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US adults give nursing homes ‘D+’ grade

Seven in 10 US adults said they are “somewhat” or “very” uncomfortable at the thought of living in a nursing home in the future.
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More than four in 10 US adults gave nursing homes poor or failing marks for overall care quality, and a majority said they’d be uncomfortable being sent to or having a family member admitted to a long-term care facility, according to a new survey.

Results from a West Health and Gallup poll released Tuesday highlighted concerns about nursing home care—a topic that’s received national attention after Covid-19 ravaged long-term care facilities. The findings come as the Biden administration looks to set the first national minimum nurse staffing standards for these facilities.

Just 1% of US adults surveyed gave nursing homes an “A” grade, or “excellent” rating, for overall care quality, while 8% gave a “B,” or “good” rating. By contrast, 36% of respondents gave nursing homes a “D” grade (poor), 33% gave a “C” grade (satisfactory), and 6% gave an “F” grade (fail). The remainder (14%) said they didn’t know how to grade nursing homes.

The ratings, Gallup noted in its report, averaged out to a “D+.”

Other findings

  • Seven in 10 US adults surveyed said they are “somewhat” or “very” uncomfortable at the thought of living in a nursing home in the future. Meanwhile, 61% said they feel similarly at the thought of a relative being admitted to one.
  • Respondents cited concerns about care quality as their top reason for that discomfort (70%), followed by cost (49%), mental and emotional health reasons (45%), and fear of losing independence (34%).
  • Only about a quarter of adults surveyed (26%) said they see nursing homes as “safe” places for older adults, while 41% said they see them as “unsafe.”
  • Respondents were more split on whether nursing homes are effective at keeping residents safe from things like infections or abuse: More than four in 10 (42%) said nursing homes are “not very” or “not at all” effective when it comes to protecting residents from preventable harms, while 44% said the facilities are “extremely,” “mostly” or “somewhat” effective in that area.

Methodology: Gallup conducted the poll online from July 5 to July 24 via a nationally representative panel with about 100,000 members.

Navigate the healthcare industry

Healthcare Brew covers pharmaceutical developments, health startups, the latest tech, and how it impacts hospitals and providers to keep administrators and providers informed.