Editorial Staff

Holyoke Soldiers’ Home Study Targets Inadequate Nursing Home Staffing Standards

/in , , , , , , /by Editorial Staff
Share on Facebook
Share on Twitter
Share on
LinkedIn
+

BOSTON – Standards enforced at the federal and state levels are insufficient to address chronic staffing issues reported by staff and residents’ families at the Holyoke Soldiers’ Home, making that facility particularly vulnerable to the COVID-19 pandemic, according to new Pioneer Institute research.

“State officials and leaders at the Soldiers’ Home seem to have applied the staffing standards correctly,” said Pioneer researcher Andrew Mikula, who co-authored “Understaffing at Long-Term Care Facilities Is Not Unique to the Holyoke Soldiers’ Home. It’s Embedded in Federal Standards,” with Greg Sullivan.  “The problem is that the standards themselves are not sufficient to protect the frail and elderly during normal times, let alone in the midst of a pandemic.”

Over 70 elderly veterans have died at the western Massachusetts long-term care facility during the pandemic.

The Springfield Republican launched an investigative series into the Holyoke Soldiers’ Home’s quality of care in 2017, shortly after the publication of concerning injury data and staffing complaints at the facility. Among the chief concerns was that the Soldiers’ Home didn’t have sufficient staff on hand to prevent falls among residents, which was later echoed by union representatives in a 2018 petition to management. Journalist Mike Plaisance went on to document the facility’s high marks during federal and state reviews, which seem jarring given its disproportionate suffering during the tragic Coronavirus outbreak.

In 2001, the U.S. Centers for Medicaid and Medicare Services recommended that, for every day each resident spent at a nursing home facility, nursing staff members would spend 4.1 hours servicing the facility. The corresponding standard enforced by the federal government, and cited in a 2017 state audit report, is a minimum of 2.5 nursing hours per resident day.

By March 2020, when staff started calling in sick with COVID-19, management consolidated staffing resources by combining different floors of the facility and having up to nine residents sleep in the dining room, which only accelerated the spread of the virus among residents.

This alleged mismanagement is now the subject of at least four investigations involving both state and federal officials. While Governor Charlie Baker has called in the National Guard to provide assistance to nursing staff at Holyoke Soldiers’ Home, there is still months of work to be done to evaluate who is liable for the deaths of dozens of elderly veterans.

“While it’s easy to retroactively point fingers, the staffing and managerial concerns at Holyoke Soldiers’ Home that predate the Coronavirus outbreak really stand out,” said Pioneer Research Director Greg Sullivan. “That’s why the union’s complaints and the Springfield Republican’s investigative work are so insightful.”

A 2019 report from Suffolk University’s Moakley Center for Public Management cites the state audit report’s findings of excessive overtime payments at the Soldiers’ Home as a potential indicator of staffing issues. However, the 2017 audit report didn’t make that connection, and thus the warnings of the union, staff members, and families of residents went unheeded for years. Unfortunately, it may take a tragedy such as COVID-19 for state and federal standards for nursing home staffing to reflect the decades-long recommendations of healthcare experts.

About the Authors

Gregory Sullivan is Pioneer’s Research Director. Prior to joining Pioneer, Sullivan served two five-year terms as Inspector General of the Commonwealth of Massachusetts, and held several positions within that office previously. Sullivan was a 17-year member of the Massachusetts House of Representatives, serving on the committees of Ways and Means, Human Services, and Post-Audit and Oversight. Greg holds a bachelor’s degree from Harvard College, a master’s degree in public administration from The Kennedy School of Public Administration at Harvard, and a master’s degree from the Sloan School at M.I.T., with a concentration in finance.

Andrew Mikula is the Lovett & Ruth Peters Economic Opportunity Fellow at Pioneer Institute. Mr. Mikula was previously a Roger Perry Government Transparency Intern at Pioneer Institute and studied economics at Bates College.

About Pioneer
Mission
Pioneer Institute develops and communicates dynamic ideas that advance prosperity and a vibrant civic life in Massachusetts and beyond.

Vision
Success for Pioneer is when the citizens of our state and nation prosper and our society thrives because we enjoy world-class options in education, healthcare, transportation and economic opportunity, and when our government is limited, accountable and transparent.

Values
Pioneer believes that America is at its best when our citizenry is well-educated, committed to liberty, personal responsibility, and free enterprise, and both willing and able to test their beliefs based on facts and the free exchange of ideas.

Get Our COVID-19 News, Tips & Resources!

  • This field is for validation purposes and should be left unchanged.

Related Commentary

Massachusetts’ Holyoke Soldiers’ Home is the hardest-hit facility in the country due to COVID-19. How did that happen? Watch this WCVB-TV segment, featuring Pioneer’s Greg Sullivan, on the facility’s budget, overtime spending, and questions about the care that it provided even before COVID-19.

