Lessons from Abe – Portrait of Success

I have a picture in my office that I have had for several years.  I bought it back when I was at a particularly stressful facility going through what must have been the world’s worst survey process.  The State just wouldn’t clear this facility an...

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Confusion Over Sexuality in the Nursing Home

Every facility at one point or another will have to come to terms with the expression of sexuality by their residents.  This creates a ton of confusion with the staff, administration, corporate, families, ombudsman, and surveyors. To tell you the truth, it ca...

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10 Deadly Sins of the Nursing Home Administrator

So you want to become a great nursing home administrator? But you find yourself not quite attaining the level of success you aspire to.  Have you asked yourself one simple question:  What am I doing wrong? You want to accomplish great things in this long ter...

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Don’t Change Systems for Personnel Problems

I recently encountered an issue with the way employees are being paid in one facility.  It seems that at one point, the Nurse Administration team members other than the DON – ADON, RN supervisors, MDS, support staff, etc. were all paid hourly.  That&#...

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Nursing Home Survey Preparation Files

Every nursing home is required to have at least an annual survey in the range of every 9 – 12 months.  Of course, if you have complaints or are a focus facility, your survey will have a shortened span between them, every 6 months or so. The goal of eve...

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Managing Upward: Dealing With Difficult Bosses

Almost everyone has one and at times they can be a royal pain!  Bosses!  How do you deal with a boss that has a completely different mindset and personality than yourself?  I have had several real winners in my career ranging from the immature-and-explosive...

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15 Minute Turnaround on Referrals

  One of the first things I learned in the nursing home industry is that when you receive a referral, you’ve got to act quickly to capture it.  A typical scenario is that a discharge planner at a hospital either faxes out a referral to multiple fa...

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