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

by VivaLasViejas Guide

5,867 Views | 23 Comments

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 asking endless questions.... Read More


  1. 2
    I was always told that they need to see at least every shift. Does that mean they stay until 6 am? No, but someone usually stays until a little after 10 pm.
    VivaLasViejas and Blue Roses like this.
  2. 0
    Viva, you may be that type of surveyor, but most that I have met are unpleasant and think they "walk on water." They are condescending and think that you have all the time in the world to wait for them to get ready to observe whatever they want to observe, don't care that you may have to do multiple other things rather than wait on them. I was agency in a facility and was quizzed by a surveyor about facility policies despite the fact that it was my first time there. I could go on.....
  3. 1
    Not sure how it is where you work, but here in my State, the State folks NEVER come during the night shift. We never see them before 7am.
    imintrouble likes this.
  4. 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.
  5. 1
    The state stayed an extra day "because we couldn't find anything, yet".
    Lev <3 likes this.
  6. 2
    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."
    txredheadnurse and VivaLasViejas like this.
  7. 5
    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.
  8. 3
    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.
    SleeepyRN, casi, and NurseNightOwl like this.
  9. 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!
  10. 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... 😲


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