The dangers in choosing the wrong assisted living facility can be detrimental in many ways to a loved one and their health. People have to first assume that the average consumer knows very little, if anything, about senior living facilities. More importantly, what type of senior living facility best matches their loved ones level of care. There is a reason Senior Living Facilities in the US have such a high turnover rate-40% according to Medicare, and it usually begins with the admissions process. The admissions department and their marketing team are given the task of filling beds and marketing their property accordingly. The problem is, the bed is usually filled with what’s called a TBD Resident. These residents are often “To-Be-Determined” whether they are a proper fit for the admitting facility or not. Most do not find out if they are a proper fit until weeks or months in and if they are found to be an improper fit, they are often asked to move into a facility with a higher level of care, with little to no warning. These senior care facilities will determine the level of care the resident needs by asking the family members for their input on the residents medical history. They then decide from a non-clinical prospective whether they are a proper fit, sometimes without ever seeing the loved one. Some facilities will take it a step further and do an “assessment,” and some will go even further and do a “clinical assessment,” but this usually counters on the time of the resident’s tour and the occupancy rate of the facility during that time. It is also countered by the fact that most tours happen on weekends, when the family members have available time to tour. Quite often the attending nurse or clinician who works this shift is not privy to the resident’s intake assessment. In other words, the eagerness to move the resident in right away and to meet quota will usually take precedence and supersede all other data in determining what is needed to make the proper placement call for the resident. “Unfortunately, the rejection rate is regarded as pretty low in this industry. When the goal is to fill beds and the front door is making clinical decisions, things can and often will go wrong. These families need an objective interface and in the absence of an object interface, families are likely going to be taken advantage of and their loved one, improperly placed.” -Patrick Lee COO R&R
The primary residents that require assisted living are going to have at least 3 chronic health conditions and the need for a nurse at these facilities will be imperative. The value of having an intermediary is insurmountable in these situations, these professionals know the right questions to ask and know the level of care required to meet the resident’s needs. “When the marketing team is over eager to get [the patient] in the door, and says they’re capable of meeting the level of care without letting the family talk to their clinician, or [before] even seeing the patient, that is a very big warning sign.” -Nurse Brown, Director of Nurses with R&R
She believes this means they might just be afraid of the answer and that they may lose a potential resident or sale. Take caution when placing a loved one and look for warning signs. Choosing the wrong facility can be avoided and proper placement can be achieved with the right team and the right plan.
Categorised in: Assisted Living
This post was written by Jay