, more than 5,200 residents contracted COVID-19 during the study period. More than one quarter of those infected &#8211; 1,450 &#8211; died.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In Ontario, 57 per cent of nursing homes are set up to be profit-making &#8211; the highest rate in the country. Another 26 per cent are non-profit and 16 per cent are municipally run. While profit status had no impact on whether a facility had a coronavirus outbreak, the study finds, it did play a significant role in what happened if one occurred.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8220;We did find evidence that for-profit LTC homes have larger COVID-19 outbreaks and more deaths of residents from COVID-19 than non-profit and municipal homes,&#8221; the study finds. &#8220;Those with older design standards appear to show worse outcomes.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The study, co-authored by Dr. <\/span><span style=\"font-weight: 400;\">Nathan Stall with the Sinai Health System and University Health Network in Toronto, also suggests chain-operated for-profit homes &#8211; 85 per cent of the commercial facilities &#8211; run a significantly higher risk of worse COVID outcomes.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">An accompanying commentary notes upgrading facilities &#8211; many beds are at or below 1972 standards &#8211; likely won&#8217;t fix the situation at for-profits if further research confirms chain ownership is a key factor on its own. Dr. Samir Sinha, a Toronto-based geriatrician not involved in the study, said 30,000 long-term care beds in Ontario are in dire need of upgrades.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8220;Many of these older multi-bedded homes happen to be owned by for-profits,&#8221; Sinha said. &#8220;The study really speaks to the need to redevelop that.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The government of Premier Doug Ford initially promised to build 15,000 beds in five years and redevelop another 15,000, Sinha said. However, only a relative handful have been built or redeveloped, and the government has now significantly tempered its ambitions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Last week, the government announced it is changing the way it funds long-term care home expansions in a bid to spur construction, while conceding it would now pay for 8,000 new beds, and 12,000 renovated beds in the same fiveyear period.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In the interim, it has also limited room occupancy to two, further exacerbating bed shortages.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The Ontario Long Term Care association, which speaks for nursing homes and has complained about underfunding, did not respond to a request for comment on the study.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Separately Wednesday, the Ontario Health Coalition said 95 per cent of staff in the province&#8217;s nursing homes reported basic care needs of residents &#8211; such as bathing, oral care and emotional support &#8211; were going unmet due to staff shortages.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Others said they didn&#8217;t have enough time to properly feed residents, get them to the washroom on time, or make sure they didn&#8217;t develop pressure ulcers &#8211; a situation especially problematic at night and on weekends. Most respondents reported the situation had worsened since the pandemic hit in March.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In response, Ford said the survey findings show why his government passed ongoing emergency powers to be able to &#8220;flow staff from the hospitals into long-term care.&#8221;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Previous research has shown staffing levels play a key role in COVID-19 outcomes, with one California study finding understaffing doubled the chances of residents becoming infected.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8220;If requirements to fund adequate levels of staffing affect the bottom lines of for-profit facilities, then it might be time for this care to be turned over to public and nonprofit entities,&#8221; the journal commentary says. The Canadian Press<\/span><\/p>\n<p><span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/app.meltwater.com\/newsletters\/analytics\/view\/58b49213f97502b1c5ecb214\/distribution\/5f196ee4f2eb750bc38380f1\/document\/4YMi7GUfNnvTgOZntVs70OnHjAA\"><span style=\"font-weight: 400;\">Link to original article<\/span><\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(July 23, 2020) By: Colin Perkel, Chatham Daily News TORONTO For-profit long-term care homes in Ontario saw significantly worse outbreaks of COVID-19 and more related deaths than their non-profit or municipally run counterparts, according to a new study released on Wednesday. The paper in the peer-reviewed Canadian Medical Association Journal raises questions about the ownership [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-14081","post","type-post","status-publish","format-standard","hentry","category-ohc-in-the-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>More deaths at for-profit nursing homes: Study - Ontario Health Coalition<\/title>\n<meta name=\"description\" content=\"(July 23, 2020) By: Colin Perkel, Chatham Daily News TORONTO For-profit long-term care homes in Ontario saw significantly worse outbreaks of COVID-19 and\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/more-deaths-at-for-profit-nursing-homes-study\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"More deaths at for-profit nursing homes: Study - 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