donmomofnine

donmomofnine

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All Content by donmomofnine

  1. Ltc: Same Circus Different Tent

    That's certainly not true of me or where I work!:chuckle (the bonus!)I have a very committed and caring staff and I know that they feel valued by me despite the unpopular decisions I sometimes make....
  2. Ltc: Same Circus Different Tent

    I agree! I also think that the type of residents you have at your facility make a difference as
  3. Is LTC really this bad?

    I don't know if reimbursement is the same everywhere, but we get reimbursed for our medical assistance patients by an averaging of the degree of "problems" that they have. If they are just doing...
  4. Is LTC really this bad?

    I work for a not for profit, church affiliated home (CCRC)and it is a wonderful place! I have worked for a chain and it was a nightmare! Reimbursement does not work well if you are doing a GOOD job...
  5. Is LTC really this bad?

    I guess it all depends on where you work! I like where I
  6. State Survey

    I have my exit interview tomorrow........Unless they have a bomb to drop it shouldn't be too
  7. LTC is getting the best of me!

    hmmmmmm, Tom....not REAL sure about your hospital, but we send our residents to the hospital, and ......never mind. It works both ways, ya
  8. State Survey

    Thanks,
  9. Salaries of MDS Coordinator or Asst DON?

    In my area, in nonprofit, ADON $55,000 and RNAC (MDS Coordinator) 50,000. In for profit, you make more, but the facilities are much more difficult to work
  10. State Survey

    That's what I am counting on! I have put in place a new fall prevention and intervention team, reducing psychotropics and new policies for that, reduced to only one restraint, a best practices pain...
  11. Chronic absentee-ism

    A lot of our aides are single moms and so we do make a provision for callouts. If they get someone to cover or trade with them, we don't count the callout against them. It has
  12. State Survey

    I think my state survey will start on Tuesday. Only have been a DON for six months, so I am scared. Always worked 3-11 and the surveyors were always gone when I came in, or shortly
  13. Chronic absentee-ism

    I know what you mean. I feel badly that we have a "no fault" absenteeism policy. Doesn't matter if you're hung over, or in the hospital with a sick child... a callout is a callout. Two episodes in...
  14. Med not available

    WOW! When this happened at our facility, we switched pharmacies. There is a lot of money to be made by the pharmacy, and if they can't offer services needed, then I go somewhere else. We have a...
  15. Chronic absentee-ism

    We stopped almost all call outs on weekends by having the policy that if they call out on the weekend, they make it up the next one. We don't have too many problems with callouts. I do discipline to...
  16. Ideas for CNA recognition?

    We are going to do some things that aren't too expensive. We are having a raffle for prizes each day of the week. I have asked the nurses to provide goodies to raffle off and I am going to make a...