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Nursing Homes Are Failing to Meet Basic Nutrition Standards Putting Seniors at Risk

Proper nutrition is essential for seniors in nursing homes, yet a recent study has revealed that many facilities across the U.S. are falling short. Some states have alarmingly high rates of deficiencies in food and nutrition services, putting vulnerable residents at risk of malnutrition, illness, and even death.

The Worst States for Nutrition in Nursing Homes

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A study conducted by injury law firm Bader Scott analyzed nursing facility data nationwide. It found that some states have dangerously high levels of food and nutrition deficiencies.

California: The Worst Offender

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  • 83% of California’s nursing facilities have deficiencies in food and nutrition services.
  • 85% have quality of care deficiencies.
  • 80% have infection control issues.

With an overall deficiency rate of 63.5%, California ranks worst in the nation for ensuring proper nutrition in nursing homes.

Arkansas: A Close Second

Arkansas.
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  • 79% of facilities have food and nutrition deficiencies.
  • 83% have quality of care deficiencies.
  • 36% struggle with infection control.

With an overall deficiency rate of 43.2%, Arkansas has significant gaps in care, particularly in nutrition services.

West Virginia: High Deficiency Rates Across the Board

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  • 74% of nursing homes have food and nutrition deficiencies.
  • 89% have quality of care deficiencies.
  • 61% have pharmacy service deficiencies.

West Virginia’s overall deficiency rate is 55.8%, raising serious concerns about the standard of care in its facilities.

Delaware: Widespread Care Issues

Delaware.
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  • 73% of nursing homes have food and nutrition deficiencies.
  • 82% have quality of care deficiencies.
  • 61% report resident rights violations.

With an overall deficiency rate of 50.3%, Delaware’s nursing homes face significant challenges in meeting basic care and nutrition needs.

New Mexico: A Troubling Pattern

New Mexico.
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  • 71% of facilities have food and nutrition deficiencies.
  • 79% report issues with quality of care and resident rights.

New Mexico has an overall deficiency rate of 61.7%, showing systemic issues in its nursing homes.

Top 5 States with the Highest Food and Nutrition Deficiencies

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1. California – Overall Deficiency Rate: 63.5%; Food & Nutrition Deficiency Rate 83%.

2. Arkansas – Overall Deficiency Rate: 43.2%; Food & Nutrition Deficiency Rate 79%.

3. West Virginia – Overall Deficiency Rate  55.8%; Food & Nutrition Deficiency Rate 74%.

4. Delaware – Overall Deficiency Rate 50.3%; Food & Nutrition Deficiency Rate 73%.

5. New Mexico – Overall Deficiency Rate 61.7%; Food & Nutrition Deficiency Rate 71%.

States with the Best Nutrition Standards

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While some states struggle with high deficiencies, others have relatively low rates of food and nutrition service issues.

Vermont: Leading the Way in Proper Nutrition

Vermont.
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  • Only 23% of nursing facilities have food and nutrition deficiencies—the lowest in the country.
  • The state’s overall deficiency rate is 34.9%.

Montana: Second Best in the Nation

Montana.
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  • 24% of facilities report food and nutrition deficiencies.
  • The state’s overall deficiency rate is 48.6%.

North Dakota: Third Best

North Dakota.
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  • 25% of nursing homes report deficiencies in food and nutrition services.
  • The state’s overall deficiency rate is 35.8%.

New Hampshire: Among the Best

New Hampshire.
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  • 25% of facilities report food and nutrition deficiencies.
  • The state’s overall deficiency rate is 33.5%.

Mississippi: Room for Improvement

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  • 28% of nursing homes report deficiencies in food and nutrition services.
  • The overall deficiency rate is 27.9%.

Top 5 States with the Lowest Food and Nutrition Deficiencies

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1. Vermont – Overall Deficiency Rate: 34.9%; Food & Nutrition Deficiency Rate: 23%.

2. Montana – Overall Deficiency Rate: 48.6%; Food & Nutrition Deficiency Rate: 24%.

3. North Dakota – Overall Deficiency Rate: 35.8%; Food & Nutrition Deficiency Rate: 25%.

4. New Hampshire – Overall Deficiency Rate: 33.5%; Food & Nutrition Deficiency Rate: 25%.

5. Mississippi – Overall Deficiency Rate: 27.9%; Food & Nutrition Deficiency Rate: 28%.

Why This Matters: The Risks of Poor Nutrition in Nursing Homes

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Malnutrition among seniors can lead to severe health issues, including:

  • Weakened immune systems.
  • Increased risk of infections.
  • Slow recovery from illnesses.
  • Muscle weakness and increased fall risks.
  • Cognitive decline.

Many of these issues stem from understaffing, lack of funding, and poor oversight in nursing homes. Without adequate nutrition, residents’ health deteriorates, making them more susceptible to serious complications.

What Needs to Change?

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According to Seth Bader from Bader Scott, fixing these issues requires stricter regulations, increased funding, and better training for caregivers.

“These statistics highlight serious concerns in the care provided to our seniors. Proper nutrition is vital for maintaining health, and deficiencies in this area can have severe consequences.”

Families trust nursing homes to care for their loved ones, and ensuring proper nutrition should be a top priority. Without immediate action, the neglect of dietary care will continue to put elderly residents at risk.

Methodology

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Data was collected from the Kaiser Family Foundation (KFF), analyzing deficiencies across various care categories, including food and nutrition services. A weighted average was used to determine overall rankings, factoring in multiple aspects of nursing home deficiencies.

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Author

  • Dede Wilson Headshot Circle

    Dédé Wilson is a journalist with over 17 cookbooks to her name and is the co-founder and managing partner of the digital media partnership Shift Works Partners LLC, currently publishing through two online media brands, FODMAP Everyday® and The Queen Zone.

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