LIMESTONE, Tenn. – This month, the Tennessee Department of Health suspended new admissions of residents at a Limestone, Tenn., nursing home – citing complaints made regarding nursing services, medical records and pharmaceutical services. But how do you know if you're placing your loved one in a reputable facility – before such drastic measures are taken by the state?

Sally Pitt, patient care advocate for the Office of Patient Care Advocacy, Tennessee Department of Health, says the best thing to do is see it for yourself, taking care to note certain things.

"As you're touring the facility, you're looking for the temperature; is it comfortable for the residents? Any odors, and are those odors temporary?” she says. “Can you easily find any posted instructions throughout the facilities? For example, resident rights: Are they posted throughout the facility?"

Pitt adds that you should talk with residents and staff members, and use the Nursing Home Compare website offered by Medicare.gov. The Centers for Medicare and Medicaid Services also have a star rating system, ranking nursing homes with one to five stars depending on performance.

Late last year, the state also suspended new admissions at a Nashville area nursing home for similar reasons.

The federal Older Americans Act, authorized in 1965, created long-term care ombudsmen available around the country. Pitt says the number for your local advocate should be posted in the nursing home. She also suggests paying attention to what's happening at the nurses' station and in the dining hall.

"Looking at call lights: Are call lights being responded to quickly and appropriately?” she says. “And I think an important item is also looking at the food, the meal preparation. Are the menus posted? Talking to staff members, can preferences be made?"

There are 319 nursing homes in Tennessee, with the average cost of a skilled nursing-care home being $69,000 a year.


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Pennsylvanians over age 50 are voicing concerns about the Department of Government Efficiency plans to cut 7,000 jobs from the U.S. Social Security Administration as part of its efforts to shrink the federal government and curb what it describes as waste and fraud.

More than one in five Pennsylvanians get monthly Social Security payments, according to AARP, almost 3 million people.

Nora Dowd Eisenhower, volunteer state president of AARP Pennsylvania, said all the changes have left many beneficiaries confused and worried about potential office closures, employee layoffs and reduced services.

"We are working to make sure that Americans receive the Social Security they have worked hard for and paid for over their entire working lives," Dowd Eisenhower emphasized.

Social Security benefits contribute almost $63 billion a year to Pennsylvania's economy through retirement, survivors and disability payments, according to AARP, all of which boost consumer spending, business sales, and job creation across the state.

Dowd Eisenhower pointed out the Social Security Administration had planned big changes to its phone services in March that would have caused delays and hassles but the decision was reversed this month after intense pushback. She noted AARP members have long been vocal about the need for better customer service from the Social Security Administration.

"Last year, four out of five older Americans, across party lines, supported increased funding for the Social Security Administration as a way to improve customer service," Dowd Eisenhower reported.

President Donald Trump's senior adviser Elon Musk claims Social Security could be cut by $500 billion to $700 billion without reducing benefits.

Dowd Eisenhower added AARP is urging Congress to make sure the Social Security Administration makes payments on time, as it has for nearly 90 years, and provides quality customer service by phone, online and in person.

Back-and-forth decisions on Social Security policies have created confusion, which may leave some Virginians more vulnerable to scams.

Last month, the Social Security Administration announced in-person or online appointments would be required to sign up for benefits, instead of customer support by phone. The decision has now been reversed.

Jim Dau, state director of AARP Virginia, said the changes give con artists room to come up with new scams. He noted they often start with a phone call, text or email about something "urgent." If you receive such communication saying it is from the Social Security Administration, Dau warns, it is a scam.

"This is the perfect kind of recipe for financial predators to step in and escalate Social Security scams to defraud beneficiaries of their money," Dau stressed. "Social Security scams are effective in this kind of environment -- where people are getting information from here, and bits of information from here -- where we are going to see more and more Social Security scams."

Trump's billionaire adviser Elon Musk has said Social Security has "massive" amounts of fraud, but a review by the Social Security Administration's Inspector General has found the agency has made improper payments less than 1% of the time.

More than 1.6 million Virginians receive Social Security benefits. Dau emphasized the monthly income is a lifeline to people across the Commonwealth. He added the administration's initial changes which would have required people to sign up for benefits in person would have negatively affected seniors.

"The prospect of having to go to an in-person meeting at your local Social Security office, hopefully get there on time at a point where the line isn't too long and you have a reasonable chance of actually seeing somebody that day," Dau outlined. "And of course, hopefully your Social Security office is open that day - or at all anymore."

The administration has announced lease terminations of nearly 4% of Social Security field offices. An analysis by the Center on Budget and Policy Priorities finds nine percent of Virginia seniors already live more than 45 miles from the nearest office.

The Department of Government Efficiency, or DOGE, plans to cut 7,000 jobs from the U.S. Social Security Administration as it works to reduce the size of the federal government by eliminating waste and fraud. Nearly one in six Coloradans relies on Social Security payments, according to AARP.

Economist Monique Morrissey with the Economic Policy Institute calls the planned cuts a form of sabotage, and says Social Security is already very efficient.

"Less than 1% of what they are paying out goes to administrative costs. That's including not just the staffing, but the office space and everything else," she said. "So, almost all the money that's going out of Social Security is going directly into beneficiaries' pockets."

Morrissey added the agency is challenged by staffing, which has recently fallen to a 50-year low. She said wait times for phone and in-person appointments have already skyrocketed, and half of all callers now hang up before anyone answers.

President Donald Trump's Senior Advisor Elon Musk claims Social Security could be cut by $500 billion without reducing benefits, but Morrissey said layoffs can only save that kind of money by making it harder for people to access their benefits.

"And they claim that they can do this through looking for waste, fraud and abuse. But when you consider that less than 1% goes to anything that's improper payments - which is mostly not fraud, but just mistakes, and that usually get recouped - you can't get half a trillion dollars out of it and not be cutting benefits," she continued.

The Congressional Budget Office projects that Social Security will run out of money in less than ten years unless Congress acts. Morrissey noted the majority of Americans would rather increase revenues than cut benefits, and added that one easy fix would be to remove the cap on payroll taxes.

"Everybody should pay the same share of their income into Social Security, and right now that is not happening. If you make more than $176,100, you don't pay taxes above that amount," she explained.

The Social Security office in Grand Junction is on a DOGE list of possible closures in June, although the agency said last month it "had not announced the permanent closure of any local field office."


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