The United States is experiencing unprecedented growth in its elderly population. As Americans live longer and cope with chronic health conditions, the need for long term services and support (LTSS) has increased. The vast majority of elderly persons need assistance with activities of daily living (ADL) and instrumental activities of daily living (IADL) due to physical and mental impairments. LTSS are provided in a continuum of care from the individual’s home to institutional settings. There is a range of options from highly regulated skilled nursing facilities, also called nursing homes to residential care facilities for the elderly (RCFE), also called assisted living facilities or board and care homes.
This report explores how the structural and exploitative nature of working conditions in RCFEs contributes to poor quality of care and life outcomes for residents. Working conditions are an integral and essential component to residents’ well-being. A sustainable and fair work environment for caregivers in RCFEs, thus, is a health care necessity
Shah, Hina B., "Understaffed and Overworked: Poor Working Conditions and Quality of Care in Residential Care Facilities for the Elderly" (2017). Publications. 788.