Recent Posts

Post-Pandemic Prospects: Tech Leaders’ Prescription for Preserving a Healthy Economy

0 Comments
/
Host Joe Selvaggi talks with Chris Anderson, President of the Massachusetts High Technology Council, about the reasons why Massachusetts has a thriving tech sector, what challenges his members have faced in the pandemic, and what he sees as the most prudent path toward future prosperity in the commonwealth.

American Federation for Children’s Tommy Schultz on School Choice & Edu Federalism

0 Comments
/
This week on “The Learning Curve," Gerard and Cara talk with Tommy Schultz, CEO-elect of the American Federation for Children (AFC). They discuss how COVID-19 school closures have increased the interest in alternatives to public schools, and what AFC's polling shows on shifts in attitudes toward school choice options in both urban and rural communities.

Key Madison Park Program Lags Other State Voc-Techs, but Shows Signs of Improvement

The co-operative education program at Boston’s Madison Park Technical Vocational High School, which places students in paid positions with local employers, lags far behind other Massachusetts vocational-technical schools in terms of both placements and number of employer contacts.  But with the school as a whole beginning to improve after years of turmoil, the co-op is also showing promising signs, according to a new study published by Pioneer Institute.

Ayaan Hirsi Ali, International Best-Selling Author & Human Rights Activist

0 Comments
/
This week on “The Learning Curve," Gerard and Cara talk with Ayaan Hirsi Ali, a Research Fellow at the Hoover Institution, founder of the AHA Foundation, and author of the books Prey: Immigration, Islam, and the Erosion of Women's Rights, Infidel: My Life, and Nomad: From Islam to America - A Personal Journey Through the Clash of Civilizations. 

Patient-centered Model Outshines Insurance-centered Healthcare during Pandemic

0 Comments
/
Joe Selvaggi talks with Pioneer Institute Senior Fellow Josh Archambault about his newest research paper entitled, "Direct Health Care Agreements: A New Option For Patient-Centered Care That Costs Less and Reduces Provider Burn-out" and how this emerging service model provided its patients with comprehensive health service throughout the COVID-19 pandemic.

WSJ Drama Editor Terry Teachout on Jazz Greats Louis Armstrong & Duke Ellington

This week on “The Learning Curve," Gerard and guest co-host Kerry McDonald continue our celebration of Black achievements with Terry Teachout, drama critic at The Wall Street Journal, and author of such books as Pops: A Life of Louis Armstrong and Duke: A Life of Duke Ellington.

Wealth Migration Trends: Remote Work Technology Empowers Workers to Live Anywhere

0 Comments
/
Host Joe Selvaggi talks with Pioneer Institute’s Andrew Mikula about his recent research into migration trends of high-income individuals, how pandemic-related technologies may accelerate that movement, and what challenges these changes present for policy makers.

UGA Prof. Valerie Boyd on Zora Neale Hurston, the Harlem Renaissance, & Black History Month

0 Comments
/
This week on “The Learning Curve," Cara and Gerard celebrate Black History Month with Professor Valerie Boyd, the Charlayne Hunter-Gault Distinguished Writer in Residence and Associate Professor of Journalism at the University of Georgia, and the definitive biographer of Zora Neale Hurston. Boyd discusses why Hurston is such an important novelist and cultural figure, and the influence of Hurston’s 1937 classic novel, Their Eyes Were Watching God, on American literature.

New Study Finds Pandemic-Spurred Technologies Lowered Barriers to Exit in High-Cost States

Both employers and households will find it easier to leave major job centers as technologies made commonplace by the COVID-19 pandemic have led to a rethinking of the geography of work, according to a new study published by Pioneer Institute.

Interstate Legal Skirmish: New Hampshire Takes Massachusetts Telecommuter Tax to the Supreme Court

0 Comments
/
Host Joe Selvaggi talks with legal scholar and George Mason University Law Professor Ilya Somin about the details, the merits, and the likely implications of the Supreme Court case, New Hampshire v. Massachusetts, on state taxation power, federalism, and the power to vote with one’s feet.

Boston Catholic Schools Supt. Tom Carroll on National Catholic Schools Week

0 Comments
/
This week on “The Learning Curve," Cara and Gerard celebrate National Catholic Schools Week with Tom Carroll, superintendent of schools for the Archdiocese of Boston. He shares his view of the value that Catholic schools add; the reasons for their success at improving student outcomes and creating a sense of community; and their commitment to serving children from underprivileged backgrounds, regardless of religious affiliation. 

Connecticut’s Painful Journey: Wealth Squandered, Lessons Learned, Promise Explored

0 Comments
/
Host Joe Selvaggi talks with Connecticut Business and Industry Association’s President and CEO, Chris DiPentima, about what policy makers can learn from Connecticut’s journey from the wealthiest state in the nation, to one with more than a decade of negative job growth.