AUSTIN, Texas – A casi un año de que el Huracán Harvey devastara gran parte de la Costa del Golfo de Texas, un informe reciente examina las fallas que se presentaron en algunas instalaciones de atención a la vida asistida, para proteger a los residentes vulnerables.

El año pasado, después del Huracán Harvey, una fotografía viral de residentes en su instalación de vida asistida, sentados con el agua hasta la cintura, se hizo viral y ocupó las primeras planas.

Y un reporte reciente muestra que eso es sólo la punta del iceberg de las fallas en la protección de los tejanos más vulnerables.

Las historias de residentes con vida asistida que fueron abandonados y heridos al paso de Harvey, se destacan en el informe de Amanda Fredrickson, directora estatal asociada de contacto y defensa, en la AARP de Texas.

Fredrickson dice que un caso especial entre las instalaciones de asistencia es el de la ubicada en Victoria, porque perdió algunos de sus residentes durante la evacuación a Cedar Park.

“En ese caos que suele venir con las emergencias no siguieron su propio plan, y como resultado dejaron atrás a una residente. No se dieron cuenta sino hasta cuatro horas después. La encontraron encerrada en su habitación.”

El reporte indica que en una instalación de Houston dejaron a los residentes sin atención alguna durante la tormenta, y los de otra estuvieron en riesgo de enfermar por los hongos y el moho que aparecieron porque luego de la tormenta no se hicieron las reparaciones adecuadas.

Fredrickson dice que muchas unidades que fueron citadas por violaciones enfrentaron multas pequeñas, y a veces ni eso.

A medida que Texas entra al tope de la temporada de huracanes, Fredrickson comenta que el reporte es una alarma para contar con mejores políticas de protección a los residentes de las instalaciones de vida asistida, cuyos reglamentos actuales de precauciones para enfrentar desastres, son menos estrictos que los de asilos de ancianos.

“Como las instalaciones de vida asistida son el segmento de más rápido crecimiento entre los servicios de largo plazo que ofrecemos, ya es hora, o tal vez ya sea tarde, de poner más atención en cómo son autorizados y regulados.”

El informe hace varias recomendaciones; entre ellas, mejorar y ampliar la capacitación a los trabajadores, contar con protocolos de preparación más estrictos en las instalaciones de vida asistida, y crear un sistema de seguimiento para asegurarse de que las unidades estén cumpliendo con las exigencias de su licencia.

Fredrickson puede ser contactada en el 512-605-9747. El reporte (en inglés) puede consultarse en: https://states.aarp.org/2018-08-left-adrift-report/+

Después del Huracán Harvey, en 2017, una fotografía viral de residentes en su instalación de vida asistida, sentados con agua hasta la cintura, ocupó las primeras planas.

Y un reporte reciente muestra que eso es sólo la punta del iceberg de las fallas en la protección de los tejanos más vulnerables.

Las historias de residentes con vida asistida que fueron abandonados y heridos al paso de Harvey, se destacan en el reporte de la AARP Texas.

La directora estatal de contacto y defensoría de esta organización dice que entre las instalaciones de asistencia destaca una ubicada en Victoria, que perdió algunos de sus residentes durante la evacuación a Cedar Park.

En ese caos que suele venir con las emergencias no siguieron su propio plan, y como resultado se quedó atrás a una residente. No se dieron cuenta sino hasta cuatro horas después. La encontraron encerrada en su habitación.

El reporte indica que en una instalación de Houston dejaron a los residentes sin atención alguna durante la tormenta, y los de otra estuvieron en riesgo de enfermar por los hongos y el moho que aparecieron porque luego de la tormenta no se hicieron las reparaciones adecuadas.

Fredrickson dice que muchas unidades que fueron citadas por violaciones enfrentaron multas pequeñas, y a veces ni eso.

El informe (en inglés) puede ser consultado en states.aarp.org/wp-content/uploads/2018/08/2018-08-left-adrift-report.pdf.


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Nursing homes across South Dakota will soon receive a boost in support, as part of the most recent legislative session.

Facilities caring for Medicaid recipients are reimbursed by the state for some of the cost. Reimbursement rates have been calculated based on patient needs, occupancy and funds available in the state budget. Last year, the South Dakota Legislature increased the rate from about 75% to 100%.

