Everything is down hill - page 4

allnurses Safe Nurse Staffing T-shirt: Order Today!
allnurses Magazine: New Quarterly Publication For Nurses

It's been 7 months and I still can't finds job. I just got an eviction notice have to be out by Monday and I have nowhere to go. I completely fell like a failure and I let everyone down. I recently... Read More

  1. by martymoose
    Apr 5, '13
    Quote from SuzieVN
    I heard about the Dallas area- something like 2000 nursing home patients have been, or will be discharged, and mabey 50 nursing homes closed because of the budget crisis.
    That's terrible- where are they going to put everyone???
  2. by SuzieVN
    Apr 5, '13
    There's a recent push to get them back home with home health- hence the 'explosion' in home health care agencies (and hospice). Medicaid budgets are collapsing, so they liberalized what home care needs can be taken care of. They used to say if you needed more than, say, two hours a day of care- you 'had' to go into a SNF. Now that home limit is closer to EIGHT hours a day, so people are being encouraged to stay home. In the past five years, 10% of Medicaid $ has switched from SNF to home based care, saving 'bazillion$'. Interesting turn of events-more so that every day now, 10,000 Americans are turning age 65.
  3. by SuzieVN
    Apr 5, '13
    In fact- now I also realize why hospice has 'exploded' into home health- if people stay at home, then 'graduate' to hospice, in home, it all now makes sense. Used to be most hospice people were in nursing homes, which really never made sense, financially. But the SNF was considered their 'home'.

    Maybe the end of LTC/SNFs is coming?

    I also now clearly see why the pay of LVN's has plummted, and will continue to seek a bottom...

close