Articles Posted in Selecting a Nursing Home

By law, the staff members employed by California nursing homes are required to report health changes observed in the elders residing in their facilities. Unfortunately, all too often these changes are unreported. The change in condition of a resident may not be reported for a variety of reasons, including fear that the nursing home be may fined for understaffing, or neglecting California elders residing within the facility. In other cases, a resident who has experienced a rapid deterioration in condition, may indicate that isolation, neglect, or even abuse is occurring within a facility.

Failure to report changes in condition to an elder’s doctor and family members is a violation of the law.

Changes in an elder’s condition which must be reported may include, but is not limited to:

For many Californians the time comes when their loved elderly parent or family member may need some help within their home. Whether they need help with meal preparation, personal health and hygiene, or just some help around the home and with errands, finding the right person to care for your elder can be stressful.

Types of in-home caregivers for elders may range from a weekly housekeeper to a certified nursing assistant, or skilled care worker. The range of services provided may be cleaning the home, dispensing medication, helping the elder with transportation, or home care workers may help with personal care such as bathing, and monitoring overall health.

Once you determine the type of care your loved elder needs, there are many places to find compassionate, qualified in-home caregivers. Consider beginning your search by asking for referrals from friends and family, or from a doctor specializing in senior care. You can also check job postings such as those found in the newspaper, or online on sites including www.Caring.com.

Understaffing nursing homes is incredibly dangerous to adults over 65 residing in long-term care facilities such as Southern California nursing homes. That’s precisely why specific laws and regulations are in place which mandate proper staffing at long-term care facilities.

Under California law, “The facility shall employ an adequate number of qualified personnel to carry out all of the functions of the facility” Health & Safety Code § 1599.1(a). Moreover, Health & Safety Code §1276.5-1276.65 mandates that nursing homes must provide a minimum of 3.2 nursing hours per patient per day.

Unfortunately, many facilities choose to ignore the California law. Even worse, the understaffing of nursing homes has been directly correlated to abuse and neglect of elders. Indeed, understaffing in California nursing homes leads to substandard care over and over again. Substandard care in nursing homes then leads to illness, injury, and too often, death.

Understaffing nursing homes is incredibly dangerous to adults over 65 residing in long-term care facilities such as Southern California nursing homes. That’s precisely why specific laws and regulations are in place which mandate proper staffing at long-term care facilities.

Under California law, “The facility shall employ an adequate number of qualified personnel to carry out all of the functions of the facility” Health & Safety Code § 1599.1(a). Moreover, Health & Safety Code §1276.5-1276.65 mandates that nursing homes must provide a minimum of 3.2 nursing hours per patient per day.

Unfortunately, many facilities choose to ignore the California law. Even worse, the understaffing of nursing homes has been directly correlated to abuse and neglect of elders. Indeed, understaffing in California nursing homes leads to substandard care over and over again. Substandard care in nursing homes then leads to illness, injury, and too often, death.

It is no secret that many people have difficulty asking others for help. Elders living in Southern California are no different. Even though physical and mental capabilities may start to diminish with aging, it is still not easy for many seniors to let others know they are struggling.
That is why it is up to all of us to keep an eye on aging family members or friends. Here is a list of warning signs that a senior you love may need help from family members or professionals.

1. Abnormal or repeated phone calls If your grandmother, mother, father, or other elder family members begin making phone calls to you repeatedly, or at peculiar times of day, it may indicate confusion. It may also be a sign of memory loss, or could indicate that the elder is feeling lonely or depressed. If you notice these types of calls, try scheduling set calls with your loved one every day to see if they stick to those times and calls. If they don’t, it may be indicative of cognitive decline.

2. Weight loss/lack of food in the home When you visit your loved one, take notice of their appearance. Are they maintaining a healthy weight? If they’ve lost a substantial amount of weight, take a look in the refrigerator to confirm that there is food, and that the food has not spoiled. If there is nothing to eat, this can indicate that your loved elder is finding it difficult to shop and/or cook, and are thereby not taking proper care of themselves. This may be a sign that they need your help in shopping, preparing meals for the week, or even that they need to see a physician.

3. Mail is piled up, unopened or has not been retrieve from the mailbox When you visit your loved senior, take notice of unopened mail piled up, or even in the mailbox. Signs that your loved elder may be overwhelmed by once routine tasks may indicate that they are feeling depressed or confused.

4. Their home is suddenly messy If your aging parents or grandparents have traditionally kept a neat home, but you find their home is cluttered or dirty, this may be a sign they need help. They may be in physical pain and unwilling to clean, or they may be too tired, or even depressed. If you notice a sudden change in the appearance of the home it can be a warning sign that your loved elder is having a hard time, and needs assistance.

