Source: The Advisory Board Company

Families for Better Care has released a state-by-state report card for the quality of long-term care provided to elderly and disabled residents, awarding “D” or “F” grades to 21 states.

For its first-ever Nursing Home Report Card, the elder care advocacy group analyzed staffing data from the Kaiser Family Foundation, performance data from CMS‘sNursing Home Compare, and complaint data from the Office of State Long-term Care Ombudsmen. Using the data, each state was assigned a score based on its performance across eight federal quality measures.

The 10 states that received “A” grades, in order of their scores, were:

1. Alaska;
2. Rhode Island;
3. New Hampshire;
4. Hawaii;
5. Oregon;
6. Maine;
7. Utah;
8. Idaho;
9. South Dakota; and
10. North Dakota.

The top seven states are the only ones that provide nursing home residents with more than one hour, on average, of professional care daily, according to the report. Nursing homes in those states tended to have larger staffs with more experience.

Where does your state rank? Read the report.

Meanwhile, the 11 worst states, which all received “F” grades, were:

1. Texas;
2. Louisiana;
3. Indiana;
4. Oklahoma;
5. Missouri;
6. New Mexico;
7. New York;
8. Michigan;
9. Nevada;
10. Illinois; and
11. Iowa.

In some states, patient neglect and abuse is ‘rampant’

“You’ve got to be able to have a good vetting process to be able to determine which people, the caregivers, are going to treat the residents with dignity and respect,” Families for Better Care Executive Director Brian Lee told CBS News, adding that state “officials need to hold nursing homes accountable” and long-term care providers need to “step up and start providing better care.”

Nevada was one of two states identified in the report where every nursing home was cited for one or more deficiencies, such as having many residents who suffer from pressure ulcers, malnutrition, or dehydration. One-third of Nevada’s long-term facilities were cited for a severe deficiency, meaning that residents suffered from actual harm or were in imminent danger.

“Injuries from neglect are rampant in Nevada,” Lee said, adding that the state did not “levy one monetary penalty against a nursing home with severe deficiencies in 2012 although it did deny payment for new resident admissions to one nursing home” (Families for Better Care report, August 2013; Families for Better Care release, 8/8; Bojorquez, CBS News, 8/9; Harasim/Amaro, Las Vegas Review-Journal, 8/12).