New York’s Nursing Homes Were on the Brink. Then Covid Hit. Covid was a nightmare — but it was a nightmare years in the making, workers say.

Source: Bridget Read, The Cut, April 2021

….But the blame for what happened in New York’s nursing homes extends far beyond the Cuomo administration. It is a huge crisis of neglect, decades in the making. Care workers who survived the pandemic say that the virus exposed preexisting gaps in funding and attention, compounding deficiencies that created the conditions for absolute disaster. Horrifying images of nurses dressed in black trash bags begging for PPE were shocking, but they were not a surprise to workers.

Though nursing homes are funded by billions of government dollars from Medicare and Medicaid, a majority in the United States are now owned by for-profit companies — in New York, it’s 60 percent of facilities. They’ve become cash cows for executives and owners, snapped up at alarming rates by huge conglomerates or private-equity firms. For staff and residents, the consequences have been dire. For-profit homes statistically have leaner staffing, bad food, substandard conditions, and higher chances of abuse, though they are intended to service residents that need intensive levels of care. Some patients are in relatively good health, but others require help with almost every aspect of life. Many have little or no family visiting them, which can lead to behavioral issues. Residents with dementia can be a danger to themselves. These are the people living in New York’s for-profit facilities, one in four of which have the state’s lowest-star-quality ratings….