5. Cooking and baking pots and pans are burnt If you see scorch marks on pots, pans, or baking sheets, it may indicate difficulty with short-term memory. Your loved one may be forgetting they have left the stove or oven on after making a dish. This is a warning sign you should never ignore, as it has safety ramifications not only for your loved elder, but also for neighbors.

6. They aren’t changing their clothes or are wearing clothing inappropriate for the weather If an elder you love seems to be wearing the same clothes over and over, or shows signs of poor personal hygiene it may be a signal that they are struggling, mentally, emotionally, or physically. They may have difficulty doing laundry because it is located on a different level of the home, or it may indicate depression, or cognitive decline wherein they are having difficulty assessing the proper clothing to wear for the weather.

7. They are missing doctor’s appointments and/or medication Missed appointments may indicate memory problems, or difficulty in securing transportation to their appointments. This can be dangerous for elders who need medication, so if you determine that they are missing their appointments and and/or are not taking their necessary medication, it may be time to consider hiring help for them.

If you notice any of these warning signs that a loved elder in Southern California may need help, don’t be afraid to speak up. Often times an elder may need something as simple as transportation a couple of days a week, or a housekeeper a few times a month. In other cases, they may need to be relocated into an assisted living facility. It’s important to realize though, that they may not ask for help, so you need to ask them questions, and ascertain as best as you can, whether or not they are still capable of living without any assistance.
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In our last post, we suggested tips for confirming that a potential skilled nursing facility or residential nursing home has the appropriate staff to address the needs of elders with dementia. To recap, dementia is a syndrome in which there is deterioration in memory, behavior and thinking. This causes many who suffer from dementia to lose the ability to perform their regular activities. The most common form of dementia is Alzheimer’s disease, though there are multiple types of dementia.

Elders suffering from dementia need special care when they move into a long term care facility such as a California nursing home. If you are considering helping to move a loved one with dementia into a nursing home, there are specific questions you will want to ask about the services provided for your loved one.

Questions should include:

According to the World Health Organization, dementia is one of the major causes of disability and dependency among older people. Dementia, which is a syndrome in which there is a deterioration in memory, behavior and thinking, causes many who suffer from it to lose the ability to perform their regular activities.

Elders are stricken with dementia far more than any other age group. In many cases, dementia can lead to an elder moving into a longterm care residence, such as a nursing home. If you or someone you know is considering placing an elder suffering from dementia in the care of a nursing facility in California, there are certain questions you’ll want to ask of the facility.

In this post, we will specifically talk about what to look for in terms of the staff of a skilled nursing facility or nursing home. In a subsequent article, we’ll talk about other facility services you’ll want to inquire about.

For many families the decision to help a loved one move into a long-term care facility is difficult. With elder abuse cases on the rise, it is understandable if you have concerns about a particular nursing home that you’re considering for yourself or your loved one.

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Although the decision may be necessary, you’ll obviously want to ensure that you’ve selected the most reputable facility available. To help you in the process of searching for the perfect long-term care facility for your loved ones, here is a list of helpful questions to ask of the facility’s administrators and staff.

*What is the staff to resident ratio?

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Photo credit Matthias Zomer

The decision to place a loved one in a long-term care facility for the elderly can be a very difficult and emotionally demanding process. Both you and your loved one need to take an active role in the decision to maximize the health, safety and well-being of your loved one. Once you have narrowed down your search and thoroughly researched and toured the facility, you should consider the following set of guidelines put together by California Advocates for Nursing Home Reform to ensure your loved one receives the best possible care and treatment.

1. Support your loved one’s transition to the care facility. Open communication is extremely important while your loved one transitions to their new home. There may be feelings of loss or abandonment by the person being placed in the facility, as well as mirrored feelings of guilt or neglect by the person assuming responsibility for the placement. Therefore, it is important to openly discuss these feelings. Make sure your loved one receives a comprehensive assessment upon admission and be attentive to any changes in needs, behaviors, attitudes, and affections during the transition.

If your loved one is suffering from dementia, you should be sure that any nursing home you may be considering is equipped to care for dementia patients, thus allowing for a more beneficial experience for the patient, not to mention a safer one.

Dementia is caused by damaged brain cells, which leads to a deterioration in cognitive abilities, including memory, speech, and

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understanding. Numerous diseases lead to dementia, the most common being Alzheimer’s disease, which accounts for 70% of all dementia cases. Other diseases leading to dementia include Parkinson’s disease and vascular disease.