Urinating resident and goes unnoticed by staff.

Msmadge-Many are lousy be it private pay or Medicare/Medicaid.

Pateye

What is the rating of this facility on the medicare.gov website?

Pateve

Yes. it's easier for those on duty. You'd be surprised (or not) how many facilities do this.

Pateye, you are not at all wrong to complain, you've got a genuinely bad facility. It will take a while for a new ownership to change the culture there, even if they are inclined to. Please do not feel you are wrong to contact the ombudsman with what you have told us here!

Pat
Your observations are correct - they want all residents basically medicated so they don't have to deal with them - my mom's roommate who has no family looking in on her is in bed except for mealtime and usually I have to alert staff that she needs a diaper change

Is your mom's facility a private pay memory care or part of a Medicare facility ? As a private pay my understanding is that there is less oversight and so I'm not sure how much an ombudsman would be able to intervene - our facility is owned by a chain in turn owned by a REIT

Sounds to me as though the staff knew the sale was coming and are too concerned for themselves to do their jobs properly. See if things improve when the new owners take over. in the meantime buy Mom a pair of rubber overshoes!

I'm considering Ombudsman. The facility was just sold, and the new owners take over Sept 1st. Hoping for better management, and they will hear our woes. I just don't get how all these employees accept so many as ok! They put them all down for naps after lunch, and don't get them up until dinner. Is this normal?!

I have just read through a learned paper on the use of restraints among cognitively impaired residents who pace or wander and are at risk of falls or injury.

The contributors have conducted a review of many papers, and they conclude that risk of serious injury actually *falls* when restraints are removed from a skilled nursing facility's range of options.

What they do not address - I re-read in vain - is the impact on *other* residents of an individual pacing, wandering or engaging in challenging behaviours.

We need to search more thoroughly. We need to organise. We need to get the strategic service planners and the academics and the researchers off their backsides and out of their ivory towers and in to the facilities, where they can show us how it is done. Or at least see a bit of real life, up close and personal.

I am not saying that I think restraints are marvellous, I think they're horrible. But the alternatives never seem to be pinned down by name. There's lots of talk about 'individual care needs' and 'patient-focused planning' and none that I can see about what *exactly* an aide is supposed to do when her burly male patient is standing peeing all over the dining room and punches her when she attempts to intervene.

I was looking to see if anyone had researched this topic professionally and made helpful suggestions. All I found was attitudes that made me feel frustrated and angry. I hope you will find good answers, and I hope the Ombudsmen or the facilities' senior managers will sit up and take notice.

MsMadge, have you been in touch with the Ombudsman?

Sounds like my mom's care facility or should I say no-care facility
The same man pees all over the place and no one will stop him because he becomes violent which apparently is okay as well

Memory care and especially big memory care is not a place for an elderly woman with dementia - I'm trying to determine the next placement for my mom but there are just so few options

If you'd like to private message me please do so - from my perspective complaints to the executive director have been useless

Are you talking to the staff on the floor, or are you talking to the DON, the Social Worker and the Administrator. Talk to the folks who have the power to change things.

And, if after a reasonable amount of time to correct this problem, you see no change, it's time to bring in the Ombudsman for the facility.