Modest Raise for Nursing Home Workers Could Save Lives
Entrusted Legacy Law
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Mar 31, 2023
Pennsylvania - Greater Pittsburgh Area
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Raising the minimum wage by as little as 10 percent would
significantly improve the safety and health of nursing home residents,
according to new research.
Most direct care in nursing homes is provided by nursing
assistants, who make up about 40 percent of the nursing home workforce and are
among the lowest-paid workers in the U.S. economy. Nursing assistants help
residents with activities of daily living like eating, bathing and dressing,
and work with certified nurses and elder care teams to monitor patients’
conditions.
Due in part of their low wages, nursing assistants
frequently change jobs for better pay or working conditions. “Between 60
percent and 85 percent of nursing assistants leave their employers each year,
most often to go work in other nursing homes,” writes Krista Ruffini, a
visiting scholar at the Minneapolis Federal Reserve. Nursing homes frequently
report difficulty in recruiting and retaining staff, she says.
Ruffini recently looked at the impact increasing the minimum
wage has on nursing home staff turnover and quality. She compared
facilities in hundreds of U.S. counties that had increased their minimum wage
with those that hadn’t between 1990 to 2017.
In findings based on her preliminary data published in a
working paper, Ruffini found that “increasing the minimum wage by 10 percent
would reduce the number of health inspection violations by 1 percent to 2
percent, the number of residents with moderate to severe pressure ulcers [bed
sores] by about 1.7 percent, and the number of deaths by 3 percent.” The
3 percent reduction in deaths, she notes, translates to 15,000 fewer deaths in
nursing homes each year.
Ruffini found that raising the minimum wage reduced turnover
and increased tenure among nursing assistants. This greater continuity of
care, she says, translated into improved health and safety conditions for the
patients. At the same time, nursing home profits held steady because the
extra costs were passed on in the form of higher fees.
Ruffini notes that her findings have particular relevance in a time when the coronavirus pandemic is overwhelming nursing homes. Comparing a facility’s number of COVID-19 deaths with its quality-of-care performance, she concluded: “The data provide some suggestive evidence that higher service quality is associated with fewer deaths from COVID-19 in nursing homes.”
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