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I work at a private adult foster home. We are for profit, however our staff are all nursing students and our owner is an RN. I think this is best place for our elderly to live. They are still in a home setting, surrounded by people who truly love them and care for them. While costs are a concern I've never felt that my care has been impacted by understaffing. I can only hope my parents will find somewhere as wonderful as this to spend their last years.
On the other side I've worked in an ALF with a memory care wing. We had two caregivers and two med aids for the whole facility which had at least 80 people and around 50 meds passes. I know call lights went unanswered, med mistakes occured, and the documentation...or lack there of would make you shudder. This place wasn't even one of the bad ones. Yes it was understaffed, and some of the staff didn't care one bit about the people they cared for.
So I guess I see both sides to this, I am a strong advocate for the foster home approach however it is too expensive for most elders.
Though I am against large companies getting into the business of caring for one of our most vulnerable populations. The greed and disregard they show for human life is beyond words.
One of my pt's said it best " Thank god I'm not in that brick concentration camp anymore."
This has been happening in the US for a long time, a patient cannot get Medicaid until all their own personal funds have been depleted.I believe the spouse can live in the house and upon the death of that spouse, the house gets sold and half the profits get paid back to Medicaid. If the spouse moves out of the house and into the nursing home also, they must sell the house and use the profits from their share to pay for their nursing home stay, until that money runs out and any other monies in accounts, annuties , etc. all must be depleted before Medicaid will pay . I believe the elderly parents can gift some of their savings to their children, but it must be done within a certain amount of years, before they can apply for Medicaid.I may have some of my facts wrong, if anyone can correct them , feel free.So much of their care is paid but they still have to contribute as well.If they are in a Home for a long time this eats away all their funds,houses are sold etc.
Adult foster home, interesting concept. How many people live in one house? What is the level of care , is it skilled care?I work at a private adult foster home. We are for profit, however our staff are all nursing students and our owner is an RN. I think this is best place for our elderly to live. They are still in a home setting, surrounded by people who truly love them and care for them. While costs are a concern I've never felt that my care has been impacted by understaffing. I can only hope my parents will find somewhere as wonderful as this to spend their last years.On the other side I've worked in an ALF with a memory care wing. We had two caregivers and two med aids for the whole facility which had at least 80 people and around 50 meds passes. I know call lights went unanswered, med mistakes occured, and the documentation...or lack there of would make you shudder. This place wasn't even one of the bad ones. Yes it was understaffed, and some of the staff didn't care one bit about the people they cared for.
So I guess I see both sides to this, I am a strong advocate for the foster home approach however it is too expensive for most elders.
Though I am against large companies getting into the business of caring for one of our most vulnerable populations. The greed and disregard they show for human life is beyond words.
One of my pt's said it best " Thank god I'm not in that brick concentration camp anymore."
All the facilities I've worked at throughout the course of my career have been for profit. Some were better than others but there was no short staffing to make a quick buck. The man who owns the company I work for now paid more than 1 million dollars last year just for the utility bills. He is not evil...he is not money grubbing. It is his business and he has to make enough to pay all the bills. Do you really think it'd be any better not for profit? How many things has the government already screwed up? Do you really want them to screw this up too?
All the facilities I've worked at throughout the course of my career have been for profit. Some were better than others but there was no short staffing to make a quick buck. The man who owns the company I work for now paid more than 1 million dollars last year just for the utility bills. He is not evil...he is not money grubbing. It is his business and he has to make enough to pay all the bills. Do you really think it'd be any better not for profit? How many things has the government already screwed up? Do you really want them to screw this up too?
Not-for-profit does not mean government-run. It just means that money is not being siphoned out of the operation off the top to pay dividends to shareholders.
Not-for-profit does not mean government-run.
Exactly!! My own facility is a locally owned and operated not-for-profit, and while the wages and benefits leave something to be desired, that's not all there is to the job. It's wonderful to NOT deal with "corporate", to have to do everything in lockstep fashion and be under the thumb of some bigwig who doesn't know the first thing about nurses or nursing.. I wouldn't go back to that for $10,000 a year more in salary and the greatest bennies in the business.
JMHO.
My personal opinion is that there should be no private-for-profit operations allowed in healthcare, period.
I agree with this for the most part. In today's business climate, if you have shareholders, the emphasis is on continued growth, not on low, stable returns. There is constant pressure to reduce costs quarter after quarter in order to improve returns. When it comes to services like health care, we often don't haven't the luxury of shopping around for the best deal and quality, thus market forces don't work in the same way there as for other optional services. In other services, if quality goes down enough, people will take their business elsewhere. But if you're sick and elderly in a nursing home, it's not so easy.
Simplepleasures
1,355 Posts
http://www.alternet.org/healthwellness/75107/
Should Nursing Homes Be for Profit?
What do you think, should "for profits" be prohibited ? Any Boomer's thoughts?