nursing home administrator Essay

“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.

Long-term care can be defined as a broad set of paid and unpaid services for people who are mentally or physically disabled, or whose chronic illness places them in need of medical or personal assistance for long periods of time. “It is estimated that there are more than twelve million Americans of all ages whose mix of serious disability and chronic illness places them at the high risk for functional decline, hospitalization, or nursing home placement.” (Benjamin) Several different populations require long-term care services, and the needs of these populations vary. In addition to the elderly, many of the long-term care users are younger persons with physical disabilities; persons with developmental disabilities; and persons with chronic

1. Is the profitability or loss of the typical nursing facility in the hands of Medicare and Medicaid system administrators?

Assisted Living Concepts Inc., hereafter referred to as ALC, was a Nevada corporation formed in 1994 with its principal place of business in Menomonee Falls, Wisconsin. ALC provides senior assisted living residences that provide multiple personal services for their residences. ALC was purchased by Extendicare Health Services, Inc. in January 2005. In 2006 ALC was spun off from Extendicare as a publicly traded company. As of December 31, 2012 ALC had 211 assisted and independent living residences in 20 states totaling 9,348 units with 4,600 employees. ALC generated revenues in excess of $228 million dollars for year-end 2012 (Assisted Living Concepts, Inc. 2013). In July 2013, ALC was acquired by the private equity firm TPG Capital, L.P. for $278.3 million dollars (Boulton 2013). In March 2014 ALC changed their name to Enlivant (Enlivant 2014).

Long-Term Care is the retirement crisis that no one is talking about. There is an increasing demand for long-term care services because Americans are living longer with chronic health conditions. For Example, Veterans may live with family or alone and need services that their caregiver can no longer provide or may outlive their primary caregiver. Nursing home placement seems like the only option.

Mr. and Mrs. B, a couple in their 90’s without children, made their own decision to move to Assisted Living. Mr. B’s sister lived there already so they were familiar with the facility and comfortable with their choice. They decided to move on the 10th of the month when their apartment rent was due, and Mr. B arranged for a moving company to transfer their furniture and belongings.

I ambitiously decided that I would brighten the lives of the elderly by volunteering at a rest home, but discovered that the elderly were being neglected, shoved aside and forgotten. As I stepped into the home a pungent odor penetrated my nostrils, causing an instantaneous gagging reflex. The place was abounded with neglected and subdued inhabitants, yearning for attention. Anybody that passed them caused a sudden outburst of ranting. The negligence and disregard the home displayed appalled me, but helped me to realize that I wanted to make a difference and change the condition people live in.

There is a lot of retention in nursing homes. According to the article “The Importance of Supervision in Retention of CNAs” by Choi, JiSun and Johantgen, Meg, the average annual turnover rate in nursing homes is 74.5% for CNAs. The article states CNA annual turnover was as high as 121% in some states. This article reminds the reader that the retention in our nursing homes are high and is something that needs to be addressed. It affects Centerville Specialty Care residents and staff and we need to create ways to lower the turnover in our home.

As individuals age, numerous decisions must be made. A person, in conjunction with their loved ones, will need to address matters such as where they will live, how long term care will be paid for (if needed) and who will receive which assets upon their passing. When making medical decisions, one thing that individuals need to keep in mind is their home may need to be sold if they wish to qualify for medicaid. Anyone in need of advice on Medicaid, who qualifies and what assets may be retained while still qualifying should contact a Southington CT Medicaid Planning Attorney.

In today's world, the care of patients is a task which involves different personals. Here, everyone involved needs the sharing of patient information. Due to this, there has been an increase in the interest and usage of communication and information technologies which support health services. "While there exists a significant amount of investment and discussion in information technologies, the field of communication system receives far less acknowledgement" (Riffe, 1998). According to many analysts of the communication field, there exists tremendous amount of gaps in the broad understanding of many individuals involved with the field of health care regarding the proper usage of communication services.

In the essay I will be explaining the important processes in human resources. Within human resources there are many factors to be considered when planning recruitment within health and social care. As a trainee HR officer at St Jude's nursing home the factors to be considered when planning are; corporate objectives, financial strategies, and economic changes.

A nursing diagnosis identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular emphasis will be placed on proposed interventions to achieve Mr. Bertoli’s healthcare goals and the provision of rationales. This is important to justify the significance of the interventions and indicate

"Okay then, well let's start off with a tour of the Clinic," Doctor Grace spoke

Social Security Fund- The US government, offers a statutory requirement that calls for its nationals to remit a certain percentage of their income. Eighty six percent of people age 65 or above receive these funds on a monthly basis. Some people, however, delay this payment to a later date (past 65) to claim a larger share as a monthly check and balance. About ninety-two percent of 80 and above years receive this check regularly with a median of about $15700. Social Security fund as a retirement income is the largest source in the US with a majority of retirees getting half their salary or more. Other retirees of about a third receive, at least, ninety percent of their security check as their income (Cornwell, 2010).

A nursing director in a hospital organization is the chief of all nurses employed in the healthcare institution. He or she is appointed by the administrative body or a group of stock holders of the agency in accordance to the criteria stated by the policies of the organization as well as in congruence to the Nursing Law being applied in the state or location. By education and management experience, a registered nurse is given an administrative position wherein he or she can facilitate the implementation of the organization’s mission and vision statement to its personnel.