The Senior Citizen Nursing Home

“The Palace” is located in the heart of the gables. It is one of the top notch awarded nursing home facilities for seniors stated by many families. Currently being an employee at this facility, I am learning the frightful stories of senior living. Even the Palace one of the most expensive, awarded senior living is actually a terrible place for the elderly. Especially, working at the Front Desk as the receptionist, I have seen firsthand how these poor seniors are forced into these haunted “luxurious” homes. The marble of the building has been often a misleading reason for placing their parent or grandparent in such terrible care. Most humans tend to judge by the appearance of the nursing homes rather than further investigating any violations that the facilities may have. From my own experience with my grandmother, I know it can be very difficult to take care of a senior citizen, especially when they suffer from various conditions and are just not safe in their home. Once adults become seniors, they require a lot of attention and assistance, which is hard when running a whole household and a career. But placing your loved one in one of these facilities can just shorten the amount of time they have to live. Also, it can be very expensive. Lastly, nursing home makes seniors feel the lack of freedom.

Assisted living is a fairly new and unique part of the long term care continuum of services. The goal of assisted living is to maximize the independence of older adults while living in a homelike environment. This paper will provide an overview of assisted living facilities including the number of facilities and residents, costs, services, and growth expectations. Challenges with oversight and regulations will be discussed as well as solutions to the problem. Challenges and solutions for staffing and training issues will also be discussed. The paper will also highlight “In Loving Hands Assisted Living” which is a local assisted living facility that I called and visited to aid in my research. I will give an overview of the

Another lady who resides at an assisted living facility that I operate gave me her views of living there. Her history is that of having dementia and she was becoming so forgetful, she was scared of burning her home down. Therefore, she and her family decided to move her to a place where she would have assistance in getting things done. She states

Roles of Administrator and Case Managers in this facility vs. roles of Administrator and Case Manager in other facilities

June reflected a drop in price for both companies, resulting from the Government funding changes to the Dementia Supplement with August realising an increase in price for REG after the announcement of the Supreme Court decision to uphold REG’s objection to a notice of assessment of stamp duty by the State Revenue Office (SRO) reducing their unpaid debt to SRO by A$19 million, whereas in contrast JHC realised a drop in price as a result of significant changes in substantial share

Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint Commission. There is a team put together to come up with accreditation standards and to make sure facilities stay compliant with these standards. Performance is evaluated to ensure standards are followed.

No caretaker would leave their loved one in a facility with rude, unqualified, untrained, or even outnumbered staff members. This consideration is something Superior Residences of Brandon prides itself on, and with good reason to. The training of the staff at Superior Residences is top notch – the employees must undergo 16 hours of training prior to employment, obtain a certification in CPR, participate in monthly employee meanings, obtain certification in Alzheimer’s Level 1 and 2, and continuing education courses provided by the state. Also unique to this facility, all employees are cross-trained and are certified Resident Aides (RA’s), which means they can approach any worker, for example a janitor, with a question or need and that employee would be able to assist (Andrew, J., personal communication, October 28th, 2016). As Jill Andrew’s stated, there are at least 4 RA’s in the building at all times for 70 residents, and although there are no nurses required under the license, they do have 5 nurses on staff. Another principle unique to Superior Residences was their dual licenses, having both an Extended Congregate Care license, which allows residents to age in place (Andrew, J., personal communication, October 28th, 2016) and a Limited Nursing Services license, which enables the facility to provide a select number of nursing services.

While the National center for assisted living facilities in 2010, indicated that 735,000 elders nationwide, live in assisted living settings, our targeted group, prefers a less institutionalized, homelike, and a structured friendly and interactive environment. Relatives are great for nights out or weekends, but they do not compare to a structured program when it comes to the quality of care activities that are offered at the facility.

The first author of the article, Medicaid Funding for Assisted Living Care: A Five-State Examination, is Eric Carlson. Carlson is the directing attorney under the National Senior Citizens Law Center (NSCLC). He graduated summa cum luade from the University of Minnesota, and obtained his law degree from Boalt Hall School of Law at the University of California Berkeley. Most of his career has been spent advocating for older adults in nursing homes and assisted living facilities. Carlson is very knowledgeable on these topics, and frequently presents to other attorneys and social workers at conferences nation-wide about these issues (NSCLC).

“Previous studies showed a high incidence of recurrent falls in people with PD, ranging from 18% to 65% in a 1-year period” (Almeida et al., 2016, p. 1075). Falls are a risk for many people with Parkinson’s disease. People who have Parksinson’s disease and have issues with gait control have frequent falls. Nurses help care for individuals who have Parkinson’s when they enter the care facility. Exercising on a regular basis can help decrease the amount of falls with patients who have Parkinson’s disease. This paper will be located in a long term care facility and discuss how decreasing falls can improve quality of life in patients who have Parkinson’s disease.

The past several decades, has shown and increased inquired interest on nursing home facilities, and making them more than just a facility, and more like a home for the elderly population. There have been a significant number of facilities that have actually strived to maintain an individual residing in nursing home facilities sense of autonomy; dignity and right over their lives in order have control over their own well-being. The Social Security Act, Sections 1819 and 1919 require facilities to be in compliance with federal requirements of quality of care and quality of life. CMS emphasizes on Person-Centered Care, Quantity of Staff, Individualized Approaches to care and Engagement of Resident and /or Representative in decision-making. These regulations are based upon values of respect and freedom for older persons in various ways to include an individual 's right to take risks or to make their own choices.

Both of the gentlemen stated they had been in other homes and that this was the nicest home they had been in. Kenneth complained of his first home ¡°smelling more like a zoo than a nursing home.¡± John told me that his last home was on the South Side and that the neighborhood was filled with gang bangers and hoodlums. When his family visits here though, they wheel him through the Lincoln Park neighborhoods and it¡¯s nice. For all of the questions that I asked these two men, they had just as many questions for me. Heading in to this assignment, I hadn¡¯t really considered that someone would be asking ME questions. In the midst of all that happens in nursing homes, it¡¯s important to remember that these residents aren¡¯t just dependent, older people, but that they are still people just like you and I.

Independent and assisted living residents have access to the restaurant-style dining room where they can enjoy nourishing meals with friends. Residents of the memory impairment unit take their meals in a dining space that has been tailored to best suit their needs. Laundry services and housekeeping are available in the apartments. The memory impairment unit is fully secured to ensure resident safety.

Assisted Living Homes are designed to provide residents with basic everyday assistance. An important aspect is that assisted care facilities provide a safe and comfortable environment for older adults who need assistance with duties such as bathing, dressing, shopping, cooking, grooming, arranging doctor’s appointments, medication administration and laundry services. These facilities have social and recreational activity programs designed to keep the residents active. The recreation groups provide residents with activities for enjoyment, exercise, and interactions with others to build character. Special activities such as luncheon,

For this report, I visited the Banner Home Care facility located at 275 East Germann Road, Suite 110, Gilbert, AZ 85297. Each home visit is conducted within the individual patient’s home. To maintain patient confidentiality, I was unable to visit any patient’s homes so am only able to describe the actual home care site. Nonetheless, I did visit the main hub that houses the administrative structure for the facility. This site has a typical business office layout with cubbies separating each employee. It is a quiet, professional facility with a very friendly, open staff. While at the facility, I interviewed the Home Care Director, Stephen M. Sadecki. Mr. Sadecki described the characteristic services offered, the administrative structure of their