![]() “We’re concerned about quality,” said Matthew Barrett, president and CEO of the Connecticut Association of Health Care Facilities. State officials balked at the request, and lawmakers raised questions about how several infusions of money during the pandemic were spent. By 2022, it had spent 58% of its Medicaid long-term care money on home services, versus 42% for nursing homes and other facilities.įacility operators have sought $193 million more from the state to sustain struggling buildings. In 2018, for the first time ever, the state spent more Medicaid funds on home and community-based services than on institutional care, 53% to 47%, state data show. But just before the pandemic began, that trend shifted considerably. ![]() “So when people want information, they’re not sure where to go.” Yehyun Kim / Problems mount in nursing homesįor decades, the bulk of the state’s long-term care spending went toward institutional settings like nursing homes. “There are three different state agencies involved with regulating different pieces of home care, and they don’t really talk to each other,” she said. Doroghazi said better coordination is necessary to make information accessible for people who need it. State officials use terms such as “right-sizing” and “rebalancing” when contemplating the future of long-term care, with the objective of reducing the number of nursing homes.Īnna Doroghazi, right, policy and advocacy director for the AARP, and Heidi Carlson, a grant officer at Goodwin University, try out exercise equipment during a tour of South Meadows River Trail that AARP funded to make the trail more accessible. Connecticut policymakers no longer envision nursing homes as the primary option for elder care but as a recourse only for those with medical needs that can’t be managed at home.Īt the same time, the state’s lofty goals for boosting the number of people aging at home have hit roadblocks.Ĭonnecticut launched a vast network of programs in recent decades designed to prevent unneeded nursing home admissions and increase the flow of people from facilities back to the community. Complaints about the quality of care in some homes are escalating, as are questions about how owners spend taxpayer money. Occupancy, which plunged steeply during the pandemic, has yet to fully recover. ![]() The state’s aging nursing facilities, beset by staffing problems, outdated infrastructure and dwindling financial support, are facing an identity crisis. ![]()
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