Beware of Nursing Homes like one

[rtotten]

Check out this article from USA TODAY:

Hidden camera shows how WWII veteran died after calling for help, gasping for air

https://usat.ly/2it17Z0

[Bob Denman]

:shocked: Unbelievable... :gaah:
A couple of nurses need to be beaten to death; perhaps the rest of them will get the wake up call... nojoke

[ARtraveler]

Very sad. I am afraid that this is more the rule than the exception.

The callous attitude of the staff says it all. That nursing home should lose it's license and be closed down. It will not happen of course.

Scary and makes one contemplate what the future will bring. :thumbup:

Happy 72nd to me. :dontknow:

[wyliec]

Very sad. I am afraid that this is more the rule than the exception.

The callous attitude of the staff says it all. That nursing home should lose it's license and be closed down. It will not happen of course.

Scary and makes one contemplate what the future will bring. :thumbup:

Happy 72nd to me. :dontknow:

Happy b’day, with many more to come.

[Saluda]

Took all this time to come to light ??

[Bob Denman]

Happy b’day, with many more to come.
:agree: :congrats::2thumbs:

[UtahPete]

Check out this article from USA TODAY: Hidden camera shows how WWII veteran died after calling for help, gasping for air https://usat.ly/2it17Z0

On average the Georgia Nursing Board takes 427 days, more than a year, to investigate a nursing complaint. That's a decrease from about 2,000 days, more than five years, Izlar said.

While Northeast Atlanta Health and Rehabilitation recently had a good inspection in May from the Georgia Health Department, problems continued to mount after Dempsey's death.

Medicare records show the nursing home facility was cited at least two dozen times for serious health and safety violations, including “immediate jeopardy” levels, the worst violation. Medicare withdrew one payment and the facility has been fined $813,113 since 2015.

Its Medicare rating is one star, the lowest from the federal agency. Northeast Atlanta Health and Rehabilitation remains open today.

[UtahPete]

Happy 72nd to me. :dontknow:

Congrats, you old bean-counter!

[wyliec]

The blame is entirely on the owners and top management; they are the ones who establish the corporate culture. You can bet they're politically connected and are paying the lowest wages possible.

This is good to know that I’m not responsible for my own actions or mis-actions at the hospital where I work. It’s also good to know that my actions or lack thereof are based on my salary.

The nursing staff involved in this tragedy should never work again in the health field. There was a settlement made between the facility and family, which will never bring back their loved one. Based on the facility’s past history regarding health care, it should be shut down or taken over.

[Bob Denman]

:agree: The nurses that allowed this to happen have nobody to blame but themselves... :gaah:

[Bob Denman]

What top 1%??? :dontknow:
Were they the ones standing there laughing; as a hero died? :gaah::cus:

[youngers]

when the last economy crunch hit , I was in between jobs , and like every one looking , did get a state class for C-N-A nurse help , and boy hell I hope I hit lottery and can afford my own nurse at home , the situation at these homes are scary to say the least , 30 minute breakfast , lunch dinner , if they are in wheel chair , roll them into a holding area , until all are there , then into the dinning area , help feed , roll them out in under 30 minutes . under staffed , and the nursing staff ( usually looking at the new arrival of staff , and or just over whelmed with older folks ) it a sad deal ... it rolls down the line of staff , nurse to give the order , the floor nurse too the next one in charge , down too the nurse helper ... { on a lighter note , I did meet a couple of really nice folks who were residents , one elder lady had been quite a traveler , had her wits about her , just not stable in walking and able to keep a home I suppose . other not so great ----- did see a devil of a woman , she was a different type for sure , owned the hall ways with her wheel chair , blocked the isle at any chance just for the heck of it I guess https://tse1.mm.bing.net/th?id=OIP.zz96SpTbi4goJ-3VkPcxQAFNC7&w=178&h=100&c=8&rs=1&qlt=90&pid=3.1&rm=2 (https://www.bing.com/images/search?q=photo+of+bride+of+frankenstein&id=9D181EDEA0C46B29620CAC63366F295B24B83492&FORM=IQFRBA) I kidd -you not , she had this type of hair ,with out the streaks of grey on the sides , a bunch of different types for sure !

[wyliec]

It's good to know you don't think the top 1% should be held accountable for their decisions.


Where did I say the owners/top mgmt bear no responsibility? You said it (the blame) all falls on them, and I pointed to where the responsibility/blame mainly lies in a life/death situation. Will you always try to instigate no matter the subject?

[Saluda]

Blame goes across the board.

