Case Study: Fit Adult Care Home LLC

Hello Dr. Ullom, majority of the long term care facilities are under staffed. There is usually one registered nurse in charge to manage a 240 bed facility, with LPN's  and nursing assistance. I feel that these patients would benefit from having one RN to every six -eight patients with a nursing assistance. Not only would this benefit the patient but the nurse as well. Patient are placed in long term care facility with a certain problem, but ends up with additional condition such as UTI, MRSA, pressure ulcers, and etc. These issues are related to poor care they receive because of unstaffing. I'm not placing blame on the LPN or nursing assistance, but with a RN and low nurse to patient ratio, they will receive better care.

Abundant Living is an Adult Family Home located in Stanwood Washington. It “offers assisted living services for seniors who need help with daily living activities such as bathing, dressing, mobility, and medication assistance.” Their staff are “...specially trained to care for residents with Alzheimer 's and other forms of dementia” (Abundant

The Long-Term Care Act was to benefit and work with seniors to improve their overall well-being. The Long-Term Care Homes Act guarantees to help residents living within the long-term care system to receive dependable, high-quality, and safe care for the residents. It is often common for seniors to adjust when placed in long-term care as this is a new and challenging transition for the senior and their families. The commonplace goal is to have a long-term care home environment where residents feel comfortable and at home, where residents are treated with the respect they deserve, and have the proper supports and services that cherish to their particular needs for their overall health and well-being. These services are physical and mental health related services- especially one that relates to the Community Worker Program such as Community and Social Workers that are crucial in a senior’s life often.

Finding a local senior housing facility truly isn't any different than shopping for a home; the initial and ongoing cost, the style and comfort, and the appeal of where it is located are all key aspects in deciding. Seniors in

Providence Home Care LLC is a home health care service institution that is located in Oklahoma City, Oklahoma. This home health care agency was established in 2002. Providence Home Care LLC offers home care and private duty services. Some of the home health services include wound care, hospital prevention protocol, skilled and psychiatric nursing, monitoring chronic illness, physical, occupational, and speech therapy, patient and caregiver education, and more. Providence Home Care LLC has been awarded for being a National Top 500 Agency. This home health care facility is also the winner of the Quality Excellence Award.

42 USCS 3002, The Public Health and Welfare, Chapter 35, lists the programs for older Americans. The Aging and Disability Resource Center is a part of the State’s system of long term care.

Community care involves different services provided by local communities to assist with individuals who are in a long-term care situation. According to “Administration on Aging,” Congress passed the Older American Act (OAA) in 1965 in response to the concern about a lack of community social services for older persons (2011). The OAA has provided a wide array of services for the organization and delivery of services to the older population and their caregivers. Adult day service programs are designed to provide a place to go while a family caregiver goes to work (“National Clearinghouse for Long Term Care Information,” n.d.). These programs vary by location. Some programs provide health care services, others provide social activities, and there are a few that provide both services. Some social activities include various educational or exercise classes as

We have maintained an excellent leadership team and staff loyalty and retention. Our staff goes beyond providing care and our services exceeds customer satisfaction. We work with elders and their families to meet each resident individualized needs. Our activities are structured to enhance the residents’ cognitive abilities and reconnect them to their past. Our schedule outings involve theaters, beach and social events. Our exceptional services have earned our communities trust and the expansion of our services is just one way of keeping up with our longstanding history of community

Howard Terry Newman is 67 year old retired printer who suffered from Parkinson’s disease as well as arthritis, voice impairment, hiatal hernia, and heart trouble. Mr. Newman, the appellee, is contesting his stay between September 19, 1968 and November 11, 1968 at the appellant’s facility, Big Town Nursing Home. The plaintiff was admitted voluntarily by his nephew to the facility with the ability to leave as he pleased. However, on September 22nd, when Mr. Newman attempted to leave the facility, he was told that he could not use the phone or entertain visitors without the administrator’s permission. He proceeded to walk out; he was brought back and restrained on Wing 3 with “senile patients, drug addicts, alcoholics, mentally disturbed, incorrigibles and uncontrollables” according to the administrator testimony.

Comfort Keepers of Boise, ID Provides a Range of Senior Care Activities in Kuna, ID

The Paradise Facility Home Care Inc. is a residential group home located in the historic town of Naples, Florida inside Collier County. The area celebrates heritage and the past with numerous events including the Historic Town Center. Naples is an ideal place to live and the various activities can be enjoyed by friends and family members when visiting.

Mr. Mendivil was referred to the STAR CAST on January 1, 2018, by SGPRC due to his noncompliance with treatment and medical appointments. He is diagnosed with type 2 diabetes and is prescribed insulin four times a day. Nursing staff from Care Unlimited Home Health come to the house every day to check his blood sugar, check his blood pressure, and administer insulin as ordered. However, Jesus is reported to often refuse to have blood sugar checked and to have insulin shots. This noncompliant behavior to treatment poses a high risk for complications from poorly controlled diabetes.

Correct Care Solutions, LLC. (CCS) is contracted to provide medical, dental and mental health services to the correctional population housed at the Mecklenburg County Sheriff’s Office (MCSO). The SOW agreement between MCSO and CCS is dated November 1, 2008. Per the agreement, a quality assurance plan requires an “outside” correctional health professional to conduct a peer review of inmate health care services with documentation of deficiencies and plans of corrective actions on an annual basis. The American Correctional Association (ACA) was contacted to conduct a compliance audit of the inmate health services operation for SOW agreement between MCSO and CCS.

Assisted living communities are a becoming a more fiable choice among seniors and the aging population. Many senior

Member stating she was discharged home from Hanover Health and Rehab on 03/14/2017 with home health services in place. Member stating she had requested Encompass Home Health Agency but Bon Secours Home Health came out on 03/18/2017 and she stated she told Nurse she did not want that Agency. CM placed a call to Hanover Health and Rehab and spoke with Discharge Planner and she stated that Encompass could not take the case because of a shortage of staff. Member stated she would agree to have Bon Secours Home Health. Discharge Planner stated she would send the referral back to Bon Secours Home Health. Member stating she had post hospital follow up with PCP yesterday with no new changes. Member stating she reported the pain she is having to PCP