Nursing home culture is critically important to resident care. News stories and blog posts discussing specific instances of elder neglect always follow a predictable pattern: a resident was hurt, a specific caregiver is cited for problematic actions which caused the injury, and some discipline or punishment was doled out to that caregiver. The downside to this repeated narrative is that it may create the impression that all instances of mistreatment is nursing homes are caused by specific workers who make mistakes.
That masks larger problems about general lack of attention to resident safety by entire nursing home teams. The culture at a facility among employees sets the stage or future care. If cut corners or focus on profit maximization becomes the norm, then it is just a matter of time before a senior resident is harmed as a result. When the harm occurs, one specific employee may have made a mistake, but the problem is far larger than a single errant person.
This is why the same low quality nursing homes often have multiple neglect lawsuits and allegations of mistreatment—it is a cultural problem. In fact, in an “exception that proves the rule’ situation, there are times when mass mistreatment is uncovered implicating many different employees at a single facility.