"State's Here!": Demystifying the Long-Term Care Survey - page 2

It's the same every year: a contingent from "The State" invades your facility and commences with scrutinizing your work, poring over your records, nosing around the kitchen and dining areas, and... Read More

  1. Visit  merrywhiterose profile page
    0
    I totally agree with you! We've had more falls due to residents being able to un-velcro those stupid lap buddies & fall before we can get to them. Seat belts that can't be unfastened for dementia residents would stop many of our falls.
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  3. Visit  merrywhiterose profile page
    1
    The state stayed an extra day "because we couldn't find anything, yet".
    Lev <3 likes this.
  4. Visit  casi profile page
    4
    I think that the biggest problem at the facilities that I work with state coming in is that management gets in such an anxiety fill tizzy that it drips down to all of the other staff. Every year when our window opens and management starts enforcing the rules for state inspection my question is always, "why haven't we been doing this all year? It wouldn't be a big deal if it was done all year."
  5. Visit  mellster profile page
    6
    The reason why the regulations aren't followed all year in most cases is that the facilities REFUSE to staff in such a way that it is possible to do your job properly. I think it is a disgrace that all the admins come out of their offices and help only when the state is there. I have seen that at every facility I have worked at. State surveyers know what is going on, but they don't do anything about it and look the other way. It is totally obvious that the administrators don't help when the surveyers aren't there. They are funny to watch- don't have a damn clue as to what they are doing!! However, all the administrators and state people just stick their heads in the sand and pretend the problems don't exist. Most people in those positions should be very ashamed of themselves. Why do we not care about our elderly in this country?? It's not all about not having any money. I reasearched how much healthcare CEOs make, and it is sick. There is a special place in hell for someone that gets 7 digit per year compensation while our elderly suffer because they won't staff the facility.
  6. Visit  CapeCodMermaid profile page
    4
    Do some research before you make a blanket statement. I see the numbers every month and believe me, there is no extra money these days. We are staffedbetter than most of the facilities around us. We do the right thing every day whether DPH is there or not. It doesn't matter. If they've had a bad night, we're more likely to be cited. There are new ridiculous rules every year without any more medicare or medicaid money to pay for it. We lose money on every medicaid resident every day.
    It's a complex industry and we are held to a far higher standard than hospitals. But, we do the right thing every day. My managers and I are on the floors helping every day. The majority of DPH surveyors are rude and condescending.
    vintagemother, SleeepyRN, casi, and 1 other like this.
  7. Visit  lglnrs33 profile page
    0
    Hi VivaLasViejas,

    Great article. Thank you! Is there any way that I can get in touch with you? I would like to ask you a couple of questions. Thank you!
  8. Visit  NurseNightOwl profile page
    0
    Quote from CapeCodMermaid
    I disagree 100%. Surveyors love to intimidate any staff membee they can. They are rude, condescending, and demeaning. They try to twist what staff members say and they misquote us when they write out the SOD.
    YOU might not be that kind if surveyor, but most, if not all, of the ones I've dealt with over the years have been awful.
    Lol, just when the OP was making me feel better... 😲
  9. Visit  CapeCodMermaid profile page
    4
    Sorry for the stress rant about surveyors. We just finished ours. They were SO late coming this year the stress was even worse than usual. I'd like to give a shout out to my excellent staff for having an excellent survey.
  10. Visit  Mn nurse 22 profile page
    1
    Our facility does do a good job staffing so while there are days that staff might get busy for a while with an emergency most of our staff routinely gets to take their breaks and feel like they have enough time to do a good job.
    Our managers do come out on the floor during surveys and try to help and when I heard the staff complaining about it, I asked our managers why they tried to help when they don't ever help when state isn't there.

    The answer I got was they recognize how stressful it is during a survey and that can lead to staff taking more time to do a job and they want staff to be able to continue to keep our times as good as they usually are and if they fall behind for any reason the managers are available to help get everyone caught up.

    They weren't doing it to put on a show but simply trying to be helpful during a stressful time.
    VivaLasViejas likes this.
  11. Visit  VivaLasViejas profile page
    1
    You can PM me anytime, lglnrs. :-)
    HappyWife77 likes this.
  12. Visit  twinsmom788 profile page
    1
    Thanks for this article. From a surveyor point of view, this information is 100% accurate. Well said. I have been on both sides of the fence and understand where the other is coming from. Believe me, we know that the (most) managers don't clean tables, feed residents, or come out of their offices as much as they do when the state is there. Although, when I was the ADON in a small facility, I fed residents everyday.
    Comments made by surveyors should sometimes be taken with a grain of salt such as "we are coming back another day because we haven't found anything yet". That is never appropriate ( as per the training I received)
    As far as surveyors working late/early, CMS guidance instructs that if there is a concern on a specific shift, the surveyor must observe during that time period to validate the issue. I have gone into a facility many times at night or on a weekend. Although state operational policies differ from state to state and for different regions of CMS.
    We do our best to remain professional in our communication with the facility staff. However, we are only human and when a case of abuse or neglect is not investigated properly ( per their own policy) or worse a DON/administrator doesn't seem to care about the situation then it might be difficult not to at least think "What were you thinking?"
    VivaLasViejas likes this.


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