Home Or Nursing Home

A New Civil Right Looks For Stronger Enforcement()  

Lois Curtis is an avid drawer.

December 3, 2010 An NPR investigation has found problems with federal enforcement of a Supreme Court case giving nursing home residents the right to receive care in their own homes.

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Justice Increases Efforts to Enforce Olmstead Ruling()  

Thomas Perez, assistant attorney general for the civil rights division at the U.S. Department of Justice

December 3, 2010 Thomas Perez, assistant attorney general for civil rights at the U.S. Department of Justice, is making a "paradigm shift" in his division to focus more on care-at-home cases.

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Care At Home: A New Civil Right()  

Atlanta attorney Sue Jamieson filed the original Olmstead suit that went to the Supreme Court.

December 2, 2010 Traditionally, who lives in a nursing home has been seen as a matter of health. But new health reform law and a U.S. Supreme Court decision say people have a right to get their long-term care at home.

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Home Care Might Be Cheaper, But States Still Fear It()  

State Medicaid dollars spent on aged and disabled.

December 2, 2010 Disagreement persists over whether moving people out of institutions and nursing homes and into home-based care will save or cost money.

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Search: NPR Nursing Home Database()  

Database: Long-Term Care Center Ratings

November 8, 2010 This interactive database has information about the independence level of residents at nearly 16,000 individual nursing homes around the country.

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MAP: Community-Based Medicaid Spending By State, 2009()  

State Medicaid Dollars Spent In The Community

December 2, 2010 States vary widely in the portion of Medicaid spending they devote to serving the elderly and disabled in their communities, rather than in nursing homes.

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Families Fight To Care For Disabled Kids At Home()  

Olivia Welter's mom, Tamara, reads to her in the family's living room in Lincoln, Ill.

November 8, 2010 NPR INVESTIGATION: In states like Illinois, parents can provide at-home care for children with severe illnesses and Medicaid foots the bill. But the funding disappears the minute they turn 21, forcing families to make a painful choice: Find the money to pay for sometimes exorbitant health care costs or send their children to a nursing home.

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Timeline: Milestones In Long-Term Care Policies()  

Milestones In Long-Term Care

November 8, 2010 Changes in federal policies and Medicaid funding over the years have made home- and community-based care a more viable option. Here is a look at some of the events and policies that have shaped the provision of long-term care.

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Map: Independence Among U.S. Nursing Home Residents()  

Interactive Map: Indpendence Among U.S. Nursing Home Residents

November 8, 2010 The degree to which the nation's nursing home residents can do things for themselves varies considerably from state to state.

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Katie Beckett: Patient Turned Home-Care Advocate()  

Katie Beckett fits herself with a vibrating vest that helps clear mucous from her lungs.

November 8, 2010 In 1981, President Ronald Reagan intervened when he learned that federal rules prevented 3-year-old Katie Beckett from leaving a hospital to get cheaper care at home. Now 32, Beckett is an advocate for people with disabilities to get care outside of nursing homes and institutions.

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Independence Among U.S. Nursing Home Residents

The degree to which the nation's nursing home residents can do things for themselves varies considerably from state to state. To use this map, choose an activity from the menu above the map to see the percentage of residents in each state who can do the activity without help.

[Interactive:Independence Among U.S. Nursing Home Residents]

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This is a map of the United States, with each state shaded according to nursing home residents' ability to do various basic tasks independently.

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