[UtahPete]

Blame goes across the board. What happened to 'the buck stops here'?

[UtahPete]

Everyone seems to think once the heartless employees are terminated, the problem is solved. Really?

[ARtraveler]

Yes, you can get rid of the bad employees. Does it help? Not too much. There are always many just like them waiting in the wings. Nursing homes just do not attract the cream of the crop when it comes to nurses.

[UtahPete]

Yes, you can get rid of the bad employees. Does it help? Not too much. There are always many just like them waiting in the wings. Nursing homes just do not attract the cream of the crop when it comes to nurses.

Or management. That's why they need to be tightly regulated, to protect public health and safety.

[IdahoMtnSpyder]

Or management. That's why they need to be tightly regulated, to protect public health and safety.
After years of auditing companies' quality assurance programs I came to recognize one immutable fact. Middle management is almost always the problem. The very top guys usually want to run a top notch company and are willing to do what is necessary to accomplish that. Line level employees almost always want to to do a good job and usually care about doing it right. It's middle level managers who want to cut corners to meet profit goals, want to lord it over the people doing the real work, and want to try to impress the top managers. Find middle level managers who care, will defend line level workers, and buck the big bosses when necessary, and you'll have a good company.

[Bob Denman]

:shocked: I'm all three levels of management here... yet I STILL have to listen to my Missus! :gaah:
Does that mean that we're doomed?? :yikes:

[IdahoMtnSpyder]

Totally agree. But top managers are still responsible for the quality of their subordinates. Look at Wells Fargo; nothing changed until the top execs got 'fired'.
Very true. But often middle managers thwart top managers' desires, particularly in large corporations where a direct communication between top bosses and everyday working folks doesn't exist or is not practical.

Contrary to commonly held beliefs, management is 90% responsible for the quality of the output of floor level employees.
There are 5 M's in providing a product or service, Men, Material, Methods, Machines, and Motivation.

Machines - Who is responsible for selecting and/or buying the tools and equipment used in a business? Management. 20%
Material - Who is responsible for specifying the materials that are used in producing the product or service? Management. 20%
Methods - Who is responsible for selecting the process methods to be used in a business? Management. 20%
Men - Who is responsible for hiring properly trained people for the business, or providing specialized training as needed? Management. 20%
Motivation - Who is responsible for employees' motivation to do the job right? This is a 10/10 percent split responsibility. Management determines what training and education employees need to have. Being properly trained and equipped plays an important part in how motivated an employee will be. That's 10%. Employees must be willing to exercise drive and desire to work properly and diligently. That is their 10% responsibility.

Anytime you hear a top boss complain about the poor quality of the work his employees put out, remind him he is 90% responsible for it. The floor level workers are only 10% responsible.

[wyliec]

Thanks. That was exactly my point in earlier posts on this thread.

I could be wrong, but I believe you were talking specifically about top management, and Idaho is talking middle and top management. Also, Motivation is the main one of the 5 M’s that applies here, and the second M that applies is Men. Both the M’s I mention relate to middle management, not top management, at least at the hospital where I work, which is one of the largest in NYS. Of course top management bears responsibility.

Think about this: an employee has a melt down, and shoots a patient. To your reasoning, top management is at fault as you stated in post #9.

[IdahoMtnSpyder]

Men is generic for both sexes. The melt down is outside of the normal work flow and function and thus is an anomaly not part of the ordinary work system. However, if management is placing so much stress by required performance standards, hours of work, and the like that the stress causes the melt down, then yes, they do bear some responsibility. If the stress is caused totally by outside forces then management can't be held responsible, except for whatever level of employee issues they ought to be aware of and provide EAP services to help employees cope.

The 5 M's and the 90/10 share refers to the day in, day out, work flow and output of an organization. And the 90% share starts with the top managers. They are the ones who set the tone and tenor of an organization.

The nurses in the video would not have been standing around laughing while the patient was dying if management had developed and instilled a true genuine concern for patient welfare throughout all levels of the staff. And if they had an employee who exhibited disregard or disdain for that concern, management had a responsibility to fire them.

[Bob Denman]

Probably...but you already knew that, right? :joke:
:D I'd have to ask The Missus; to know for sure. :roflblack:

[SPECTACUALR SPIDERMAN]

does this sound like the nursing home in "better call saul"?

[wyliec]

The 5 M's and the 90/10 share refers to the day in, day out, work flow and output of an organization. And the 90% share starts with the top managers. They are the ones who set the tone and tenor of an organization.

