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About the NYT Article: Profits over All Else
Published Sep 27, 2007 in Employment Issues, For Administrators. DON's, For Families, General, LTC Politics, Medical Ethics, News, Nursing Homes, Opinion
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Some have read the article at the NYT about nursing home investors buying up homes, cutting back services to the point of near neglect, and selling the properties for a huge profit. This is an awful horrible thing to read about, but it’s been happening a lot longer than some think. Those of us who have worked for chain owned facilities KNOW of the cutbacks and supply shortages, and many of us learn to work around it. When we do that, we enable this scheme to continue. When we make excuses for these places, when we claim it’s “not that bad”- we are allowing some terrible wrongs to happen. We’re fooling ourselves just a little; but in fact we are fooling the public a lot. One thing about this: We may not even be aware we are employed by one of these nursing homes believe it or not. IF you were hired by an outside group, and IF the facility places limits upon basic supplies AND there are a very few RN’s in house, you probably work at an facility that is being managed under this profit driven scheme.

Nonetheless, the details of the article are ethically wrong and we would all do the entire industry a favor by refusing to work at facilities owned by these groups; families and doctors would be wise NOT to allow an admission and investors would be shocked to know they are party to such neglect- investors are often people like you and me- who buy some stock hoping to make a little profit. Being assured by the holding company of good care and all, and having little real knowledge of the industry, investors continue to buy.

This should also serve as another reason we need to work towards getting people out of nursing homes. The desire to earn a few million bucks on the lives of our most treasured and vulnerable people is inexcusable. But money talks- our elderly often won’t.

We would be very interested in hearing from more aides who believe they are currently or have, in the past, worked for a home managed like this.

5 Responses to About the NYT Article: Profits over All Else

Holly
Published 27 September, 2007 in 8:46 pm

That was very confusing to read. I think I get it though- these people come together and invest money- which is broken down into smaller companies that each have something to do with a nursing home? These companies don’t really exist though. A staffing group; another group that owns the buidling; another that does soemthing else.

In the end, the management group cuts staffing and supplies and probably lots more. A huge profit is made and if a lawsuit or bad survey happen, they cannot find someone, anyone to be accountable.

This is terrible and according to t his article it’s kind of new method to get around the regs.
Unions wouldn’t have a chance in these places.

Neither would the residents. Just damn.

Kim
Published 28 September, 2007 in 10:57 am

No, it is set up so staff have no rights. The nursing home itself does no hiring. An offset group does this- like Manpower. Nurses and aides work for the offset group- who call the shots regarding pay and benefits. The facilities get to chose how many staff it will hire; and directs the staffing group to take care of human resource type issues.
I did not read anything about how worker comp issues are handled- but I suppose it would fall to the staffing group as well.

Madia Middleton
Published 10 October, 2007 in 8:20 am

I worked in a facility that sounds like a similar situation. That facility closed over five years ago and has not been sold yet, we figure it has been a huge tax write off for the corporation (s) which own it. Something is very wrong when the staff are buying hygiene supplies ( shampoo, tooth paste, brushes, etc.) on a regular basis for the residents of any facility, as was the case at the facility where I worked.

Cheryl
Published 10 October, 2007 in 8:55 am

I have done this- bought my residents soaps and the like. Usually I do this for those who have no family or friends. The nursing home stock supply of soaps is too harsh, I think.

I don’t understand how this ivestment thing works. Is it illegal? Or just unethical? If it’s ellgal then we would know I guess…it’s really wrong though.

Patti
Published 12 October, 2007 in 10:59 am

The management structure of these groups makes it nearly impossible to hold anyone accountable; the staff have no chances of unionizing because they use different hiring groups for staff; the nursing homes are not the employer- we need to really look at this.. It’s really shabby business practices but it makes money.


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