So i work in a higher end,
expensive (as in for the residents) assisted living facility with 80+ pts, night shift 11-7. There is always only one nurse on staff, in virginia we have licensed med techs who do meds and of course cnas.
We are not a skilled facility, and there are so many patients who belong in a skilled nursing home.
On the second floor we have at least 3 pts who cannot get up and use the bathroom by themselves, Or even walk.
god knows what would happen if there was a fire at night as it would only be me and one other cna on the 2nd floor to get them out, along w all the other pts.
We have had hospice pts with foleys, and they were all at least 2-3 assist.
I have looked but cannot find any info in state regulations as to types of pts assisted living facilities are supposed to have,
But what are other facilities like?
I feel like my facility will bring in patients staff can't handle just because of $$$$.
It is impossible to give some of these people the care they need, especially at night with limited staff.
Anyone else run into this problem?fa
Jul 3, '13
From an evidence based perspective, the steps in this research process to determine if there are situations of regulatory non-compliance at the facilities mentioned in this topic are to :
If the state has a licensing requirement then the facility is required to conspicuously post:
the license which identifies bed capacity and authorized level of care
the most recent re-licensure survey (often maintained in the library or at the lobby/foyer
complaint procedure which includes phone number of state licensing agency
Visit the state website and search for Assisted Living programs (Assisted Living Programs are regulated by the states) OR
The Assisted Living Federation of America
[FONT=Palatino] lists the specific regulations for each state.
Call the help desk and ask how to access most recent re-licensure and /or
to speak with a nurse surveyor or
file a complaint specifying concerns (anonymous or by name)
Ask the question of concern to the nurse who will respond or research the question and get back to you
Assisted Living Programs mean that a residential or facility based program provides housing and supportive services or a combination of these services in a way that promotes optimum dignity and independence.
Health Care practitioners complete resident assessment tools (preadmission assessment, level of care scoring tool, functional assessment, 45 day RN assessment, quality assurance plan and meeting minutes) to determine the level of care (low :1 to high:3) and whether or not the prospective/current resident is a candidate for residing at the facility
Fire Drills and Disaster Drills are required components of surveys and require documentation and random staff interviews that identify a plan that has been practiced i.e. on a quarterly/monthly basis (fire drills) biannual (disaster drills) that addresses transport of level 2-3 residents to safety and evacuation routes
[FONT=Palatino]Reference for article The History of Assisted Living (AL) - The Who, What, Where, When & Why of Assisted Living
Below is a detailed overview of how assisted living facilities have evolved over the years, as well as some thoughts about the future of assisted living. This site is designed to be a helpful resource for any looking to learn more about what assisted living is, exactly, and the origins of this particular segment of elderly care.
Assisted Living is a type of elderly care that offers a level of attention and independence between those offered by nursing homes (which land on the higher end of the spectrum) and independent living (which would fall on the lower end).
By the late 1970s it was becoming apparent that the institutionalized setting of nursing homes was no longer acceptable for most aging seniors and their families. As advances in medicine allowed seniors to age in place, many were balking at the idea of nursing home placement. With rumors of mistreatment and neglect surrounding long-term care gaining more and more publicity, the need for change was evident.
Last edit by Esme12 on Jul 4, '13
: Reason: Double entry once pressed post