House Bill 1167 now allows the Medicaid reimbursement rate to be adjusted annually, to keep up with inflation and other changes.

Erik Nelson, advocacy director for AARP South Dakota, is glad lawmakers are giving nursing homes attention.

"We have seen a number of nursing homes close in recent years," Nelson pointed out. "Financial considerations were a factor in that, along with workforce and some other issues."

Since 2019, 15 nursing homes have closed across the state, with six of the remaining 98 on a federal list of facilities not meeting basic standards of care. In addition to a lack of funding, the average staff turnover rate is 54%.

State lawmakers also approved the use of $5 million in American Rescue Plan Act funding toward expanding telehealth services in facilities including nursing homes, allowing patients to receive some health care services remotely.

Nelson noted telehealth is one way to supply needed support.

"For not only the residents, but the family caregivers that are supporting their loved ones in the nursing homes," Nelson emphasized. "And of course, the staff of the nursing home that's in the community."

Census data show South Dakota's population is aging and by 2030, one-fifth of residents will be older than 65.

Meals on Wheels programs could be a powerful tool for addressing the needs of people living with dementia, according to a study from Ohio State University researchers.

The community-based program delivers weekly meals to food-insecure seniors.

Lisa Juckett, assistant professor of occupational therapy at Ohio State University, conducted interviews with caregivers, people living with dementia, and the staff of LifeCare Alliance, the largest Meals on Wheels provider in the state. She said the findings revealed delivery drivers are often a critical source of social interaction and an "extra set of eyes" on homebound individuals.

"That Meals on Wheels driver is then able to perform very brief but important wellness checks and safety checks," Juckett explained. "To make sure that meal is actually being delivered, the door is being answered."

According to Meals on Wheels America, last year more than 90,000 Ohio seniors received over eight million home-delivered meals through the program. More than 80% of people with dementia in the U.S. live at home, and an estimated 60% are unable to eat or prepare food on their own.

States rely on a combination of federal funding, private donations and fundraising agencies to keep local Meals on Wheels programs operating. Juckett added the findings come on the heels of Congress deciding to cut funding for the Older Americans Act, which allocates money to Meals on Wheels programs nationwide.

"Meals on Wheels programs are always on the chopping block, when it comes to federal budgets being adjusted every year," Juckett pointed out. "We need more advocacy efforts to validate or justify the importance of these programs."

According to the group Alzheimer's disease International, more than 55 million people around the world live with dementia, a number expected to double over the next two decades.

Advocates for people age 65 and older urged Colorado lawmakers to fully fund a program helping people remain in their homes and avoid placement in assisted living facilities.

Jayla Sanchez-Warren, director of the Area Agency on Aging for the Denver Regional Council of Governments, said home-based services cost under $2,000 dollars per year, on average, compared to $74,000 for nursing homes. Since most people cannot afford the nursing home charges, state and federal taxpayers have to pick up the bill after their savings are gone.

"It saves money for individuals, it saves money for the state, and it keeps people where they want to be; living in their own homes," Sanchez-Warren emphasized. "Someone who needs help with preparing meals and maybe showering should not have to go to a nursing home."

Sanchez-Warren noted adequately funding home-delivered meals, transportation, in-home assistance and similar services would cost the state $20 million. The number of people age 65 and older is projected to rise from 928,000 to 1.3 million by 2035, according to Colorado State Demography office data, outnumbering people 18 and under over the next three decades.

Federal support for community based services has dropped, and state-based funding is stuck at 2019 levels.

Sara Schueneman, state director of AARP Colorado, said demand has risen dramatically. Nearly eight in 10 Coloradans say they want to age in place in their communities.

"There is a growing population of older adults in the state of Colorado, and there is growing demand," Schueneman pointed out. "We are trying to support more people with less money because there is so much need."

Advocates urged lawmakers to increase funding by at least $5 million in the state's annual budget, and increase the amount year over year to ensure people can access services.

Sanchez-Warren added right now, their largest transportation provider has a 700 person waiting list. If someone needs to get to a doctor's appointment or a dialysis treatment, they have to wait at least two months for a ride.

"You can't get a home delivered meal right now," Sanchez-Warren stressed. "It used to be where you would come out of the hospital, and maybe your doctor said you should get home-delivered meals. And within a couple of days we could get you into a program and there would be a meal at your door. Not anymore, it's on a waiting list."