momofIAndT

Latest Activity

1. Barriers to SNF and ALF improvements

   momofIAndT replied to IKnowYouRider's topic in Geriatric, LTC

   You’re very welcome. If we want to make real and lasting changes we need to work on the real root of the problem. The root of the problem is that reimbursement is abysmal. The acuity of the average...

2. Barriers to SNF and ALF improvements

   momofIAndT replied to IKnowYouRider's topic in Geriatric, LTC

   Another point to note, the company that owns the nursing home when faced with the low reimbursement rates will just end up selling off the home. There’s a reason Kindred Healthcare sold off their...

3. Barriers to SNF and ALF improvements

   momofIAndT replied to IKnowYouRider's topic in Geriatric, LTC

   I think most people don’t understand that your DON and Administrator have absolutely NO SAY in what the staffing level is of the facility they work in. It’s dictated by the company that owns the...

4. Tired

   momofIAndT posted a topic in Geriatric, LTC

   Let me preface this with the statement that I just need to vent. I’m now a Staff Development Coordinator/ADON, Infection Preventionist, wound nurse in LTC. I’m tired and I’m actually scared. Our...

5. Survey Rant

   momofIAndT posted a topic in LTC: Directors, Assistant

   I work in a small building, my census is under 60, and I have 2 of the most INCOMPETANT jerks as surveyors. One of them wants to give me MULTIPLE tags because my pharmacy wrote the wrong...

6. Nurses who can't give out narcotics

   momofIAndT replied to Blackcat99's topic in Geriatric, LTC

   As a hiring manager, I can tell you that it's rather slim pickings right now for any LTC nurses. I've been BEGGING for staff for months. As a DON, I'd rather hire a couple of nurses with...

7. Anyone else tired of LTC?

   momofIAndT replied to lumbarpain's topic in Geriatric, LTC

   I feel your pain. I crossed-over into LTC management. It's really rough. I don't love it. Sometimes I don't even like it. I work with a very entitled wealthy clientele. Some days I feel like their...

8. DON salary

   momofIAndT replied to Lovanur's topic in Geriatric, LTC

   Goodness. I'm moving to Canada. But seriously. Remember that as DON you are salary. You are on call 24 hours a day, 7 days a week. YOU are responsible for EVERYTHING that nursing does. And you...

9. "State's Here!": Demystifying the Long-Term Care Survey

   momofIAndT replied to VivaLasViejas's topic in Geriatric, LTC

   You can't staff if you can't pay them. Surveyors don't say anything because it's a problem with medicare and Medicaid reimbursement. Your managers help out during survey because they know it's going...

10. "State's Here!": Demystifying the Long-Term Care Survey

    momofIAndT replied to VivaLasViejas's topic in Geriatric, LTC

    This is a complete load of crap. Survey is a joke. I've seen the worst dumps get "deficiency free" and then a really well run place take 4 tags (yes I said 4 TAGS) because a surveyor didn't like a...