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“We take these situations very seriously and are thankful that our own internal procedures alerted us so promptly to the issue.” Rosewood Care Center did not respond to repeated requests for comment.

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The following month, one nursing home assistant at Rosewood Care Center in St. And this February at Autumn Care Center in Newark, Ohio, a nursing assistant recorded a video of residents lying in bed as they were coached to say, “I’m in love with the coco,” the lyrics of a gangster rap song (“coco” is slang for cocaine).(Courtesy of Mindy Mench.) “Nursing home residents must be free from abuse or exploitation,” CMS spokeswoman Lauren Shaham said in an email.While it is impossible to know whether these incidents are increasing, Pro Publica’s analysis identified 22 cases in the past two years, but only 13 in the two years before that.That could partly reflect the explosive growth of social media, and Snapchat in particular.The incidents represent a tiny fraction of the content created by Snapchat’s more than 100 million daily active users, who view more than 6 billion videos each day.The details come from government inspection reports, court cases and media reports. Some have led to criminal charges, including a case filed earlier this month in California against a nursing assistant.

Most have not, even though posting patients’ photos without their permission may violate the Health Insurance Portability and Accountability Act, the federal patient privacy law that carries civil and criminal penalties.

“If we don’t have pending investigations on any of these cases … Centers for Medicare and Medicaid Services, which regulates nursing homes, has cited individual facilities for deficiencies related to privacy and is seeking to more explicitly address the issue as it writes new definitions of “abuse,” “neglect,” “exploitation” and “sexual abuse” in updated rules governing the homes.

they would be candidates for further inquiry from our end,” she said, adding that the office also should issue guidance on social media and the privacy law. Janet Hartranft at the Newaygo Medical Care Facility in 2013.

Nursing homes rarely found problematic social media postings themselves – most came to light based on tips from other staffers or members of the community, records show.

Indeed, some of the Snapchat posts were not shared publicly but only with a select group of “friends,” one of whom alerted home officials or authorities.

Snapchat has a Safety Advisory Board to guide its policies and products.