What do you all feel are fair expectations of how our loved ones are cared for in their various living arrangements?
Mom first lived (for almost 2 years) in the independent side of her facility, then last January we moved her to asst. living and then when she broke her hip in June we moved her to the Alzheimer's locked unit in late July directly from rehab for the hip surgery.
We were happy with the independent side...we were happy with the Assisted living arrangement...but the locked unit, um, not so much.
They are woefully understaffed.
There is one aid on duty from 11 pm to 6 am when another person joins her for an hour til 7 and then the day shift of 3 or 4 comes on. The 3 to 11 shift has two aides. There are 24 residents.
We have hired a night private aid (from 8 at night to 7 in the morning) to stay with her because one aid checking on all 24 of them didn't make us feel very secure ... we know she will try to get up and believe me, we do not want another broken hip!!
The private aid also does mom's laundry and showers her and gets her ready for bed.. This is stuff the regular aids would be doing.
The afternoon shift has had difficulties with mom's moods...should I remind them she has Alzheimers?? (sarcasm) They say she throws her shoes, along with profanity!
Anyway, I finally told them maybe she wants her shoes off...maybe after having them on all day her feet hurt. She takes them off...they put them back on and the fun begins. I asked them why they give them back to her???...if she is throwing them, it makes sense to me to put them away. Her shoes look to have tape residue on them as though they taped her shoes on. I have the shoes and have told both the nurse and the woman who is the supervisor on that floor about it and told them to make sure nothing like that is happening!!
Mom's night aid has said mom is now sitting with her shoes off when the aid shows up at night.
Her night aid also shows up at supper time to make sure mom is eating...(on her own time) she, the private aid, feels they do not pay enough attention to the residents....especially the ones, like mom, who have difficulty feeding themselves.
That brings us to what happened yesterday. Mom fell. Mom's private aid got there last night and she was told mom fell...the private aid asked the nurse if an accident report was made and they denied she fell. (She fell)
Mom complained of her arm hurting through the night so the private aid called us and when we got there this morning we checked her out and, thankfully, she was fine.
The day nurse said the day aids say we should pull her private duty aid off the overnight shift and put her on the day shift when they say mom needs help most. ..oh, and by the way, the afternoon shift says the same thing.
I refused, overnight is when we are the most concerned with her getting up on her own. And, yep, she tries it. It would do no good to put the alarm on her...she would break the connection constantly...and with one aid at night on the whole floor with 24 residents she would be running herself around like a chicken with her head cut off...which is why we have the night private aid.
When I questioned the nurse this morning she made it sound like mom was in her room alone when she fell..that they found her sitting on the floor and when they asked her if she fell she said no and they BELIEVED HER!!!!!!!!!!!!!!! What the...
Let me tell you..she doesn't even know which room is hers! And she isn't supposed to be in the room alone in the first place so if she doesn't know how to get there did they take her because she was agitated and they wanted to get her out of the way? I don't know. And get this, the nurse said that she was agitated yesterday so the aids had to spend one on one time with her to calm her down. Really?? Is that above and beyond the call of duty to have to spend one on one time with a resident in the locked unit because they got agitated?? Come on.
I asked the nurse where the staff was when mom fell and she said maybe they were getting things ready for supper in the dining room, leaving the residents alone in the Tv room and the hallway. ..which means, no one had an eye on these people..the ones who sit and sleep and the ones who don't.
As we left with mom this morning (we take her to lunch with us on Sundays)
I told the nurse that I would talk to the director of the whole place since it sounds as though they aren't well staffed and must need help.
I got back from lunch and as soon as I got there the stories started to change....no one knew nothing about where she fell and everyone I talked to said they weren't there yesterday. So it is all a mystery...nobody knows nothing..but I did tell them again I was planning a meeting to discuss this all with the head honcho. Me, my husband and my son, her POA.
Mom has been walking for over a month now but she is still in the wheel chair when there. When I pick her up (4 times a week) we don't use the wheel chair. We use her walker. Though she is walking pretty good, she isn't steady enough to be doing it on her own so we stay right by her side. The problem is that she gets up and down from the wheel chair so they do have to keep an eye on her..so we thought it would be best to just leave the walker with her..that way if she gets up from a chair she will at least have the walker for stability and support..
We are going to make an appointment with the head guy for sometime this week..I want to know from him what we can reasonably expect as to her safety and what does he personally expect from his staff.
I expect someone's eyes to be on these people at all time.
I expect my mother's shoes not be taped to her feet.
I expect that I should be able to go home after seeing her there and not have to worry about what kind of care she is getting when I am gone.
I expect the staff to care for her and not request I pay for private aid round the clock care.
(her private aid is furious at all this..she says they are all just lazy and if they can get family members to provide private care it is one less person they have to deal with)
One other problem is that I can't bring up the private aid and what she knows because she is concerned they will ban her from the building.
We have thought about moving her to another facility but we just hate to have to do it. It would be one more move and no one would know her. We specifially chose this location so that as she advanced she would be with people who knew her before things got so bad.
So there you have it..if it ain't one darned thing, it's another....and another and another.