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  • What Needs to be Done to Improve Nursing Home Care

    Over two decades ago the report from the Institute of Medicine (IoM) led the way for monumental changes to take place within the nursing home industry. The report of the IoM basically stated that nursing homes needed significant reform and that it was an industry that was loosely regulated, potentially compromising the lives of many who ...
    Posted to Gerotalk (Weblog) on January 28, 2015
  • More Changes in LTC Populations

    In previous blogs I have spoken about the changing trends in nursing homes. One of the trends I have mentioned is the increasing number of residents in nursing homes who are in the young adult and middle adult ages. This is adding to the complexity of the nursing home environment. Moreover, understanding and implementing different ...
    Posted to Gerotalk (Weblog) on February 22, 2011
  • The Next Culture Change

    Read my latest Gerotalk web column - ''The Culture, She is Changing'' - on How do you think the influz of baby boomers will affect your community and how are you preparing for it?
    Posted to Gerotalk (Weblog) on March 23, 2010
  • We Still Have A long Way To Go

    With all the changes that nursing homes have undergone during the last 20 years, we still have a considerable way to go.  Even with nursing home reform that started slightly over 20 years ago, especially the movement to make the nursing home environment more homelike, the changes that have been introduced still have not eliminated the ...
    Posted to Gerotalk (Weblog) on November 19, 2008
  • The Social and Economic Impact of Census and Resident Mix in Long-term Care

    The long-term care landscape has changed and will continue to change. One of the greatest changes that have been found in long-term care is in census, or the residents that are found in long-term care, often referred to as resident mix. As census has changed, so has the social and economic impact found in long-term care, and the ...
    Posted to Gerotalk (Weblog) on January 30, 2008
  • Hot Button Topic: Is the Type of Nursing Home Ownership Important?

    A recent September 2007 New York Times article entitled, At Many Homes, More Profit and Less Nursing, discussed the issue of profit and ownership, especially by private equity firms. This article especially was quite critical of many companies that reduce important nursing staff to enhance their profits. For those nursing homes, especially those ...
    Posted to Gerotalk (Weblog) on January 22, 2008
  • Root Cause Analysis—Starting Out With A Problem, Part I

    Nursing care facilities are faced with a myriad of problems daily.  In addition, solving problems in nursing care facilities is often far from simple solutions.  However, those that work in long-term care administration have often heard of the phrase-looking for the root cause.  Its use in long-term care has often become ...
    Posted to Gerotalk (Weblog) on December 11, 2007