Security cameras in nursing homes: useful or useless?

To install or not to install?

This question is at the forefront of discussions about the management of nursing homes. Currently, the question of whether or not to put security cameras in nursing homes and where to put them is highly controversial and far from settled.

Advantages of installing security cameras in nursing homes

The most important argument in favor of security cameras is their discovery value against abuse and poor care. These security cameras have been given the nickname “granny cams” and are said to be a positive step in reducing the potential for elder abuse. Experts believe granny cams could single-handedly restore public trust in nursing homes because they give family members instant access to recently stored footage. They can, therefore, closely monitor the well-being of their parents or grandparents.

Security cameras retail for at least $630 and can go as high as $1,590. On top of this, there is a $20 monthly fee to access the server and another $10 monthly to upload images via a data-only line.

Disadvantages of Installing Security Cameras in Nursing Homes

Not surprisingly, the strongest opposition to the use of granny cams comes from within the industry itself. Nursing home operators and staff view video surveillance as an unnecessary invasion of privacy. They fear that security cameras will make it that much harder to retain good staff and attract new ones. Furthermore, they believe that the use of security cameras will compromise the dignity of the patient, particularly when bathing and toileting activities are filmed and then reviewed by security. Another argument used is the additional cost. After all, a nursing home would need not just one, but multiple security cameras spread out at strategic locations throughout the nursing home.

The debate continues

However, while not trivial, the costs of purchasing the equipment and installation expenses are comparable to the cost of upgrading cleaning, food, or recreation services. This means that the purchase and installation of security cameras should be treated as a necessary overhead expense, such as staff salaries.

In addition, experts believe that security cameras help nursing home operators minimize their legal liability in the event that a nursing home employee or resident is found guilty of abusive behavior. By having digitally captured evidence on hand, nursing home owners can reduce unnecessary and unfounded litigation.

Currently, a dozen state legislatures are actively considering passing granny-cam legislation. Existing laws require an operator to inform staff in advance of the presence of cameras and their respective locations. Otherwise, video surveillance can be considered illegal. There are no laws that expressly prohibit the use of security cameras. What prevents its widespread use, however, are practical barriers in the form of pricing and vehement opposition from the nursing home industry.

So to install or not to install security cameras?

Nursing home operators vehemently answer “no”, while experts openly advocate their mandatory use. If you’re a nursing home owner, the added institutional cost will probably make you cringe. If you are one of the many seeking a nursing home for a loved one, your answer to this question should determine your choice of nursing home. However, don’t make it your only consideration. Check the facility’s deficiency history and citations for formal regulatory inspections.

It will be very difficult for this controversy to be resolved quickly because it is a subject that touches too closely. It is simply not possible to put a price on safety or negotiate dignity.

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