How to identify a bad nursing home

“How to Identify a Bad Nursing Home”

Care plans

Good Care plans are specific and individualized. They reflect the resident’s concerns, preferences, well-being, and functioning. These plans also changes as the resident’s needs change.

Poor care plans are written with general or generic goals that don’t reflect the resident’s individual needs. They often ignore the resident’s ideas or preferences and typically stay the same with very few changes in goals or approaches.

• Care plans are essential to provide individualized care for a nursing home resident • Each care plan should reflect the individual its referring to in order to assure optimum care and therefore cannot be generic
Seven common problems

1. Not being taken to the bathroom when the resident needs to go which leads to incontinence 2. Not getting enough fluids leading to dehydration 3. Not eating enough resulting in malnutrition 4. Poor hygiene as a result of not being groomed properly 5. Pressure sores due to lack of preventative skin care 6. Contractures (shortened muscles) which are a result of not being helped with range of motion exercises or physical therapy 7. No encouragement to retain independence leads to loss of ability to eat, dress, walk, bathe, and get out of bed which ultimately results in increased dependency
Refer to the second edition of Nursing Homes Getting Good Care There for more information.

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Illinois Department of Public Health (IDPH )

The Illinois Department of Public Health is responsible for monitoring the quality of care in Nursing Homes. The IDPH suggests these considerations when trying to identify a poor nursing home.

1. Accident prevention: if a nursing home contains many hazards this can be dangerous for its residents. There should be handrails in hallways and grab bars in bathrooms to increase safety.
2. Fire Safety: If a home has not been cleared for fire safety within one year it can be hazardous. A good facility must also comply with state codes.
3. Inspection Materials: Facilities are required to have a list of materials that is available for public inspection. If the facility does not have the necessary information or it refuses to allow inspection, a complaint should be filed.
4. Dining Rooms: they should be inviting and comfortable. Also, the food should be pleasant tasting.
5. Kitchen: It is important for food prep, garbage areas, and dishwashing areas to be kept separate from one another.
6. Activity Rooms: All Nursing Home facilities should have sufficient space for activities.

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