4 ms·

Before PE firms' take over of nursing homes, many nursing homes are run by entities controlled by doctors. In such places, they don't hire enough CNA nurses. Yo

Before PE firms' take over of nursing homes, many nursing homes are run by entities controlled by doctors. In such places, they don't hire enough CNA nurses. You know what such nurses do? Just do critical stuff; everything else, they just mark it as done, without having done. (for instance, if nurses are asked to check blood pressure of some patients every 2 hours, they don't do it, they just put yesterday's numbers, and sign off). I knew a nurse, who did it. And she learned it from her colleagues at the same nursing facility. This is what happens, when one tries to force nurses to do overwork for $30 per hour (2015 rates for nursing homes in southern California).

bombcar 4y ago
It's worse than that, it's a perfect storm of bureaucracy. Something bad happens. It's determined to be the fault of a CNA or the procedures (never the doctors and rarely the nurses are blamed, always the CNA). The procedure is updated at the state level to require MORE things to be done, but there is no time to actually do them, so something happens again. More documentation and procedures are added, and the cycle repeats.
kickout 4y ago
This doesn't make sense. Let's fix a smaller, bureaucratic problem by allowing the entire industry to be taken over by people that purposefully exploit grey legal areas and transfer life quality into dollars and cents? If nurses are lying, thats a poor management system. Punish the bad actors, not the patients
- rngname22 4y ago
  Nurse is given 50 hours of work for an 8 hour shift. Do you want the nurse to do the essential work and mark the rest as complete even if it wasn't, or do you want the nurse to just ignore what their coworkers are doing, not check off all the boxes, and get fired?
  - kickout 4y ago
    I want a system that can audit systematic records falsification leading to severely worse outcomes for human subjects and punish that company/hospice/nursing home/hospital/etc. accordingly. Yea, I've been in places that have those types of systemic issues and in general those places sucked to be at and work at. Would hope those with enough morals recognize the situation and bail. As mentioned, there 'skillset' or willingness to do certain activities is sorely needed in this current labor market and has been needed for some time.
    - TheNewsIsHere 4y ago
      I agree. I recently lost an elderly family member for whom I was the one responsible for care management. He bounced between the nursing home and hospital a few times due to significant water retention. The nursing home was a -good- nursing home and they still couldn’t follow the daily weight check order until I sent them an email calling it out on the hospital discharge paperwork as a medical order, and noting where I had been told in writing that they had only been doing monthly weight checks per the facility’s standing order. It was very frustrating. When I would have a call with his nurse case manager or emails with his social worker, those would sometimes happen at 8 or 9 in the evening, because that’s when they could get to it. And that was one of the better places.
      - kickout 4y ago
        I'm honestly dumbfounded. My grandma and grandpa, whom I was close with and enjoyed spending significant time with, were in a few assisted living type facilities for the last 10 years or so. I felt bad for them (they never liked the food, and loneliness is always a problem) but I felt equally bad for the staff (RNs, CNA, 'med-aides'). My grandparents just simply grew up in a different time and had different expectations so they would always be complaining about something or wanting this or wanting that. I felt terrible for the staff to have to deal with them. The experience has solidified my mindset. I _will not_ live in a 'home' when I'm old, and will not let my mom enter on of those facilities.
- raincom 4y ago
  I am with you on fixing problems. The issue is not nurses, the doctors who run these nursing homes are culprit. They are as bad as PE guys. That's my point.
downWidOutaFite 4y ago
"The data revealed a troubling trend: when private-equity firms acquired nursing homes, deaths among residents increased by an average of ten per cent."
rufus_foreman 4y ago
>> This is what happens, when one tries to force nurses to do overwork for $30 per hour First search result: "Registered nurses in California earn an average of $124,000 per year (or $59.62 per hour)" Show your work.
- m-ee 4y ago
  They're mixing terms. CNAs are certified nursing assistants, not full fledged nurses. They're paid significantly less and do a massive amount of the work at care facilities.
- raincom 4y ago
  There was a glut of RNs, CNAs that time. Almost all CNAs want to work in a hospital; no RN/CNAs want to work in nursing homes. Nursing homes are the last choice for these people. This CNA friend, who told me about how CNAs work at nursing homes, now works for the state prison. And she makes $160K a year with overtime. And she lives in some socal desert, where this state prison is located. She was happy to get a job there, because of $100K jump in salary.

