To the point that it's impeding how we do our jobs and actually compromising care?
Every time state comes in to do a survey and we get a deficiency, we are given a new piece of paperwork, or computer charting or "tool" to do in addition to everything else. The longer we spend on paperwork the less time we can spend with patients. Our CNA's are now spending so much time doing ADL computer charting torwards the end of the shift that they can't get out on time.
Or take the example of falls. Every time someone falls we have to think of a new intervention. You know some residents that if you googled fall risk, their photo would pop up they do it so often.