The report is the result of a months-long investigation throughout 2016 and 2017.

The organization’s researchers visited nursing homes in 6 states, spoke to more than 300 people, from residents and their family members to facility administrators, nursing and social services staff, and medical professionals. HRW also contacted LeadingAge last summer, and we responded on July 13, 2017.

The inquiry sent to LeadingAge by Human Rights Watch and our response are on pages 25 to 30 of a PDF Appendix in the published report. Our answers emphasize:

  • LeadingAge’s continued commitment to providing high quality care to older Americans, including our support of and participation in the National Partnership to Improve Dementia Care in Nursing Homes since its inception in 2012. The latter includes leadership work at Advancing Excellence, ongoing member education, and sharing best practices. Additionally, several of our LeadingAge provider members have been recognized as exemplars in the practice of non-med management of dementia.
  • Our belief that a core problem for all providers of aging services is inadequate access to meaningful and behavioral health services and the dollars to fund. Medicaid funding is grossly inadequate, and there are few providers available—regardless of payor source. Providers of nursing home care are challenged by the co-mingling of medically frail adults with residents who live with dementia and those with serious mental illness.