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April 21, 2014

Andrew Silow-Carroll: Passoverkill? Suggestions to make next year's seders even more culturally sensitive

Sara Israelsen Hartley: Seeking the Divine: An ancient connection in a new context

Christine M. Flowers: Priest's execution in Syria should be call to action

Courtnie Erickson: How to help kids accept the poor decisions of others

Lizette Borreli: A Glass Of Milk A Day Keeps Knee Arthritis At Bay

Lizette Borreli: 5 Health Conditions Your Breath Knows Before You Do

The Kosher Gourmet by Betty Rosbottom Coconut Walnut Bars' golden brown morsels are a beautifully balanced delectable delight

April 18, 2014

Rabbi Yonason Goldson: Clarifying one of the greatest philosophical conundrums in theology

Caroline B. Glick: The disappearance of US will

Megan Wallgren: 10 things I've learned from my teenagers

Lizette Borreli: Green Tea Boosts Brain Power, May Help Treat Dementia

John Ericson: Trying hard to be 'positive' but never succeeding? Blame Your Brain

The Kosher Gourmet by Julie Rothman Almondy, flourless torta del re (Italian king's cake), has royal roots, is simple to make, . . . but devour it because it's simply delicious

April 14, 2014

Rabbi Dr Naftali Brawer: Passover frees us from the tyranny of time

Greg Crosby: Passing Over Religion

Eric Schulzke: First degree: How America really recovered from a murder epidemic

Georgia Lee: When love is not enough: Teaching your kids about the realities of adult relationships

Cameron Huddleston: Freebies for Your Lawn and Garden

Gordon Pape: How you can tell if your financial adviser is setting you up for potential ruin

Dana Dovey: Up to 500,000 people die each year from hepatitis C-related liver disease. New Treatment Has Over 90% Success Rate

Justin Caba: Eating Watermelon Can Help Control High Blood Pressure

The Kosher Gourmet by Joshua E. London and Lou Marmon Don't dare pass over these Pesach picks for Manischewitz!

April 11, 2014

Rabbi Hillel Goldberg: Silence is much more than golden

Caroline B. Glick: Forgetting freedom at Passover

Susan Swann: How to value a child for who he is, not just what he does

Cameron Huddleston: 7 Financial Tasks You Should Tackle Right Now

Sandra Block and Lisa Gerstner: How to Profit From Your Passion

Susan Scutti: A Simple Blood Test Might Soon Diagnose Cancer

Chris Weller: Have A Slow Metabolism? Let Science Speed It Up For You

The Kosher Gourmet by Diane Rossen Worthington Whitefish Terrine: A French take on gefilte fish

April 9, 2014

Jonathan Tobin: Why Did Kerry Lie About Israeli Blame?

Samuel G. Freedman: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Jessica Ivins: A resolution 70 years later for a father's unsettling legacy of ashes from Dachau

Kim Giles: Asking for help is not weakness

Kathy Kristof and Barbara Hoch Marcus: 7 Great Growth Israeli Stocks

Matthew Mientka: How Beans, Peas, And Chickpeas Cleanse Bad Cholesterol and Lowers Risk of Heart Disease

Sabrina Bachai: 5 At-Home Treatments For Headaches

The Kosher Gourmet by Daniel Neman Have yourself a matzo ball: The secrets bubby never told you and recipes she could have never imagined

April 8, 2014

Lori Nawyn: At Your Wit's End and Back: Finding Peace

Susan B. Garland and Rachel L. Sheedy: Strategies Married Couples Can Use to Boost Benefits

David Muhlbaum: Smart Tax Deductions Non-Itemizers Can Claim

Jill Weisenberger, M.S., R.D.N., C.D.E : Before You Lose Your Mental Edge

Dana Dovey: Coffee Drinkers Rejoice! Your Cup Of Joe Can Prevent Death From Liver Disease

Chris Weller: Electric 'Thinking Cap' Puts Your Brain Power Into High Gear

The Kosher Gourmet by Marlene Parrish A gift of hazelnuts keeps giving --- for a variety of nutty recipes: Entree, side, soup, dessert

