Tuesday, June 2, 2009

Checklist For Nursing Homes

One of the scariest moments for a daughter, son, niece, nephew, spouse, aunt, etc. is the decision to have to put a loved one or relative into a long-term care facility. As a past Director of Nursing for a skilled nursing facility, it is of the utmost importance that one seeks the information necessary to keep their loved one safe, healthy and happy!

These are some of the most important things to ask in regards to long-term care facilities:
• What did the last State inspection reveal? How many “tags” did they have, and what were they?
• What are the safety measures that are put in place?
• What is the staffing ratio for registered nurses, licensed practical nurses and certified nursing aides to residents?
• Is your facility Medicare and Medicaid certified?
• Who owns the facility?
• Are there any pending lawsuits?
• What is your ratio of urinary tract infections, pneumonia, dehydration, bed sores and/or malnutrition?
• Have there ever been abuse issues, and if so, how long ago? What is the protocol for these incidents?
• What special therapies and activities do you have and how often?
• Do you have a registered dietician that plans the meals?

In addition to these very important questions, look around at the facility. Be sure it is clean and don’t be afraid to talk with other family members and to the residents. Talk with the Administrator, the Director of Nursing, the social worker, the activities coordinator and to the dietician to address any special needs that may an issue, i.e. diabetes.

The decision is not an easy one, and it is certainly in your best interest and the patient’s best interest to get all of your ducks in a row before moving forward. Don’t hurry or be in a rush when checking all of your options. Keeping your loved one in well respected facility that is run with experts can indeed give you peace of mind!