California Home for the Aged dba California Armenian Home, is no longer operated by Armenians or for Armenians. This facilty is operated by a Croatian Bigot who fired an Armenian and will not hire Armenians any higher up than menial work. Watch as the California Armenian Home declines in donations year after year.
Tuesday, October 8, 2013
California Armenian Home, NY Times on the change of demographics for Nursing homes
The shift of long term nursing care to minorities, while the white aging population and government funds shift to encourage home health care. All the more reason to take the word "Armenian" off the sign as the California Armenian Home has no support from the Armenian community. There is nothing Armenian about the "California Armenian Home" except the name and the board members and occasional Armenian dinner served. Take the name "Armenian" off and use the parent name "California Home for the Aged" stop the prejudice toward non-Armenians.
number of older Americans living in nursing homes continues to fall, and the
proportion of residents who are black, Hispanic or Asian has climbed sharply.
But don’t expect cheers from the Brown University researchers who’ve tracked
this major shift in long-term care.
story here is that for years advocates have urged the federal government to
strengthen alternatives so that fewer old people have to live, and die, in
nursing homes. Nobody really wants to be there — seniors historically have said
they prefer to remain at home as long as possible. But the system was long out
of kilter: Medicaid would pay for nursing home care, but was much stingier
about underwriting home care, assisted living and other options.
to an extended attempt at “rebalancing” — funneling more Medicaid money into
home and community programs and less into institutionalization. And it’s
working. Though Medicaid still devoted only 42 percent of its spending on
long-term care to home and community programs in 2008, that’s more than double
the proportion in 1995.
a gradual 20- to 30-year effort, and the pace is getting faster,” said Zhanlian
Feng of the Center for Gerontology and Health Care Research at Brown
reason the nation’s nursing home population fell from 1.6 million elderly
residents in the 1990 to 1.2 million in 2008.
same time, the nursing home population is growing more ethnically and racially
diverse. “Thirty years ago, reports from the Institute on Medicine and from
civil rights groups raised a lot of concern about lack of access to nursing
homes” for minority elders, Dr. Feng said. But over the decade from 1999 to
2008, the number of black residents in nursing homes grew by 10.8 percent, and
the Asian and Hispanic populations climbed by more than 50 percent.
right? Maybe not. “On the surface, it looks like we’ve achieved parity,” Dr.
Feng told me in an interview. “But this is disparity in disguise.”
are aging as well, but you’re not seeing more of them in nursing homes,” Dr.
Feng said. “Their numbers are declining.” The proportion of white residents
fell 10.2 percent over the decade, while the growth in minority nursing home
residents outpaced the growth in the nation’s minority population in general.
happening? “Minorities don’t have as many choices as white elders,” said Dr.
assisted living facilities, which have siphoned off more than a million
residents who might earlier have entered nursing homes. Assisted living
facilities are expensive, generally private-pay and located in affluent
average, whites have more income and education and can better afford these
options,” Dr. Feng said. “They don’t have to go to nursing homes, or they’re
better able to delay going.”
greater scrutiny, then, this demographic trend represents a less happy reality.
Just as minority seniors are pouring into nursing homes, whites are turning to
more attractive choices and staying out.
there’s much less data on who, exactly, relies on home and community services,
compared with who enters nursing homes, Dr. Feng is couching this explanation
as a hypothesis.
that the statistics may also reflect cultural changes. Immigrant communities
that care for parents in multigenerational households may be less able to
maintain that practice as they acculturate. “A lot of things are happening to
undermine those traditional family options,” he said. He’s seen a similar shift
in his native China, a topic I’ll return to in a subsequent post.
he sees a good news-bad news story, in which minority seniors get stuck in the
institutions that whites have the means to avoid. “I’m struck by this
persistent disparity,” Dr. Feng said. “It looks like we’re making some
progress, but not really. The disparities are still there and are deeply rooted
in history, geography, segregation and socioeconomic differences.”