bombcar 4y ago

It's worse than that, it's a perfect storm of bureaucracy. Something bad happens. It's determined to be the fault of a CNA or the procedures (never the doctors and rarely the nurses are blamed, always the CNA). The procedure is updated at the state level to require MORE things to be done, but there is no time to actually do them, so something happens again. More documentation and procedures are added, and the cycle repeats.

kickout 4y ago

This doesn't make sense. Let's fix a smaller, bureaucratic problem by allowing the entire industry to be taken over by people that purposefully exploit grey legal areas and transfer life quality into dollars and cents? If nurses are lying, thats a poor management system. Punish the bad actors, not the patients

rngname22 4y ago
Nurse is given 50 hours of work for an 8 hour shift. Do you want the nurse to do the essential work and mark the rest as complete even if it wasn't, or do you want the nurse to just ignore what their coworkers are doing, not check off all the boxes, and get fired?
- kickout 4y ago
  I want a system that can audit systematic records falsification leading to severely worse outcomes for human subjects and punish that company/hospice/nursing home/hospital/etc. accordingly. Yea, I've been in places that have those types of systemic issues and in general those places sucked to be at and work at. Would hope those with enough morals recognize the situation and bail. As mentioned, there 'skillset' or willingness to do certain activities is sorely needed in this current labor market and has been needed for some time.
  - TheNewsIsHere 4y ago
    I agree. I recently lost an elderly family member for whom I was the one responsible for care management. He bounced between the nursing home and hospital a few times due to significant water retention. The nursing home was a -good- nursing home and they still couldn’t follow the daily weight check order until I sent them an email calling it out on the hospital discharge paperwork as a medical order, and noting where I had been told in writing that they had only been doing monthly weight checks per the facility’s standing order. It was very frustrating. When I would have a call with his nurse case manager or emails with his social worker, those would sometimes happen at 8 or 9 in the evening, because that’s when they could get to it. And that was one of the better places.
    - kickout 4y ago
      I'm honestly dumbfounded. My grandma and grandpa, whom I was close with and enjoyed spending significant time with, were in a few assisted living type facilities for the last 10 years or so. I felt bad for them (they never liked the food, and loneliness is always a problem) but I felt equally bad for the staff (RNs, CNA, 'med-aides'). My grandparents just simply grew up in a different time and had different expectations so they would always be complaining about something or wanting this or wanting that. I felt terrible for the staff to have to deal with them. The experience has solidified my mindset. I _will not_ live in a 'home' when I'm old, and will not let my mom enter on of those facilities.
raincom 4y ago
I am with you on fixing problems. The issue is not nurses, the doctors who run these nursing homes are culprit. They are as bad as PE guys. That's my point.

downWidOutaFite 4y ago

"The data revealed a troubling trend: when private-equity firms acquired nursing homes, deaths among residents increased by an average of ten per cent."

rufus_foreman 4y ago

>> This is what happens, when one tries to force nurses to do overwork for $30 per hour First search result: "Registered nurses in California earn an average of $124,000 per year (or $59.62 per hour)" Show your work.

m-ee 4y ago
They're mixing terms. CNAs are certified nursing assistants, not full fledged nurses. They're paid significantly less and do a massive amount of the work at care facilities.
raincom 4y ago
There was a glut of RNs, CNAs that time. Almost all CNAs want to work in a hospital; no RN/CNAs want to work in nursing homes. Nursing homes are the last choice for these people. This CNA friend, who told me about how CNAs work at nursing homes, now works for the state prison. And she makes $160K a year with overtime. And she lives in some socal desert, where this state prison is located. She was happy to get a job there, because of $100K jump in salary.