Skilled Nursing vs. Assisted Living

I’ve heard a lot of discussion about the lines blurring between skilled nursing and assisted living. Some assisted living communities are caring for residents who would have been in skilled nursing years ago.  Yet in other communities, they’re focused on … Continue reading

Posted in Executive Perspectives on Staffing | Leave a comment

What Does Your 2012 Look Like?

What will you do differently in 2012 than you did in 2011? I’m thinking about this question for myself, both professionally and personally, and wanted to pose the question to all of you in long-term care and senior living. There … Continue reading

Posted in Long-Term Care Trends and Issues, Staffing Best Practices | 1 Comment

Overtime Gone Wild

I just about fell out of my chair when I read the headline about a nurse who made $270,000 in one year thanks to some, no make that A LOT, of overtime. Seriously?  Well, yeah, seriously. That’s the truth. And … Continue reading

Posted in Long-Term Care Trends and Issues | Leave a comment

Evolution and Action at the LeadingAge Conference

So much attention has been paid to Medicare cuts that it’s almost like a black cloud is following long-term care. There’s no question the impact of the cuts is significant. But after spending some time at the LeadingAge Conference in … Continue reading

Posted in Staff Scheduling from the Experts | Leave a comment

Move Over, Gloria Gaynor

The headlines in our industry as of late have been filled with some real downers: Cuts, Reductions, Survival, Fight of Our Lives, and the list goes on…  There’s good reason, given the 11.1% Medicare cuts that went into effect less … Continue reading

Posted in Long-Term Care Trends and Issues | Leave a comment

No Room for a Defeatist Attitude in Staffing

Have you ever seen an ironman competition in person? Amazing. Wake up at 5am and make your way down to watch thousands of athletes tread water for what seems to be an eternity.  Then – Bang! Each athlete is off … Continue reading

Posted in Staffing Best Practices | Leave a comment

Managing Costs During Challenging Times

We at OnShift are seeing a variety of reactions in long-term care and senior living to the Medicare cuts that hit October 1st. Some are in panic mode, fearful they’ll have to shut their doors because the cuts will so … Continue reading

Posted in Long-Term Care Trends and Issues | Leave a comment

AHCA 2011: Time to React

The mood of the American Health Care Association’s annual meeting was unlike years past.  At the keynote address, AHCA President and CEO Mark Parkinson proclaimed that massive cuts to Medicare and Medicaid have providers “fighting for their survival.” This was … Continue reading

Posted in Long-Term Care Trends and Issues | Leave a comment

An Avalanche of Reimbursement Cuts

$79 billion. Wow! That’s how much skilled nursing facilities stand to lose over the next 10 years due to the 11.1% reduction in Medicare payments, according to research from Avalere Health.  Long-term care has never seen such massive cost cutting … Continue reading

Posted in Executive Perspectives on Staffing | Leave a comment

Understaffing Under Scrutiny

The issue of adequate staffing in long-term care is once again in the spotlight. This time, HCR Manor Care was slapped with a $91.5 million negligence verdict in a case involving the death of a resident. Lawyers claimed the nursing … Continue reading

Posted in Staffing Best Practices | Leave a comment