the truth eeps marching on it is cheaper to pay for an individual to stay in their home than to house them in a warehose for the nearly dead that includes mentally unstable and vilent residents andnot obly wull they be happier they will be safer. nusing homes dont care who they take in because they care more about filling a bed with complete disregard for the safety of the other residents. anyone considering placing a loved one in a nursing home should strongly consider this fact before condeming to a life of misery and possibly their personal safety. reember most nursing homes are for profit typivally owned by individusls or corporations that have nothing to do with the actual operation of these facilitirs they hire management companies to run their faviities and the bottomline is foe them to make money for their owners how do they do that? they will take anyone even those without insurance or the mesns to pay aslong as te facility believes they can get them medicad approved within a short period of time and the facility will take these castoffs in anticipation they will get paid for the time while a resident is medicad pending these facilitieshave social services stafwhose main jobis to admnit a resident apply for them for medicad or medicarethes social services staff ar experts at applying for and getting these pending residents approved and then the facility will gwt reimbursed for the time the resident has already been there aswith the hotel industry its a game of occupancy to make money granted some residents do not have any other option especially when their families are tired of taking care of them and their guilt is assuaged by knowing that their family member is recieving three meals a day a bed to sleep in showering rooms anf their diapers changed yes most residents wear diaperrs if they need to be here most are incotinentor have given up normal self hygiene typically cnas certified nursing assisants are the front line for these jobs of caring for the daily neds of the resident most cns have recieved their training for certification in special schools pffering quick study to pass their cna test and rhen they are typically hired by the lowerpaying facilities at rates just above minimum wage and recieve their actual training on the job for a couple to a few days before being assigned to a to group of residents many are foriegn nationals who speak little or poor english and often have to rely on the resident to tell them what they are supposed to do nextas they have reached the limit of their training rsidents often complain about how little cnas really know most have no medical knowledge and when confronted with an issue they are not prepared to deal with will simply turn around snd leave the room to summon a nurse now the nurses can either be rnsor lpnswhose primary job is to dispense the residents drugs they can not do anything ver muchmedically without a dictors order as these facilities are extremely paranoid about doing anything without a doctors order a nurse cannot dispense anything without a dictors order you may think this a a good standard practive but it can impede a residents ability to deal with an ailment as simple as a cold where the resident could have simply gone before to a drugstore and purchased anyone of a number of over the couter symtom relief medications but instead are forced yowait for a dovtor peder before a jurse may dispense anything anf then the next game is the order must be for something that has to be ordered from a pharmacy wgich can take days to get again another game to make money rarather than buy a much less expensive ocer the counter remedy they must order aa prescription which who knows how much more expensive it is than a mor redily available local drugstore remedy again it comes down to how a nursing home makes money and they can make money from prescriptions but not from a localover the counter remedy because in order to make money they need to only do what they can bill for and they cant bill medicad for thr cheaper local remedy it all just a gig game hoe to get over on medicad and medicare i suggest the federal and state dofernments could save millions by allowing the use od local remedys but then the doctor cant bill for their time that cater to nursung homes because they get paid per visit not by telling a nurse to dispense a local remedy there are typically one or two doctores that cater to each nursing home and they can be responsible for a caseload probably much lsarger than if they were to maintain their own practive i think it makes the qulifications and expertise of these doioctors suspect and residents will often cmplain they have not seen a doctor for weeks or months at a time qhile they ahave complaintsor problems that go unattended in order for a resident to get an xray a referral to a specialist their assighned dovtor must make the order before any steps are tsken to treat the resident once again it a game that facilities must play to get paid i truly dont know what the numbers are but i woyld estimate that well iver half of the residents in these facilities are eithr on medicad or medicare