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re: Nursing home talk

Posted on 6/6/22 at 5:33 pm to
Posted by Tiger in the Sticks
Back in the Boot
Member since Jan 2007
1442 posts
Posted on 6/6/22 at 5:33 pm to
quote:

take them with you if you need to evacuate.


I was going to suggest asking about evacuation plans, but this is much better. Too many news stories about senior facilities and hurricanes.
Posted by La Place Mike
West Florida Republic
Member since Jan 2004
28846 posts
Posted on 6/6/22 at 5:39 pm to
quote:

The first was run the Catholic Church


St Anthony's
Posted by The Ramp
Baton Rouge, LA
Member since Jul 2004
12247 posts
Posted on 6/7/22 at 11:50 am to
quote:

We don't pay due to Medicare and a Hospice designation


Hospice eventually took over when we ran out of money. They wanted to move her to a shittier place but she died the EXACT move date. Almost like she knew...
Posted by Auburn80
Backwater, TN
Member since Nov 2017
7611 posts
Posted on 6/7/22 at 11:59 am to
Most Nursing Homes are very good at what they do, but it is a very hard job. They get poor reimbursement and are dependent on lower paid employees to run the place. You have to have the right heart to work there.
Posted by Will Cover
St. Louis, MO
Member since Mar 2007
38625 posts
Posted on 11/2/22 at 6:42 am to
Unless it is something "acute," nursing homes don't always provide "more care." Yes, they may have certified nursing assistants (CNAs) vs. an assisted living community (where unskilled workers can be classified as care associates), but usually, the environment in a nursing home is downright depressing, clinical, and sterile. It's not a "home."

Assisted living communities are a fit for most seniors. Find one with a memory care component as well, just in case. Home health, sitters, and hospice can all be brought in to help mom or dad, if the situation calls for it.

This post was edited on 11/2/22 at 6:43 am
Posted by Old0331
EBR
Member since Feb 2022
22 posts
Posted on 11/2/22 at 9:01 am to
This is simply untrue. If you suspect that a resident is being chemically restrained you should report it to facility leadership immediately. Chemical restraint has been outlawed for years, sometimes to the detriment of residents.
Posted by Havoc
Member since Nov 2015
28690 posts
Posted on 11/2/22 at 9:34 am to
quote:

10+ year Senior Living vet here.

Wow :salute:
Posted by concrete_tiger
Member since May 2020
6093 posts
Posted on 11/2/22 at 9:46 am to
quote:

this thread should give everyone of us a huge wakeup call.


Yes. Being old can wipe out savings.
My grandmother had a policy that covered her assisted living costs.
My wife's grandmother did not. Her facility was around $6k/month and I heard just this week it is now $8k/month.

Holy shite, I hope I just drop dead and my kids never have to worry about it when the time comes.
This post was edited on 11/2/22 at 9:47 am
Posted by SnoopyD
BR Area
Member since Jul 2007
41 posts
Posted on 11/2/22 at 9:50 am to
This is going to be a long post—

I have worked in Long Term Care for 15 years. There are some bad apples. There is no denying that. That said, there are some fantastic facilities run by fantastic people. Great care provided by folks that are here because they love your family member and want them to be cared for properly. Go to the facility. Meet with leadership and tour the place. Take a look at the residents as you go around. You will be able to tell in a hurry if it’s a place you want your loved one to be. Are they smiling? Is staff interacting. Do staff members greet you as you walk through. General customer service toward an unknown visitor tells the story. You won’t run into a place that treats you well on an unexpected visit then turns around and systemically mistreats the residents. It is a people business so things won’t always be perfect. But you need to be able to relay concerns to the leadership team and trust that they will address and correct them.


But with all that said, I would like to touch on a couple of topics that have been brought up.

Evacuations—one company recently did a bad job at storm evacuation time….it was a mess and uncalled for certainly. Legislation has been passed that changes the planning and review process. I pride myself, as does my whole gang, on being ready for the unexpected. Our plans and and execution of them go off well every year, whether evacuating or sheltering in place. This is the case at nearly all facilities.

Lobby/moratorium—yes we have a strong lobby. We have to, otherwise our legislators would gut our industry. The public can’t expect elite care and facilities with bottom of the barrel funding. No business can provide adequate service with out adequate revenue. And the moratorium is a good thing for resident care. We are all short staffed. This goes back to before Covid and is significantly worse now. If you allowed facilities to pop up all over the place, you would have a bunch of half empty and even more poorly staffed buildings. Refer back to the revenue concerns above. Each parish has a number of beds allowed per need.

Chemical Restraint—-this just doesn’t happen any more. We are so regulated that it’s usually the opposite. I have families begging for us to increase medication to help manage behaviors issues, but regulations won’t allow it.

Cameras—the law passed requires the family to meet requirements to place the camera, including provision of separate internet access. This isn’t a facility decision. Regardless, in my professional opinion, if you feel you need a camera in room where the most personal of care occurs, you need to find another place. You have to be able to trust the facility, and we have to earn that trust.


Sorry for the long rant, but we always gets bashed when healthcare is discussed. We work so hard every day, 24 hours a day, to care for our residents. They are our family too. As in every business, there are good and bad apples. Take your time and find the right one. I’m in the BR area and would love to have you come by and visit.

