|
Very
interesting….how many residents in each neighborhood and how many CNAs? -----Original Message----- The
neighborhood concept is fairly new. Each hallway is a neighborhood.
We have “Camellia,” “Azalea,” “Magnolia”,
and “The Arbor.” Each neighborhood has consistent team
members that provide care. Each has a CNA team leader on days and
evenings that is responsible to ensure CNA care is provided not only accurately
and timely but also by resident’s preferences. The whole idea is
for care to be provided by resident preference. Each neighborhood is
responsible for doing 1-2 activities per shift in addition to the structured
activities provided by the activity department. Any resident from any
neighborhood can attend activities on another neighborhood. Some of
activities have included, bus rides to see Christmas lights, making Christmas
ornaments, decorating Christmas tree, reading books and discussing them,
etc. The residents feel more comfortable now and are provided with their
preferences concerning bath times, etc. Our Administrator and dietary
department are looking to go into a buffet style meal so that residents can eat
at whatever time suits them, i.e. breakfast at 10:00 am if this is their
choice. Brenda
W. Chance, RN, RAC-C MDS
Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any
attachments, -----Original Message----- “We
use the neighborhood concept which allows us increased staffing ratios which
provides better care” What is the
neighborhood concept? -----Original Message----- I currently
work in a CCRC. There are some differences, but, basically, if you are
working on the skilled nursing unit, then you will continue to follow federal
regs just as before. The main differences I have had are the following: 1. Not all of our beds are Medicare
Certified, so this has been a challenge for me to get used to the fact that
some residents will waive medicare benefits to stay in their customary private
room. Also, sometimes, when our independents come in and we do not have a
private room in a certified area (only a semi-private), they too will waive
benefits. At the present time, we only do MDS’s for our residents
in certified beds, but, soon, we will be doing them on our noncertified beds
just to do better care planning and assessment. 2. Families and residents are much
more demanding and have better knowledge bases of their disease
processes. Of course, at times, families feel that they are more
competent to take care of their family members. This has been a real
challenge to re-educate families. Also, they are resistant at times to
following federal regs and feel that because they have money, they should get
what they want. 3. We use the neighborhood concept
which allows us increased staffing ratios which provides better care. 4. You will find that there is more
money for better equipment, etc. and I feel that we provide better care based
on our staffing ratios and more up to date equipment. We also have more
staff education due to money not always being an issue. I highly
recommend working at a CCRC. You have more room for advancement in the
future as well as watching the resident from the independent to higher levels
of care. I know many of the independent residents so this makes assessing
and care planning easier since I knew their baseline before they came to the
skilled unit. Brenda
W. Chance, RN, RAC-C MDS
Coordinator CONFIDENTIALITY NOTICE: This e-mail message, including any
attachments, -----Original Message----- I'm going for an interview for an
MDS position in a new
CCRC. They are currently under construction and will be opening in
the next few months-37 beds with three neighborhoods-post-acute/rehab, dementia
and LTC neighborhoods. I'm excited for the opportunity but hesitant
as my employment has been in SNF's including hospital-based, and other
traditional LTC's in the past. Hoping we have some listserv members that
can help with advice about CCRC's and interview considerations i.e., is MDS
staffing ratio similar for this environment and do you complete RAI process for
all beds or are only a portion of them in your CCRC certified? |
- CCRC-continuing care retirement centers Rncatfl
- RE: CCRC-continuing care retirement centers Jamar, Mary Jo
- Re: CCRC-continuing care retirement centers carol maher
- RE: CCRC-continuing care retirement centers Brenda Chance
- RE: CCRC-continuing care retirement centers Brenda Chance
- k.karren
