Quality of Care in Nursing Homes: Elder Abuse and Neglect

May 25, 2009

AB 1457 a measure to confront the failing quality of care in nursing homes created by the lack of transparency in the ownership and management structure of these facilities passed the Assembly chambers with overwhelming support on a 77-0 vote.

AB 1457 would require each licensee of a skilled nursing facility to disclose with each abbreviated contract of admission and contract of admission the name of the owner and licensee for the facility and the name and contact information of a single entity that is fully accountable for all aspects of patient care and the operation of the facility. The disclosure specified shall be provided as the first attachment of the contract.

Nursing home abuse and neglect continues to be a serious problem in the United States. According to a report conducted by the Inspector General of the Department of Health and Human Services, 94 percent of all for-profit nursing homes were cited in 2007 for violations of federal health and safety standards," said Assemblyman Mike Davis (D-Los Angeles), author of AB 1457.

According to the California Health Care Foundation, California has more Long Term Care (LTC) providers than any other state: some 1,200 nursing homes, 14,000 residential care settings with varying levels of care, and a vast array of community-based services.


"The California Legislature understands the special attention to the needs and problems of elderly persons, recognizing that these persons constitute a significant and identifiable segment of the population and that they are more subject to risks of abuse, neglect, and abandonment, which makes them a disadvantaged class that have a particular need for assistance. AB 1457 provides California an opportunity to address a serious problem detailed in dozens of investigations by reports in the media. Each resident should know who is in charge of delivering services in every facility. This measure will require appropriate notification which will help to ensure quality care in nursing homes," Assemblyman Davis concluded.

AB 1457 is sponsored by the California Senior Legislature and is supported by the California Advocates for Nursing Home Reform, Area Agency on Aging for San Luis Obispo and Santa Barbara Counties, Area Agency on Aging of Lake & Mendocino Counties, and Aging Services of California.

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