Posted by SnoopyD
BR Area
Member since Jul 2007
41 posts
Posted on 11/2/22 at 9:52 am to
This is going to be a long post—

I have worked in Long Term Care for 15 years. There are some bad apples. There is no denying that. That said, there are some fantastic facilities run by fantastic people. Great care provided by folks that are here because they love your family member and want them to be cared for properly. Go to the facility. Meet with leadership and tour the place. Take a look at the residents as you go around. You will be able to tell in a hurry if it’s a place you want your loved one to be. Are they smiling? Is staff interacting. Do staff members greet you as you walk through. General customer service toward an unknown visitor tells the story. You won’t run into a place that treats you well on an unexpected visit then turns around and systemically mistreats the residents. It is a people business so things won’t always be perfect. But you need to be able to relay concerns to the leadership team and trust that they will address and correct them.


But with all that said, I would like to touch on a couple of topics that have been brought up.

Evacuations—one company recently did a bad job at storm evacuation time….it was a mess and uncalled for certainly. Legislation has been passed that changes the planning and review process. I pride myself, as does my whole gang, on being ready for the unexpected. Our plans and and execution of them go off well every year, whether evacuating or sheltering in place. This is the case at nearly all facilities.

Lobby/moratorium—yes we have a strong lobby. We have to, otherwise our legislators would gut our industry. The public can’t expect elite care and facilities with bottom of the barrel funding. No business can provide adequate service with out adequate revenue. And the moratorium is a good thing for resident care. We are all short staffed. This goes back to before Covid and is significantly worse now. If you allowed facilities to pop up all over the place, you would have a bunch of half empty and even more poorly staffed buildings. Refer back to the revenue concerns above. Each parish has a number of beds allowed per need.

Chemical Restraint—-this just doesn’t happen any more. We are so regulated that it’s usually the opposite. I have families begging for us to increase medication to help manage behaviors issues, but regulations won’t allow it.

Cameras—the law passed requires the family to meet requirements to place the camera, including provision of separate internet access. This isn’t a facility decision. Regardless, in my professional opinion, if you feel you need a camera in room where the most personal of care occurs, you need to find another place. You have to be able to trust the facility, and we have to earn that trust.


Sorry for the long rant, but we always gets bashed when healthcare is discussed. We work so hard every day, 24 hours a day, to care for our residents. They are our family too. As in every business, there are good and bad apples. Take your time and find the right one. I’m in the BR area and would love to have you come by and visit.

Posted by VABuckeye
Naples, FL
Member since Dec 2007
35629 posts
Posted on 11/2/22 at 10:23 am to
quote:

VA Aid & Attendance if veteran


Has to have been a wartime veteran. This is a long and arduous process so get a head start and get the application and documentation going.

It's a pet peeve of mine as any veteran who qualifies financially should get a rubber stamp but the VA makes the process extremely difficult.
Posted by StanSmith
Member since May 2018
731 posts
Posted on 11/2/22 at 10:31 am to
I have had both parents in a nursing home in BR. My dad was at St James for almost 2 years. He had suffered 2 strokes. The facility provided good care and was clean. I would recommend this facility.
My mother was in St James and White Oak for a short period of time. She had to return to the hospital after a couple of days a St James. Upon discharge there were few choices available due to her respiratory issues and she couldn't return to St James. We put her into White Oak since they would accept her and my sister received a recommendation from a health care professional.
Too many things to say about the conditions there. It is full of roaches and the staff sucks. Avoid this place at all cost.
Posted by Keltic Tiger
Baton Rouge
Member since Dec 2006
19390 posts
Posted on 11/2/22 at 10:37 am to
Look at who the majority of owners have been over the years. Politicians or the politically connected. That should tell you all you need to know.
Posted by BoudinChicot
Member since Sep 2021
1080 posts
Posted on 11/2/22 at 11:23 am to
This post makes me sleep a little bit easier!

Nursing homes are nightmare fuel to me.
Posted by Gris Gris
OTIS!NO RULES FOR SAUCES ON STEAK!!
Member since Feb 2008
47495 posts
Posted on 11/2/22 at 11:48 am to
quote:

I have a parent that is reaching the age that they will now need full time care. Does the OT know any go to nursing homes or possible nursing homes to definitely avoid?
BTW, I am in Baton Rouge.


Are you able to afford sitters in the home? We are fortunate to be able to do that. Mom was in a pretty bad way at first and could not walk at all suddenly. Her health was pretty poor as well, though she is better now. She can now use a walker sometimes, but only if someone is right there walking with her. She is mostly in a wheelchair and can no longer care for herself physically. She has home health PT twice a week to get her up and moving to try to avoid other health issues. Home health nurses visited frequently when her health was so poor.

We have live in sitters who work week on and week off. It has been wonderful. Mom is at home where she wants to be and is well cared for. We are all around pretty much every day spending time with her after work etc... We have been very lucky with the sitters assigned to us.

Posted by jrefferson
Walker
Member since Sep 2004
1161 posts
Posted on 11/2/22 at 12:00 pm to
Golden Age and Harvest Manor in Denham Springs are two of the better run places. My wife inspects nursing homes for the state and she said as much.
Posted by Sal Minio
17th Street Canal
Member since Sep 2006
4185 posts
Posted on 11/2/22 at 1:52 pm to
quote:

Went through this with both parents, prayers sent, it’s a long, sad goodbye but you owe it to them to see them through the final leg of the journey.



I did also. What you have stated above is probably the best way I have seen it put.
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