April 4, 2014

Rabbi David Gutterman: The Word for Nothing Means Everything

Charles Krauthammer: Kerry's folly, Chapter 3

Amy Peterson: A life of love: How to build lasting relationships with your children

John Ericson: Older Women: Save Your Heart, Prevent Stroke Don't Drink Diet

John Ericson: Why 50 million Americans will still have spring allergies after taking meds

Cameron Huddleston: Best and Worst Buys of April 2014

Stacy Rapacon: Great Mutual Funds for Young Investors

Sarah Boesveld: Teacher keeps promise to mail thousands of former students letters written by their past selves

The Kosher Gourmet by Sharon Thompson Anyone can make a salad, you say. But can they make a great salad? (SECRETS, TESTED TECHNIQUES + 4 RECIPES, INCLUDING DRESSINGS)

April 2, 2014

Paul Greenberg: Death and joy in the spring

Dan Barry: Should South Carolina Jews be forced to maintain this chimney built by Germans serving the Nazis?

Mayra Bitsko: Save me! An alien took over my child's personality

Frank Clayton: Get happy: 20 scientifically proven happiness activities

Susan Scutti: It's Genetic! Obesity and the 'Carb Breakdown' Gene

Lecia Bushak: Why Hand Sanitizer May Actually Harm Your Health

Stacy Rapacon: Great Funds You Can Own for $500 or Less

Cameron Huddleston: 7 Ways to Save on Home Decor

The Kosher Gourmet by Steve Petusevsky Exploring ingredients as edible-stuffed containers (TWO RECIPES + TIPS & TECHINQUES)

Jewish World Review Dec. 3, 2013/ 30 Kislev, 5774

Frontline/ProPublica's Misguided Attack on The Assisted Living Industry, Part 2

By Bruce Bialosky




http://www.JewishWorldReview.com | The question became where Thompson and the producers were heading with their work? One could conclude that they made up their minds early on that they had an agenda. In fact, Rick Grimes from ALFA stated when he was interviewed by Thompson for the Frontline show that "I believe he came with an agenda, not just seeking facts." Grimes' association favors strong state regulation. When asked by Thompson why they favor state regulation, Grimes told him "That is where the people live. The states should regulate the industry. We have worked extensively with the states to enhance state regulation." Mr. Grimes' interview was never shown or published.

One that was published was the interview of Mark Parkinson, President and CEO of American Health Care Association and former Governor of Kansas. A large portion of the interview was oriented by questioning from Thompson about establishing federal regulation. Parkinson and his organization also favor state regulation. He stated "I really would think as a consumer, as a person whose mother-in-law right now is in an assisted living facility, I'm really more comfortable with this being handled at the state level than at the federal level." In fact, the entirety of the interview with Mr. Parkinson was arguing for federal regulation.

In our interview of Patricia McGinnis, Executive Director of the California Advocates for Nursing Home Reform (CANHR), she stated she did not believe federal regulation would occur. But a significant portion of Thompson's questions during her interview were oriented toward federal regulation. Professor Hawes, the chosen academic for the piece, was intimately involved in the establishment of national regulation of Nursing Homes. Her expertise lies more with the Nursing Home industry than Assisted Living, but she was involved in this piece based on her background.

We interviewed both Hawes and McGinnis and must say they were very cooperative. They both stated they refused to criticize the Frontline piece or Thompson for his work or state that the work distorted the view of assisted living. They both stated there was good work going on at the state level in regard to regulation, but it could improve. McGinnis particularly cited five states, which includes Ohio and Wisconsin, that have consumer information on websites regarding assisted living facilities in their states.

The Frontline show and the ProPublica column focused on certain cases that occurred where the oversight at Emeritus facilities was questioned. Granger Cobb of Emeritus stated "One incident is too many," though he felt the show was extremely lopsided. Mr. Haffner stated "mistakes were made, but the focus on those mistakes without putting them in context was the problem with the piece."



We interviewed Sheryl Zimmerman, Professor of Social Work and Public Health at the University of North Carolina and Co-Director of Program on Aging, Disability and Long-Term Care. Professor Zimmerman has done over 60 studies on assisted living since 1997. She stated "I was disappointed with how one-sided the Frontline piece was. It was an exposeŽ on one chain. Though I am not questioning the accuracy, there are many other organizations that provide a fine place for seniors."

