How to Determine Whether a LTC / SNF is Well Run - page 5

Hello Nurses! I am taking the prereqs to apply to nursing school and recently became a CNA. I'd read and heard that working in a SNF / LTC facility was not desirable to most nurses and I (wrongly) assumed that people who... Read More

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    Aww thanks LadyFree28!

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    You asked, " How can a new (RN) nurse (or CNA) tactfully determine whether a particular facility follows proper procedures prior to becoming employed?" THE ANSWER TO YOUR QUESTION IS THIS: YOUR NOSE WILL TELL YOU AS SOON AS YOU WALK THROUGH THE FRONT DOOR!
    Not_A_Hat_Person likes this.
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    I'm late to this conversation, but I just wanted to second the seniment that SNFs get a bad rap in the world and I think it sucks. I spent 6 years as an LPN working in various SNFs- first long term care, then sub-acute, then in administration- before I went back to school, got my RN, and now work in an acute hospital. After spending so much time in different kind of SNFs, it's hard for me to comprehend why they would be thought of as "old people warehouses," because more often than not, they're communities where the residents have extremely close relationships with other residents.

    Yes, the patient to nurse ratio is way higher than in an acute setting, but then again, you're most likely going to have the same patients day after day for months or years wheras in an acute setting, you may only have 6 or 8 patients but with admissions and discharges, it's not unreasonable to see 12 different patients in a shift.

    Personally, I think medicare.gov is a good judge of how a nursing home is run overall. But yeah, the biggest clue is if you walk in the door and it doesn't smell like it should.
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    Charge Nurse on 7pm-7am Shift Full-time at LTC/rehab. Didn't see the bad stuff until I started working. Things just keep getting worse. I am looking for other employment BUT I have to try to advocate for the residents and the associates. Management is horrible!!!!!
    The Corp. that owns it also owns 50 more and my research showed they don't all run the same way. WE rated below average on the list of inspected/recommended LTCs. Guess it wouldn't have matter when I was looking because I was in Need of a job.

    I'm 50 years old and trust me when I way I've worked with many different companies and this by far the worst managed.
    Adm./DON demands far too much of the staff. Good people are leaving and I'm not far behind.
    Neglect of the Residents is evident. Trust me my list would blow your minds. I have contacted Corp. HR person and was asked to try talking to the Adm. one more time. (I am documenting) Then to get back with them on the results. My attempt with the DON was a waste of energy. I am so distressed. My main concern is the res'.
    Other employees (been there few years) said its a waste of time. Others have tried. Just feel so alone and tired all the time.
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    Quote from gabulldogs
    Charge Nurse on 7pm-7am Shift Full-time at LTC/rehab. Didn't see the bad stuff until I started working. Things just keep getting worse. I am looking for other employment BUT I have to try to advocate for the residents and the associates. Management is horrible!!!!!
    The Corp. that owns it also owns 50 more and my research showed they don't all run the same way. WE rated below average on the list of inspected/recommended LTCs. Guess it wouldn't have matter when I was looking because I was in Need of a job.

    I'm 50 years old and trust me when I way I've worked with many different companies and this by far the worst managed.
    Adm./DON demands far too much of the staff. Good people are leaving and I'm not far behind.
    Neglect of the Residents is evident. Trust me my list would blow your minds. I have contacted Corp. HR person and was asked to try talking to the Adm. one more time. (I am documenting) Then to get back with them on the results. My attempt with the DON was a waste of energy. I am so distressed. My main concern is the res'.
    Other employees (been there few years) said its a waste of time. Others have tried. Just feel so alone and tired all the time.
    Call the State if you're not getting anywhere with management! You don't have to identify yourself. Tell them what shift the crap is happening on, or all shifts, and tell them to make a surprise visit to the facility. It makes me so mad that family members don't see this to, but they too seem to turn a blind eye to what's going on because they don't want to get stuck, or have the time/energy to care for their loved one.
    So, anonymously, you can call you State Health Dept., Ombudsman Office, or just seek advise from you States nurses organization for advise on what to do.
    Last edit by nurse4sale on Feb 24, '13
    gabulldogs likes this.
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    Quote from nurse4sale
    Call the State if you're not getting anywhere with management! You don't have to identify yourself. Tell them what shift the crap is happening on, or all shifts, and tell them to make a surprise visit to the facility. It makes me so mad that family members don't see this to, but they too seem to turn a blind eye to what's going on because they don't want to get stuck, or have the time/energy to care for their loved one.
    So, anonymously, you can call you State Health Dept., Ombudsman Office, or just seek advise from you States nurses organization for advise on what to do.
    Thank you. That's exactly the answer I needed. Already submitted with Ombudsman online. Will talk to Nurses Org. and see what to do. I've already been advised by friends (rn) to get out of there, I'm risking my license.


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