Pennsylvania, Delaware and Indiana have the highest percentage of senior living communities with at least one deficiency in a new analysis by Formation Healthcare Group and NIC MAP.
The analysis uses aggregated national data for assisted living and memory care communities from FHG’s CarePrepare. It draws on regulatory data from 43 states, encompassing 38,080 senior living communities. It noted a total of 143,716 total deficiencies as of March 19 from surveys conducted period Jan. 1, 2023. to Dec. 31, 2024.
“As resident acuity rises in senior housing, regulatory scrutiny is increasing across the country,” the entities stated.
Nationally, 45% of the communities in the analysis were cited for at least one deficiency during the period studied. Deficient communities had an average of eight deficiencies. Overall, the average number of deficiencies cited per community for all communities in the analysis was four.
Among all states, Pennsylvania had the highest percentage of assisted living and memory care communities with at least one deficiency, at 93% The average number of deficiencies per deficient community was 27, and overall, the average number of deficiencies per senior living community was 25.
In the Keystone State, 977 of the 1,050 assisted living and memory care communities in the analysis had deficiencies. The top two deficiencies, totaling 1,598 instances, involved medication and treatment requirements.
In both Delaware and Indiana, 91% of assisted living and memory care communities had at least one deficiency. In the First State, the average number of deficiencies per deficient community was 11, and overall, the average number of deficiencies per senior living community was 10. In the Hoosier State, the average number of deficiencies per deficient community was 10, and overall, the average number of deficiencies per senior living community was nine.
In Delaware, 31 of the 34 assisted living and memory care communities in the analysis had deficiencies. The top two types of deficiencies, with 19 instances each, were related to care plans and hygiene.
In Indiana, 201 of the 220 assisted living and memory care communities in the analysis had deficiencies. The top one, with 151 instances, was in the food hygiene category.
In six other states, 80% or more of assisted living and memory care communities had at least one deficiency: Kansas (86%), Vermont (86%), Rhode Island (83%), Wyoming (82%), Virginia (81%) and Idaho (80%). The top deficiencies in those states, respectively, involved contracts, training, assessment, emergency services and procedures, medication/treatment requirements and, again, emergency services and procedures.
The states with the lowest percentages of assisted living and memory care communities with at least one deficiency were Nebraska (8%), Maryland (13%), New Mexico (16%) and Alabama (20%).
The full analysis, with state-related details, including the 10 most frequently cited deficiencies in each state, is available for free online.
Source: McKnights Seniorliving
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