Non Profit Quarterly, October 7, 2025By James A. Lomastro, PhDJames A. Lomastro, PhD, is a member of the Coordinating Committee for Dignity Alliance Massachusetts and a surveyor for CARF International. He writes frequently on issues concerning nursing homes, home- and community-based services, private equity, artificial and augmented intelligence, and caregiving. He had an extensive career in […]
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Massachusetts is on a collision course with a predictable long-term care crisis, and we are flying blind. DignityMA offers a path forward for MA officials and legislators. Download Massachusetts at a Crossroads Report (pdf). Executive Summary: Facing a Predictable Crisis Massachusetts is on a collision course with a predictable long-term care crisis, and we are […]
What Donald Trump’s Medicaid cuts mean for caregivers NPR 1A (podcast), September 30, 2025 Looking out for a family member who’s aging or disabled can take a huge toll on caregivers. And the burden just got heavier thanks to President Donald Trump’s cuts to Medicaid — the single largest source of funding for long-term care […]
Fact Sheet: Documenting Resident Concerns in Long-Term Care The Consumer Voice People move into skilled nursing facilities for a variety of reasons. We all hope to receive the care and support that we need. Sometimes conditions or concerns arise that may require attention. Whether it’s a fall, a bedsore, a disagreement with staff or another […]
Paternalism: A Wake-Up Call Lifeline, a publication of the National Continuing Care Residents Association, Volume 2, 2025, By Charles F. Finley Charlie Finley has lived in independent living at a CCRC near Richmond, Virginia, for the last five years. Email: charfinley@mindspring.com. Doubtless, there has never been a book like this written expressly for us senior […]
Editor’s note At the request of Dignity Alliance Massachusetts, a public hearing has been scheduled on the proposed change of ownership of eight facilities owned by Bear Mountain (Bear Mountain at Andover; Belvidere Healthcare Center, Lowell; Chestnut Hill of East Longmeadow; Bear Mountain at Reading; Sixteen Acres Healthcare Center, Springfield; Bear Mountain at Sudbury; Bear […]
By James A. Lomastro, PhDJames Lomastro is Chair of DignityMA’s Facilities Workgroup and a member of the Coordinating Committee. The senior housing and care industry is trying to reinvent itself. Leaders are moving away from “end-stage living” language and pushing “next-stage living” instead — a more aspirational model centered on engagement, autonomy, and health span. […]
Editor’s note: This statement is the personal expression of the author. It does not necessarily reflect the position of Dignity Alliance Massachusetts or any other DignityMA participant. DignityMA is a non-partisan organization and welcomes statements from all parties who support older adults, people with disabilities and caregivers. About the Author: Richard T. Moore of Uxbridge […]
MGL Chapter 197 of 2024 (also known as the Long Term Care Act) established a number of commissions and task forces. The final reports from several of them have recently been released which are listed below along with commentary by DignityMA participants. Long Term Care Task Force Final Report (pdf) Massachusetts General Law Chapter 197 […]
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Rest Homes
Rest Homes are another type of facility in MA. April, 2025: EOHHS updated the Rest Home Task Force Report. Jim Lomastro response Response to the April 2025 Rest Home Task Force Report. Summary of Rest Home Taskforce Strengths: The report is comprehensive in scope, addressing licensing, regulatory structures, bed inventory, service areas, closures, federal funding […]