Favorite team:LSU 
Location:BR Area
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Number of Posts:41
Registered on:7/21/2007
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re: Nursing home talk

Posted by SnoopyD on 11/2/22 at 9:52 am to
This is going to be a long post—

I have worked in Long Term Care for 15 years. There are some bad apples. There is no denying that. That said, there are some fantastic facilities run by fantastic people. Great care provided by folks that are here because they love your family member and want them to be cared for properly. Go to the facility. Meet with leadership and tour the place. Take a look at the residents as you go around. You will be able to tell in a hurry if it’s a place you want your loved one to be. Are they smiling? Is staff interacting. Do staff members greet you as you walk through. General customer service toward an unknown visitor tells the story. You won’t run into a place that treats you well on an unexpected visit then turns around and systemically mistreats the residents. It is a people business so things won’t always be perfect. But you need to be able to relay concerns to the leadership team and trust that they will address and correct them.


But with all that said, I would like to touch on a couple of topics that have been brought up.

Evacuations—one company recently did a bad job at storm evacuation time….it was a mess and uncalled for certainly. Legislation has been passed that changes the planning and review process. I pride myself, as does my whole gang, on being ready for the unexpected. Our plans and and execution of them go off well every year, whether evacuating or sheltering in place. This is the case at nearly all facilities.

Lobby/moratorium—yes we have a strong lobby. We have to, otherwise our legislators would gut our industry. The public can’t expect elite care and facilities with bottom of the barrel funding. No business can provide adequate service with out adequate revenue. And the moratorium is a good thing for resident care. We are all short staffed. This goes back to before Covid and is significantly worse now. If you allowed facilities to pop up all over the place, you would have a bunch of half empty and even more poorly staffed buildings. Refer back to the revenue concerns above. Each parish has a number of beds allowed per need.

Chemical Restraint—-this just doesn’t happen any more. We are so regulated that it’s usually the opposite. I have families begging for us to increase medication to help manage behaviors issues, but regulations won’t allow it.

Cameras—the law passed requires the family to meet requirements to place the camera, including provision of separate internet access. This isn’t a facility decision. Regardless, in my professional opinion, if you feel you need a camera in room where the most personal of care occurs, you need to find another place. You have to be able to trust the facility, and we have to earn that trust.


Sorry for the long rant, but we always gets bashed when healthcare is discussed. We work so hard every day, 24 hours a day, to care for our residents. They are our family too. As in every business, there are good and bad apples. Take your time and find the right one. I’m in the BR area and would love to have you come by and visit.

re: Nursing home talk

Posted by SnoopyD on 11/2/22 at 9:50 am to
This is going to be a long post—

I have worked in Long Term Care for 15 years. There are some bad apples. There is no denying that. That said, there are some fantastic facilities run by fantastic people. Great care provided by folks that are here because they love your family member and want them to be cared for properly. Go to the facility. Meet with leadership and tour the place. Take a look at the residents as you go around. You will be able to tell in a hurry if it’s a place you want your loved one to be. Are they smiling? Is staff interacting. Do staff members greet you as you walk through. General customer service toward an unknown visitor tells the story. You won’t run into a place that treats you well on an unexpected visit then turns around and systemically mistreats the residents. It is a people business so things won’t always be perfect. But you need to be able to relay concerns to the leadership team and trust that they will address and correct them.


But with all that said, I would like to touch on a couple of topics that have been brought up.

Evacuations—one company recently did a bad job at storm evacuation time….it was a mess and uncalled for certainly. Legislation has been passed that changes the planning and review process. I pride myself, as does my whole gang, on being ready for the unexpected. Our plans and and execution of them go off well every year, whether evacuating or sheltering in place. This is the case at nearly all facilities.

Lobby/moratorium—yes we have a strong lobby. We have to, otherwise our legislators would gut our industry. The public can’t expect elite care and facilities with bottom of the barrel funding. No business can provide adequate service with out adequate revenue. And the moratorium is a good thing for resident care. We are all short staffed. This goes back to before Covid and is significantly worse now. If you allowed facilities to pop up all over the place, you would have a bunch of half empty and even more poorly staffed buildings. Refer back to the revenue concerns above. Each parish has a number of beds allowed per need.

Chemical Restraint—-this just doesn’t happen any more. We are so regulated that it’s usually the opposite. I have families begging for us to increase medication to help manage behaviors issues, but regulations won’t allow it.

