momofIAndT

momofIAndT

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  1. Barriers to SNF and ALF improvements

    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 nursing home patient has increased drastically, but ...
  2. Barriers to SNF and ALF improvements

    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 entire Nursing Center Division. Reimbursement rates fr...
  3. Barriers to SNF and ALF improvements

    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 facility, based on the census and how much money is com...
  4. Tired

    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 facility got hit HARD by COVID. Things are better now, ...
  5. Survey Rant

    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 concentration of lactobacillus on our med sheets! The dose th...
  6. Nurses who can't give out narcotics

    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 restrictions than to burn out my own staff and run short. The...
  7. Anyone else tired of 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 demands are sucking the life right out of me. I mis...
  8. DON salary

    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 cannot take vacation time during survey window, an...
  9. "State's Here!": Demystifying the Long-Term Care Survey

    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 to take you longer to do your job than normal bec...
  10. "State's Here!": Demystifying the Long-Term Care Survey

    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 doctors handwriting. State surveyors are condescen...