The nurses in the video would not have been standing around laughing while the patient was dying if management had developed and instilled a true genuine concern for patient welfare throughout all levels of the staff. And if they had an employee who exhibited disregard or disdain for that concern, management had a responsibility to fire them.

Idaho,

I work on a rehab unit. We all have to take courses, and go to classes. Why do I find some nursing staff more caring to patients than other nursing staff? We all have to take the same mandatories. From where I stand, it's the nsg mgrs. (middle management)'s responsibility to know what is going on, and handle it. It's not all about pay as some have suggested; it's the staff's attitude, which carries over from their life outside the hospital.

[Orange Spyder Man]

My Dad, Mom and Sister all died in a nursing home... mostly from "NEGLECT" ... ALL NURSING HOMES NEED TO BE INVESTIGATED, REGULATED AND POLICED.. and when offenses are uncovered... they should be closed down with the offending employees put in prison...

osm

[trucker1]

That was just awful. If that had been my dad or any other family member I'd probably be in jail now. Some one would have gotten a good #%× whopping. Sorry guys. Went through a bad nursing home experience with my dad yrs ago. My brother and sister had to hold me to get me away from the nurse and the weekend supervisor. I was starting to come unglued on them two idiot's. So stuff like this just fires me up when I see it.

[UtahPete]

That was just awful. If that had been my dad or any other family member I'd probably be in jail now. Some one would have gotten a good #%× whopping. Sorry guys. Went through a bad nursing home experience with my dad yrs ago. My brother and sister had to hold me to get me away from the nurse and the weekend supervisor. I was starting to come unglued on them two idiot's. So stuff like this just fires me up when I see it.

Fortunately, the quality of care in Utah nursing homes is quite good. My mother passed away in one after years of dementia. The staff couldn't have been more caring or attentive. I know that's not the case in some parts of the country, particularly those that lack funding support from the State.

[Bob Denman]

There's no doubt: It takes a special kind of Angel, to work in a place where nobody ever gets any better... :pray:

[IdahoMtnSpyder]

Idaho,

I work on a rehab unit. We all have to take courses, and go to classes. Why do I find some nursing staff more caring to patients than other nursing staff? We all have to take the same mandatories. From where I stand, it's the nsg mgrs. (middle management)'s responsibility to know what is going on, and handle it. It's not all about pay as some have suggested; it's the staff's attitude, which carries over from their life outside the hospital.
For the floor staff caring and attitude is part of their 20% of total responsibility. That 20% can make or break the outcome. Middle management must know what is going on, and deal with it. How they approach that job is determined to a great extent by what comes down from above.

I'm sure you've heard the old adage, "S*** rolls downhill!" Well, so does attitude. If the top manager opens his/her periodic company status meetings with questions about income and expenses that tells you that his/her first priority is making money. If he/she opens the meeting asking about how the patient health and well being index has changed, or what is the latest in patient families' feedback, that lets you know his/her priority is patient care. I'll give you one guess as to which one determines how the floor staff handle patients.

If the culture that the top boss cultivates is one of patient welfare first, and a particular nurse doesn't give a rat's a** about they treat the patient, then that nurse needs to be booted. If the culture is do whatever you have to to keep expenditures in check, which means no extra goodies for any patient, then how can you blame the individual nurse when their first priority is to keep the job and to hell with the patient. There's no question that a nurse's attitude is affected by life outside the nursing home, but it is also affected greatly by the atmosphere in the home. That's why I say the 20% motivation is 10% management's responsibility and 10% employee's responsibility. Of course none of these numbers are hard and fast, but they do demonstrate who is responsible and why for the output of an organization.

There are no easy answers, but if a nursing home is mistreating patients, assess the entire culture within the home, but start at the top, not the bottom.

[Saluda]

What happened to 'the buck stops here'?

I'm saying they are all to blame.

[Bob Denman]

155766

[wyliec]

Then no one is accountable. And the problem goes unresolved.

Are you really from planet Earth?

Sorry, I know Bob, it's dead already. :dontknow:

[Bob Denman]

:D:thumbup:

[Saluda]

Dead horse feels no pain. Serious topic, I don't care how long it's discussed.

[UtahPete]

Dead horse feels no pain. Serious topic, I don't care how long it's discussed.

Unfortunately, the discussion devolved into shallow pissing match a few posts ago. Some people prefer simple answers to complex questions and shoot the messenger when he brings a message they don't understand or agree with (usually the former)

[Bob Denman]

Discussion devolved into shallow pissing match a few posts ago.
Yup...

155770