As to the case involved in the piece, she stated "We have done two different studies and reviewed similar studies that found families with members in assisted living communities have to spend more time being advocates and oversight because they are not primarily health care settings and nursing homes cost twice as much as assisted living." Mr. Haffner echoed that "families have to the ultimate responsibility for the family member. The physician has to be involved in the assessment." Haffner stated his organization does not admit anyone without a written assessment from a physician.

Assisted living has become a significant industry with over one million residents, compared to 1.5 million in nursing homes and one million in home health care. David Schless, President of American Seniors Housing Association, stated "Assisted living was driven by consumers who wanted a more residential setting that was more humane. The alternative is drugging individuals and strapping them to their chairs. Occasionally things go wrong in this situation. It was driven by how people were treated in nursing homes." McGinnis of CANHR stated "I would say the same people who are in what's called assisted living today are the people who were in nursing homes ten years ago." Haffner stated "That is the idea. Provide the residents and their families a setting where the residents have a better quality of life than nursing homes where they were being housed in drugged, restricted states before death."

The Frontline/ProPublica piece focused on a few events where residents had unfortunate outcomes. One had to do with a resident that had fallen. In Thompson's column he cited that one Emeritus facility documented 112 falls in 2008. Haffner stated "studies show 50% of people over 85 years old fall. Once they fall, there is a 100% chance they will fall again. The only way to prevent that is to create a nursing-home setting where residents are physically restricted and drugged. That is not what our families and residents want at our communities."

The main case highlighted by the companion piece was about Joan Boice whose death was related to her stay at an Emeritus facility. Boice's family won a lawsuit against Emeritus. We asked Mr. Cobb about the case which he stated his company was appealing. He stated, "We care for a high-risk population while balancing their desires for independence. Boice had 31 outside health care professionals visit her during the time she was at the facility and not one reported abuse."

While all parties regret what happened to Ms. Boice, the appropriate thing would be to attempt to make sure similar incidents do not occur. Emeritus provided us with internal information showing that their incidents of any kind have significantly improved since 2009, from an average of 9.16 per community per year, to 3.62 in 2012. This information was presented to Thompson for his report, but he relied on the information he had collected about activities that are now four years old.

Mr. Cobb stated that "No amount of regulation, no amount of staffing, and no amount of additional staff would avoid human error." He mentioned his company is transitioning to fully electronic records in the next two years. He left our interview with the statement about "what would be if they looked at nursing homes or hospital care. I am actually certain that assisted living is the safest environment and the most cost-effective alternative."

Despite his cooperation, Frontline/ProPublica determined to focus on his company and excoriated it over certain incidents that happened in their 480 communities with over 40,000 residents. Academics like Zimmerman called it unfortunate. Regulators like Melusky asked why they were not addressed on the subject and that it misrepresented the industry. Industry people like Haffner and Grimes saw it as deeply misguided.

The question that remains was whether Thompson and his partners were trying to make a good show, or whether they had an agenda to create a federally-regulated environment. Since Thompson and Byker refused to answer anything other than the softball questions put up by friendly interviewers, we can only draw conclusions from the broad outside sources we have interviewed. The Frontline/ProPublica attack on the Assisted Living industry was roundly rejected by those in the know.

Every weekday JewishWorldReview.com publishes what many in in the media and Washington consider "must-reading". Sign up for the daily JWR update. It's free. Just click here.

Comment by clicking here.

Bruce Bialosky is the founder of the Republican Jewish Coalition of California and a former Presidential appointee.


Previously:


12/02/13 Frontline/ProPublica's Misguided Attack on The Assisted Living Industry, Part 1
11/25/13 Obamacare --- Big Business Gets Screwed Again
11/18/13 Shocking News: Dems Want New 'Revenues'
11/11/13 Do You Want A Nationalized Drug Industry?
11/04/13 Obamacare Schadenfreude
10/28/13 The Second Biggest Issue in America
10/21/13 The New Welfare State





© 2013, Bruce Bialosky

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