Miami, FL- A new report should raise concerns for the people who have placed their elderly loved ones in a nursing home.  The report gave nursing homes in eleven states failing grades and indicates that poor staffing could be to blame for the abuse and neglect seniors often encounter in these facilities.

According the CBS News, more than half a million Americans are in nursing homes, and in some states the people in these homes are subject to physical and verbal abuse along with neglect. In the first-of-its-kind report, a senior patient advocacy group, Americans for Better Care, wanted to determine which states had better elder care facilities and which states had the worst.

After a comprehensive study, the advocacy group identified several states where the elderly received the best care. Those states are: Alaska, Rhode Island, New Hampshire, Hawaii, and Oregon, Maine, Utah, Idaho, South Dakota and North Dakota. All of which scored superior or “A” grades, for providing their elderly residents with quality care.

Eleven states garnered “F” grades. Those states, which were mostly located in the South, are: Texas, Louisiana, Indiana, Oklahoma, Missouri, New Mexico, New York, Michigan, Nevada, Illinois and Iowa.

Families for Better Care came up with their scores by analyzing federal data which combined staffing, inspections, deficiencies and complaints, CBS reported.

The group’s executive director, Brian Lee, stated that the states with the lowest grades had one thing in common; they were poorly staffed. That is true for 96 percent of the states who were given failing grades.

“A distinctive trend differentiated the good states from the bad states,” Lee said. “States whose nursing homes staffed at higher levels ranked far better than those with fewer staffing hours.”

The report noted that the states with lower scores provided an hour or less of care to their residents per day.

The Families for Better Care study also looked at the issues of abuse and neglect, which is a primary concern for families who must place their loved ones in these facilities. Their analysis concluded that elderly patients were abused or neglected in 1 out of 5 facilities in the states that received low scores, Senior Housing News reported.

The reports also conclude that 90 percent of all nursing homes were cited for deficiencies.

“Slipshod care has festered for decades in far too many of our state’s nursing homes, culminating in to thousands of painful or deadly blunders for elderly and disabled residents,” said Lee. “It’s beyond time that states take a hard look at their nursing home care and figure out what’s working so residents receive safer, more affordable care.”

The report will hopefully serve as a learning tool for states and compel them to take action and improve the quality of care the elderly residents in these nursing homes receive. It is especially important to improve the care in these facilities since the nursing home population is expected to increase 40 percent over the next ten years, according to the CBS report.