22% MORE Nursing Homes Cited for Serious Violations - page 2

WASHINGTON-More nursing homes are being cited for serious violations as inspectors face increasing pressure to crack down on dangerous conditions, a USA TODAY analysis shows. From 2000 through 2006,... Read More

  1. by   MurseDan
    As long as people are making money out of the health care system, this will just continue to happen. The private health care sector is alive and kicking (thanks to the government) and unfotunatley thier priorities are making money not providing the best health care possible. Its a sad state of affairs indeed.
    Last edit by MurseDan on Dec 29, '07
  2. by   Jo Dirt
    They will keep on until they regulate these nursing homes right out of business.

    Then they will STILL find fault with something.
  3. by   jmwlpn2003
    My whole career has been spent taking care of the elderly in nursing homes except for the two years I spent in the mental health care system.
    I think that nurses who work in the nursing home get a bad rap from everyone they have to deal with, including other nurses who work in the hospitals.
    It takes a special breed of people to come to work everyday and take the responsiblity for 40-50 residents, 4-5 nursing assistants and medication aides. We are responsible for everyone and everything that goes on in our building. The staffing ratios in Oklahoma are better than they were, but still not very workable.
    I think for the most part, we give very good care with what we are given to work with.
  4. by   Simplepleasures
    Quote from spacenurse
    Safe staffing and adequate supplies must become a priority.
    Is there an organization working on this now?
    Senator Grassley was very involved with nursing home reform and worked with nursing home reform advocates, BUT this current administration has not been a friendly one toward any significant reform attempts, sad. More hope for the future administration.

    http://www.nccnhr.org/public/245_2072_14155.cfm
    http://nursinghomeaction.org/govpolicy/51_162_2850.cfm
    Staffing Ratios: A Solution Whose Time Has Come

    http://www.nccnhr.org/uploads/NCCNHRWhitePaper0406.pdf
    What Have We Learned in 10 Years?
    Last edit by Simplepleasures on Jan 2, '08
  5. by   pickledpepperRN
    I want to be a part of safe staffing ratios in nursing homes.

    An RN organization cannot do it alone because the majority of nurses and healthcare workers in long term care are not registered nurses.

    This does affect us all. We need to work together so all people have a chance for dignity and comfort as well as nursing and medical care.
  6. by   Simplepleasures
    Quote from spacenurse
    I want to be a part of safe staffing ratios in nursing homes.

    An RN organization cannot do it alone because the majority of nurses and healthcare workers in long term care are not registered nurses.

    This does affect us all. We need to work together so all people have a chance for dignity and comfort as well as nursing and medical care.
    A step in the right direction would be to get the CNA to show interest in representing LPNs and then unionizing nursing homes and forming a coalition with some MAJOR nursing home reform groups, then maybe with a new administration something will actually happen, one can only hope, in the last 8 years NOTHING has been accomplished toward, nursing home safe staffing requirements.
    Last edit by Simplepleasures on Jan 2, '08
  7. by   squeakykitty
    This is a step in the right direction. The laws in place need to be enforced. (Not the little nitpicky stuff, but the major health and safety problems)
    I read the book "Patients, pain, and politics" by Mary Richards Rollins and I was appalled at the stories. Unfortunately, there are still bad facilities out there.
  8. by   Simplepleasures
    Oh, I am so glad someone else has read "Patients, Pain and Politics", shows just how ineffectual and corrupt state regulating bodies really are.I was given this book by a nursing home reform advocate here in WI, when I got fired for refusing to falsify a document, they helped me find my present lawyers and the lawyer that referred me to my present lawyers was involved in bringing about the WI Healthcare Worker Retaliation Protection Act, which has given me the right to sue my former employer. Nurses need protection from retaliation so they CAN report and have legal recourse in the event of retaliatory termination, which DOES happen. We need to have nursing homes unionized by unions that are not weak or in the employers pockets, that is why I wish the CNA would show interest here, we LTC nurses are in such DIRE need of help.I have found help with the nursing home reform advocacy groups, but we need CLOUT, legal, state, federal.
    Last edit by Simplepleasures on Jan 2, '08
  9. by   squeakykitty
    Hopefully, things have changed for the better in the years since those incidents. The nursing home administrator that had to be forced by court order to provide blankets to the residents when the heating system failed should be put in prison.
  10. by   Simplepleasures
    Conditions such as that have improved, but the residents still are not getting the care they need due untennable nurse/patient ratios, and the corporate greed that continues to have a strangle hold of any real reform attemts.
  11. by   squeakykitty
    The ratios really do need to be improved. There is only so many residents that a CNA or a nurse can safely take care of properly. With all the talk about time management, one person can only do so much. I've heard that the ratios the State set are out of date, and do not reflect reality today. People are coming to LTC with more meds and health issues today than in the past.
  12. by   pickledpepperRN
    What do you think the ratios should be?

    I think we need a ratio for licensed nurses and another fo direct caregivers who should be a certified nursing assistant or a licensed nurse.

    The last time I worked registry at a SNF I replaced an LVN. If not for the CNAs who knew the patients I couldn't have even passed meds. Patients were walking and wheeling themselves all over the facility. There was a book with pictures but those caregivers were so very helpful.
    As it was I almost did nothing but make sure meds were reasonably on time, treatments were done, and PRNs given as needed.

    One thing we CAN do is write to candidates for local, state, and federal office. A hand written or hand signed letter signed by a nurse, or certified caregiver has a lot of weight.
    We can also write letters to the editor of our local papers.
    We have to know that this appalling situation can and must be changed.

    I'm going to write a letter to those I could possibly vote for in my zip code. The same letter and it will go to candidates regardless of party.
    What should be in that letter? i plan to mail it tomorrow.
  13. by   Simplepleasures
    On the day shift , a nurse on a regular geriatric skilled care unit could manage 20 patients, with a med tech and 4 CNAs, on an acute care rehab unit, the ratio would have to be more like one nurse to 10 patients , with 3 CNAs and a med tech. I would like to hear from other LPNs and RNs in LTC and get their take on a good doable nurse/patient ratio. Maybe my estimates are on the high side, dont know. Could use input.

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