I agree that the pendulum has swung rather far in the other direction.....but I was doing LTC when half the patients were zorked on Haldol, people used restraints on anything that moved and tied the patients to the rails in the hallways.
Sounds like the folks above you don't really understand the regs, they're just running scared with no understanding. But them regs are there because idiots did stuff that wasn't right and people got hurt....( gee, we never had any problems with patients smoking in bed before officer......)
Also sounds like someone needs to talk to the families about what they can / cannot realisitically expect. Let's face it, no one learns about this stuff ahead of time, and some famlies never get realistic.
But life ain't fair, the patients aren't there because they're easy deal with ( they'd be home if they had no problems) and the challenge is to cope creatively with the pile of lemons you've got to work with that day.
I also think that there's going to be a culture change in the next couple of decades, I just don't see the baby boomers putting up with life in the nursing home....and I don't see Medicare / medicaid staying solvent or paying for a lot of the stuff they're still willing to pay for now.