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These days, with everything happening in long-term care, discussions are often focused on minimum staffing, lack of staff, increased enforcement, and focus on quality of care and technology.  That’s...

My focus on the importance of the medical director in improving nursing home quality occasionally gets pushback from family members who have had negative experiences with doctors in nursing homes. Those...

Certified nursing assistants (CNAs) are the backbone to most long-term care organizations. In addition to national efforts to increase CNA wages and benefits and standardize CNA career pathway models currently...

I and most other humans I know are obsessed with steps, and not just of the 12 variety.  We wear tracking devices 24/7, like an entire society under house arrest, and monitor step counts with religious...

In a column published by McKnight’s in December 2023, “Revamping CMS Survey Data Integration Amid Regulatory Lag in Nursing Home Oversight,” I urged the Centers for Medicare & Medicaid Services...

When I was 11 and 12 years old, my older brother and I spent two summers with my grandparents, who lived on a lake in the Northwoods of Wisconsin. It was spectacular. They owned 10 acres of undeveloped,...

The Mother loved flowers, gardening and butterflies. She was a master shopper and enjoyed the hunt for a good sale. The first incident occurred in a butterfly exhibit. Butterflies were flying around them,...

Raising children, like providing patient care, requires a plan. The older our children become, like when patients show progress, the more freedom they should be allowed. The guide book for plan of care...

I’m starting to sound like a broken record (vinyl is coming back; the kids know what I mean), but I recently heard a therapist say the patient’s progress plateaued, so we have to stop therapy. Again. ...

Skilled nursing facilities have faced unprecedented challenges since the outbreak of the coronavirus pandemic. Individuals with many high-risk characteristics are the typical patients of these facilities....