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Including the social worker, some nurses, aids and director of nursing. Many have been reported by many families and some of them turn them against you.They get by with it. You cannot ask questions. Help! They plot and when you go to a supervisor that you know would get things done they become more mad. Things are missing from the rooms and they use personal belongings as if it's theirs. It's a mess. When it comes to the care planning meeting they get upset that you have to report things over and over because they keep doing the same things and you fill out a concern form and they try to use it against you.2 people are to use a lift and you catch them only with one person,beds and chairs smells at times. they become angry if they have to use a lift to put others in bed or their chair. They stand around and gossip about the families and the residents as if it's a joke. It seems as if the administrator doesn't care. What else can the different families do. They even hate to change the residents. Sometimes they have sat in their feces for hours and it turns your stomach. But at the same time they don't want the family to say a word. Turn over is terrible. It's as though they hate you without a cause. Many families are there at the NH mostly all day and every day because we love our love ones.

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All nursing homes are not like that. Maybe it is time you looked for new placement for your loved one.
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the idea of going and being there frequently and for a long time is a good one. plan your visit so you are there over the course of a few different shifts and bring your camera to record anything you see, because if you can put photos to your notes and observations this is very powerful when you finally come to assembling these and providing your report to the various entities people have mentioned here. You will be surprised by the power of photos to support your observations.
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Call the Ombudsman and write to the Joint Commission on Nursing Home Accreditation. And find a new facility.
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You mentioned that " turnover is terrible" I take it that means you are seeing different staff all the time, no one stays for long.A high staff turnover is a BIG red flag, get your loved one to another facility.
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The kind of attitude you're describing can only be changed from the top. And if the Director of Nursing shares it, that whole NH has a major problem. Van's approach is the correct one: don't get mad, don't get heated, get stony-faced and doggedly report the facts as they arise. I'm afraid you have not a fight but a long campaign on your hands.
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Put every one of your serious complaints in writing to the appropriate supervisor and copy the administrator. Save copies of everything you write. Take your Cellphone with you and take pictures. Print them out and save them -- send them with your complaints.

This kind of attitude by staff comes from the top down. No one is being held accountable and the inmates are running the asylum.

More important! Get your loved one moved to another facility as quickly as you can.
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This place sounds like you need another facility for your loved one. Do it immediately. You can also make your concerns known to the licensing board in your state which regulates standards of care for nursing homes.
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Sounds like a terrible facility, if you have a choice, move. If not continue to report, in fact step it up until bad personnel is gone. Go above their heads, contact the management. Complain to the Dept. of Heath of any other regulatory agency you can think of, Social Services, etc. Take action. It is unacceptable to leave anyone unchanged if they are soiled. Both for dignity and hygiene reasons. Be there often and for a long period of time. Don't engage the staff in petty arguments, just observe and report. Again, go to management.
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I agree, find another facility. Seems that the powers that be aren't doing their jobs and so the employees are getting away with murder. This is not the norm. Believe me. I have a daughter who has worked in the system for almost 20 yrs. She as an LPN could write up CNAs and get them fired. An RN could write up the LPNs. Three Xs and your out. And believe me, my daughter has gotten CNAs fired. You will always have your good employees and your bad. When you come across a bad one, talk to the Director of Nursing I had one who intimidated my Mom. When my daughter came in, I told her and she went right to the DON. That CNA never saw my Dad again. I agree that the state should be called. I will lay you 2 to 1 they have fines against that facility. In Delaware where my daugher works, seems they are always inspecting.
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I agree with Van. This is a situation you cannot change. On the other hand those of us who do have loved ones in such facilities, know that states regulate the numbers of patients to staff, as well as the training of social workers. I have noted over the years that this has changed. For example in Oregon the ratio of nursing staff to patient is DOUBLE to what it is in INDIANA!! Medicare reimbusement is the same, so this money goes up to the top. In Oregon, social workers had bachelors degrees and in Indiana they take a 6 days worth of training! The lack of professional staff make a huge difference in the "culture" of a nursing home. I too have been totally disgusted by nursing staff, and at other times find a great nurse who really cares. State Board of Health should be notified, you might also write a letter to the editor in your local paper.....lots of people read this......but look for another place!
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