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jcon1917
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| Number of Posts: | 6 |
| Registered on: | 9/15/2011 |
| Online Status: | Not Online |
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This is a generalization but for simplicity’s sake, there are two types of patients in the nursing home, short term, which is a rehab & the patient coming from the hospital after a minimum of three days stay. Many of those patients return from where they came, their home, an assisted living facility or even a long-term stay in a nursing home. Then there are long-term patients who will be staying the rest of their life.
How do you pick? The first place you go is to this website, it is run by CMS (Feds) and it scores the Nursing Homes based on various metrics.
LINK
Keep in mind, even if it is a five star facility bad things can happen. Old people fall down, you could end up with a bad CNA on her or his first day.
Look at the staffing, look at the quality measures, long and short term. The facility could be good at one and suck at the other.
Look at Google reviews. Look at yelp. Look at Facebook reviews. Yes all can be worked, but how do they respond to the bad reviews?
I partially agree with the smell test, but the uninformed, you could walk past the room just after, or during an incontinent Resident is being changed. Does a facility only do short term patients? If so the smell factor should be much lower, but if they do short-term and long-term they could be very good at short term and they are dealing with the burden of long-term patients.
Look at the tenure of the director of nursing, the administrator and the director of rehab. Is the rehab done in house or are they using a 3rd party. I prefer house therapy. If the administrator gives a tour how did the CNA react to that person? Do they smile? Are they engaging?
Here’s something to pay attention to, what is the parent’s payer source? Coming from the hospital it will generally be, Medicare or Medicare advantage, a federal, but managed care product. Most facilities will kill for that. They are both the most profitable payers in the Nursing Home but if your parent is going long term what is the plan? Will the resident pay privately or be Medicaid? If the resident has even six months of Private pay funds almost all will accept. If the patient has to apply for Medicaid, then the facility will be worried. Start doing your homework on that right now.
The last thing I will focus on, who will be the primary caregiver, ie who will be visiting daily? His not as big a factor in a short term decision, but a big one if your parent is going long-term.
I hope that helps. I’ll say a prayer for your family.
How do you pick? The first place you go is to this website, it is run by CMS (Feds) and it scores the Nursing Homes based on various metrics.
LINK
Keep in mind, even if it is a five star facility bad things can happen. Old people fall down, you could end up with a bad CNA on her or his first day.
Look at the staffing, look at the quality measures, long and short term. The facility could be good at one and suck at the other.
Look at Google reviews. Look at yelp. Look at Facebook reviews. Yes all can be worked, but how do they respond to the bad reviews?
I partially agree with the smell test, but the uninformed, you could walk past the room just after, or during an incontinent Resident is being changed. Does a facility only do short term patients? If so the smell factor should be much lower, but if they do short-term and long-term they could be very good at short term and they are dealing with the burden of long-term patients.
Look at the tenure of the director of nursing, the administrator and the director of rehab. Is the rehab done in house or are they using a 3rd party. I prefer house therapy. If the administrator gives a tour how did the CNA react to that person? Do they smile? Are they engaging?
Here’s something to pay attention to, what is the parent’s payer source? Coming from the hospital it will generally be, Medicare or Medicare advantage, a federal, but managed care product. Most facilities will kill for that. They are both the most profitable payers in the Nursing Home but if your parent is going long term what is the plan? Will the resident pay privately or be Medicaid? If the resident has even six months of Private pay funds almost all will accept. If the patient has to apply for Medicaid, then the facility will be worried. Start doing your homework on that right now.
The last thing I will focus on, who will be the primary caregiver, ie who will be visiting daily? His not as big a factor in a short term decision, but a big one if your parent is going long-term.
I hope that helps. I’ll say a prayer for your family.
0
Why would you hold O'Keefe to a standard that we don't hold network news, 60 minutes, or cable news?
re: Anyone know anything about Rugby?
Posted by jcon1917 on 10/30/12 at 9:20 am to Bestbank Tiger
If you are at all a gamer pick up EA's Rugby World Cup 2008 or this. You will learn the rules quickly.
https://www.telegraph.co.uk/technology/video-games/8730437/Rugby-World-Cup-2011-review.html
I am not.
Do yourself a favor if you go out to train with a team give it two weeks and or one game. If you are in great shape you will struggle with fitness -- it is very different-- if you are not even more so but your body will respond. Don;t quit after 1-2 sessions.
It isn't a game that you aren't sure you like or not. You will love it or go back to watching TV.
https://www.telegraph.co.uk/technology/video-games/8730437/Rugby-World-Cup-2011-review.html
I am not.
Do yourself a favor if you go out to train with a team give it two weeks and or one game. If you are in great shape you will struggle with fitness -- it is very different-- if you are not even more so but your body will respond. Don;t quit after 1-2 sessions.
It isn't a game that you aren't sure you like or not. You will love it or go back to watching TV.
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