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Who are you caring for?
Which best describes their mobility?
How well are they maintaining their hygiene?
How are they managing their medications?
Does their living environment pose any safety concerns?
Fall risks, spoiled food, or other threats to wellbeing
Are they experiencing any memory loss?
Which best describes your loved one's social life?
Acknowledgment of Disclosures and Authorization
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington. Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services. APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid. We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour. APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment. You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints. Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights. APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.I agree that: A.I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information"). B.APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink. C.APFM may send all communications to me electronically via e-mail or by access to an APFM web site. D.If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records. E.This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year. F.You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
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Mostly Independent
Your loved one may not require home care or assisted living services at this time. However, continue to monitor their condition for changes and consider occasional in-home care services for help as needed.
Remember, this assessment is not a substitute for professional advice.
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Oh dear, I don't like the sound of this question at all. What's happened?
The statutory requirement that is your answer will be lurking somewhere on your state's governmental website. Go to it and search for phrases such as "staffing ratios in rehabilitation wards" until you get a result that looks promising.
Then there's reality. Here is how part of that works, observed in a community rehab team in a pretty rural backwater in England. These jobs are pressurised at the best of times, and hysterically badly paid. Then Covid, so that we can't meet up, can't work or travel together, can't see one another socially. Then people are off work ill, so there's more pressure on the others. So people leave. So there's more pressure. Then the managers are under pressure because we're not meeting our performance targets, so they give us grief and exhort us to work harder and meet higher standards. So people get understandably upset about that and even though they were handling the pressure they don't like the ingratitude and they leave.
Then they send us a questionnaire asking how well our employer looks after our mental and emotional wellbeing. I needed a good laugh.
So, in a hospital in America with 19 beds to the ward and how things are right now - how are they where you are? - there will be the statutory staffing requirement and then there will be how many workers are still standing. The numbers may not match up.
What's happened? What else might be done about it?
In your State looks like 2. And that depends on the shift. I posted NJ because I live there and it came up the first thing. NC has a higher ratio. I was really surprised.
"The New Jersey bill calls for: 1 CNA for every 8 nursing home residents during day shift (typically 7 am – 3 pm) 1 CNA for every 10 residents during night shift (typically 3 pm – 11 pm) and. 1 CNA for every 16 residents during overnight shift (typically 11 pm – 7 am)"
The NH I was in 1 to 6 on days. Nights 1 to 10. They had an extra floater on day shift to help out. Bath aides were assigned 6 patients a day for baths. Easy to get help because a lot the residents refused bath.
In the US you will need to check your state dept of health website to get the rules for your particular type of facility (AL's and LTC will have different ratios). NJ raised the ratio in 2021. That will give you the legal status but as had been said the reality even pre-covid is a totally different things. CNA, household maint (laundry et al) and kitchen help are historically the lowest paid members of the nursing fields (hospitals, ALs, MC, and LTC). Now regardless of what you pay people, you are always going to get some lazy losers in the bunch (look at some high level managers and CEO's to prove that) but even without the lazy people, who can live in one of the high price states like NJ on $14/ per hour? So people take a second job (no they are not supposed to but they have to feed their families and pay rent) so they have one job for 8 hours and a second job for a 4-6 shift. This leaves little time for sleep so when they do show up for work, they can put the Grinch to shame. Sometimes it is overwhelming so they call out sick. That puts a little more stress on the people who are at work and have to cover. Often they get hurt trying to reposition a patient so they are out for that. Because they make a low wage any car they might have is not well maintained so we get call outs because they don't have transportaton (unless you are in an urban area, mass transit doesn't really exist in the US so forget taking a bus or light rail to work and Uber is ridiculously expensive.... for anyone except the really well off). Since covid there has been a tremendous shortage of staff across all industries. I don't know where all the people have gone but they sure aren't applying to all the job for hire signs that I see on every street I drive by (everything with the exception of Amazon is about $15/hr). So the reality is that despite what the state regulations require, on any given day.... base medical care in the form of CNA's and kitchen help is very likely to be much less than the legal requirements. It's sad but it's a reality in the US at this time.
You can probably most easily get the answer by call your state ombudsman for long term care facilities. There might be a different answer depending upon whether it's a free-standing rehab or part on an AL or c NH.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
The statutory requirement that is your answer will be lurking somewhere on your state's governmental website. Go to it and search for phrases such as "staffing ratios in rehabilitation wards" until you get a result that looks promising.
Then there's reality. Here is how part of that works, observed in a community rehab team in a pretty rural backwater in England. These jobs are pressurised at the best of times, and hysterically badly paid. Then Covid, so that we can't meet up, can't work or travel together, can't see one another socially. Then people are off work ill, so there's more pressure on the others. So people leave. So there's more pressure. Then the managers are under pressure because we're not meeting our performance targets, so they give us grief and exhort us to work harder and meet higher standards. So people get understandably upset about that and even though they were handling the pressure they don't like the ingratitude and they leave.
Then they send us a questionnaire asking how well our employer looks after our mental and emotional wellbeing. I needed a good laugh.
So, in a hospital in America with 19 beds to the ward and how things are right now - how are they where you are? - there will be the statutory staffing requirement and then there will be how many workers are still standing. The numbers may not match up.
What's happened? What else might be done about it?
"The New Jersey bill calls for: 1 CNA for every 8 nursing home residents during day shift (typically 7 am – 3 pm) 1 CNA for every 10 residents during night shift (typically 3 pm – 11 pm) and. 1 CNA for every 16 residents during overnight shift (typically 11 pm – 7 am)"
Since COVID there is a shortage of CNAs.
But yes, staff shortages all over here as well.
https://www.ncdhhs.gov/divisions/aging-and-adult-services/long-term-care-ombudsman-advocacy-residents-long-term-care-facilities