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Carriage Hill nursing home has proposed changes to get its Medicare and Medicaid funding restored Date published: 6/7/2007
BY JIM HALL Improved communication, tighter supervision and more training for the staff are among the changes proposed at Carriage Hill Rehabilitation and Nursing Center to restore its Medicare and Medicaid funding. The changes are outlined in a "plan of correction" that nursing home officials filed with the Virginia Department of Health last week. Nursing home officials said this week that they will test the improvements this month before inviting state inspectors to return to the Spotsylvania County home for a new review. "We will call and request a survey when we feel we're ready," said Nicole Threatt, new administrator at Carriage Hill. Carriage Hill was sanctioned by state and federal regulators last month after a series of inspections uncovered numerous problems. The nursing home lost its federal Medicare funding, effective yesterday, and will lose its Medicaid funding, beginning Sunday. The home receives funding from one of the two health insurance programs for nearly three of every four residents. Their loss will cost Carriage Hill and MediCorp Health System, its corporate parent, about $450,000 a month. MediCorp officials told residents and families that they would keep the home open. They also said that that residents would not have to pay extra to cover the lost revenue. "We're committed to becoming recertified," said Kathleen Allenbaugh, spokeswoman. Unannounced inspections at Carriage Hill, beginning in December, found problems ranging from residents not getting the care their physicians ordered to equipment not working properly. In addition, an 83-year-old resident died May 1 when he strangled in the nurse-call cord attached to his bed rail. To correct these problems, Carriage Hill has proposed: Holding a staff meeting each morning, to be attended by administrators, nursing leaders and other staff members, to review the health of residents. This daily meeting was one of the first changes Threatt made when she arrived May 14. "We would look at everything from the day before," Threatt said. Spot checks by nursing leaders to make sure that state regulations are met. For example, each week a nurse manager will review 10 percent of all patient records to see if physician orders are being followed. Another spot check will make sure that patients' oxygen equipment is being changed weekly. A third will involve weekly "wound rounds" to make sure residents don't have pressure sores.
Read more stories about Spotsylvania Date published: 6/7/2007
I totally agree with City. We have been through alot recently, all this negativity isnt helping. Whoever LoudAndProud is...should be ashamed. We care so deeply for the residents here, we have strong bonds and relationships w/ our co-workers. Carriage Hill is a great place to work. Its a great place for the residents who live there. Im PROUD to call myself a Carriage Hill Employee. Please stop bashing us. Come see what we're all about. or better yet. TRY WALKING IN OUR SHOES.
-OUR NURSING SHOES!!!! =)
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The morale of our nursing staff is very low, some of us are dragging ours, all these new policies, new procedures, more and more keeps being added to the already overwhemed nursing staff, and to keep reading hurtful coments and remarks from readers and aparently co-workers do not help improve the situation, we have already lost a lot by losing our DON , administrator and losing posibly 2 of our unit managers . By next month carriage hill will be back on their feet , better than ever.
it's such a shame that you call yourself proud cna, the truth is there is no such thing about 2 RN'S and 3 CNA'S to 30 patients, there is 1 LPN to 30 patients, the truth about day shift picking up the slack for everybody is not, the truth the patients are in bed till noon is also a lie, more than half are upby 8am in A-B wing and C wing. short staff is more than 90% of the nursing home institutions , you are so unhappy there why dont go elsewhere.
THE TRUTH HURTS.
7am-3pm: Short staffed. residents haven't been getting up until noon beds aren't made, residents left in dirty briefs since waking
3p-11p shift- Seems to always be short staffed. They not only complete responsibilites for thier shift, but also do what the other shift didn't take care of. Things dont always get done on time because they have such little staff.
11pm,-7am Short staffed as well & They sleep during shifts!
The 2 nurse and 3 CNAs per unit is false.Its 1 nurse 2 CNAs, maybe 3
the saving grace in this story is staff like "city" who take pride in giving their best effort despite limited resources . They want and deserve respect for the often thankless good they do. It is heartening to know that their patients are mostly regarded and treated as members of their own families. To Medicorp, and biological family members who dump their elderly in these places: shame on you.
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