Cameras—the law passed requires the family to meet requirements to place the camera, including provision of separate internet access. This isn’t a facility decision. Regardless, in my professional opinion, if you feel you need a camera in room where the most personal of care occurs, you need to find another place. You have to be able to trust the facility, and we have to earn that trust.


Sorry for the long rant, but we always gets bashed when healthcare is discussed. We work so hard every day, 24 hours a day, to care for our residents. They are our family too. As in every business, there are good and bad apples. Take your time and find the right one. I’m in the BR area and would love to have you come by and visit.

NOLA Business Dinner

Posted by SnoopyD on 9/19/22 at 11:33 am
Anyone have a good recommendation for a weeknight business dinner for 30 or so people in New Orleans?
Medicare-covered skilled nursing services are a different discussion. A private pay resident should always carry a coinsurance to avoid any out of pocket expense in this situation.
As many have already said, it is not an easy road. It’s also impossible to predict the path your loved will take in the disease process. Try your best not to argue to prove the truth. All that will do is frustrate both of you. Love on them and find the humor where you can.
The daily rates in Louisiana typically go by the rate Medicaid sets for the facility, and that rate is established by the average level of care provided to the resident population. The facility isn’t asking for financials to “bleed” anyone, rather to be able to assist in the Medicaid application process. Often facilities will help families navigate the best way to protect as much of the resident’s assets as possible. Also of note, the facility gets paid the same regardless if a resident is private pay or Medicaid approved.

re: Water pressure question

Posted by SnoopyD on 4/25/21 at 1:25 am to
I do have a tank that can be adjusted but it’s coming out of there just fine. The line from tank to the first spigot is 50-60 feet and runs under ground. From there I go up and over. There’s not really an option to stay low. Going to add a lift station just north of the first spigot and see how that goes. Will report back.

Water pressure question

Posted by SnoopyD on 4/24/21 at 5:41 pm
My barn area is on well water at about 30psi. The hose bib where water comes comes in has great pressure. I ran pex up and over to the other side of the barn for a couple more hose bibs. Those obviously have lower pressure. It hasn’t been an issue until trying to add a mist irrigation system for new garden boxes. I can’t go underground all the way as there is concrete in between. Anyone have a solution? Pump? Regulator?

re: Long Weekend Trip Ideas

Posted by SnoopyD on 3/16/21 at 11:45 am to
We are going to do something on the RTJ trail. I’ve played the mobile and point clear courses and another has played the Prattville courses. It is purely and golf, eat, drink, relax trip so night life not a big selling point.

re: Long Weekend Trip Ideas

Posted by SnoopyD on 3/15/21 at 11:14 pm to
quote:

add one hour and do Texas hill country


Thanks! Any courses/resorts in particular?

Long Weekend Trip Ideas

Posted by SnoopyD on 3/15/21 at 9:58 pm
Looking for a location for 3-4 day guys golf trip. Somewhere within 5-6hrs of Baton Rouge. What courses/resorts would you recommend?
I have 7 mallards that I can let go. We hatched them at our place. ~3months old.
In the long term care setting, the setting where i make my living, this thing is impossible to stop once it’s in. Your got an infection that that is contagious but invisible for 4-11 days, as we have been told. We, along with many of my colleagues and counterparts, have done everything we have been instructed to do. We have been ahead of most of the the guidelines from CDC, CMS, And the LDH. Even though we have done that, infection is still spreading. You couple that with residents who have most every comorbitity that you should avoid, death is a real possibility. That said, you won’t hear about how the majority of our residents have or are recovering.

We have a strong lobby, yes. We have to have that or we would be even further underfunded, but no one wants to listen to that.
You know how I know you don’t know what you’re talking about?
Baton Rouge Area

Empire Plumbing
Dupont Electric
Bush Mechanical
I just lived this the hard way, albeit for a huge project. We didn’t get them, at the direction of a contractor who turned out to be a piece of shite. We paid in a huge way financially and time-wise.

Get the permit. It’s cheap and painless. You just have to do things the right way, which is a good thing anyways.
The dummy knobs option is what we are on as of now. I just don’t want to have a door that I can’t unlock from the outside of the room.

Interior door handles for thin doors

Posted by SnoopyD on 5/3/19 at 10:25 am
I am finishing a renovation at our house and am having trouble with interior door handles. We installed mix and match old doors. Some are as thin as 1 1/16 inches. Any recommendations on where to look?