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Do you realize how much nursing homes have changed over the past several decades? See if you remember these experiences from the '70s and '80s. This article contains a broad overview of the history of Federal regulation of nursing homes from the perspective of an individual involved directly for a number of years in the development and enforcement of Federal regulatory requirements. The.
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From almshouses to modern skilled nursing and beyond, the history of nursing homes is covered in detail here. This summary provides some key fi ndings about nursing homes between 1977 and 1999, derived from the analysis of the data from the 1977, 1985, and 1999 National Nursing Home Surveys (NNHS) conducted by the Centers for Disease Control and Prevention's National Center for Health Statistics (NCHS). This summary highlights aspects of nursing homes that have changed and those that have not.
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Background The nursing home industry is a multibillion dollar business in the United States, with one of the highest growth rates in expenditures among all health services. In 1980, nursing homes in the country were serving about 1.5 million residents (National Center for Health Statistics, 1983). Most of these residents are old and disabled.
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Although only about 5 percent of the total aged. Before the early 1980s, people with disabilities who needed government. This resulted in a significant increase in government oversite of nursing homes.
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Other changes included the development of an ombudsman program, guidelines for the training of nursing home staff, and penalties for failure to comply with regulations. The 1980s. The federal government first became involved in nursing homes with the passage of the Social Security Act of 1935.1,2 The Act established a federal-state public assistance program for the elderly called Old Age Assistance (OAA).
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Because the drafters of the legislation opposed the use of the public poorhouse to care for the poor elderly, the act prohibited the payment of OAA funds to residents. Linda H. Aiken, Nursing Priorities for the 1980's: Hospitals and Nursing Homes, The American Journal of Nursing, Vol.
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81, No. 2 (Feb., 1981), pp. 324.
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Nursing home regulation: History and expectations This article contains a broad overview of the history of Federal regulation of nursing homes from the perspective of an individual involved directly for a number of years in the development and enforcement of Federal regulatory requirements.
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