Pros: the residents, hardworking, dedicated staff, beautiful setting
Cons: horrible heartless corporate management, profit driven, high turnover of staff, many inexperienced new employees
I hope the facility I work in as a staff RN is not typical for LCCA. A typical day consists of arriving at a well groomed, attractive building. It is a facade designed to appeal to the public. The hardest part of my job is knowing that I can not deliver good care to everyone of my 27-30 residents. In a eight hour shift I'm required to have shift report
– more... and narcotic counts twice, followed by end of shift charting. Actual time spent with residents is lessened further by time loss looking for supplies,medications that are often not there. I never take breaks. Preventative care does not happen. There is simply not enough time with the current nurse to resident ratio to adequately assess patient conditions. Wound treatments and things like eye drops are frequently missed. It is demoralizing to me as a nurse with over twenty years experience hospital medical/surgical to know I am not given the tools or time to deliver quality care. I am simply doing the best I can in a profit driven institution that spends way more on marketing then staffing. I do two med passes, check diabetics and give insulin,answer call lights and hear myself saying, "speak to management" when residents or their family have concerns. This place is so poorly run. Corporate management encourages staff to wear buttons with the slogan,"Whatever it takes, And then some". We are coached to NEVER say the word, "understaffed" even though we ALWAYS are. I wear a pedometer and my average shift is three miles. I'm on my feet for 8-9 hours.........did I say NO BREAK. Overtime is consistent. I'm not the odd one out either. Other floor nurses are having the same experience. Job turnover is very high. There are wonderful, kind and caring professionals working here doing "Whateverit takes and then some". I'm one of them and I am looking for a different job.
Management is not supportive. The standard reply to nursing concerns is, "Maybe this isn't the right job for you" rather then any effort to address concerns. I have never been fired, written up or reprimanded in my career as a RN. I have always done my job well but I cannot say that is so now. I will be happy to work elsewhere.
The Math: eight hour shift with twenty eight residents. This would be 17.14 minutes per person. It isn't. Remember there's shift reports, narcotic counts and charting. Lose another hour to 15 minutes of nurse time per resident but it is even less then that.
LCCA reportedly has had continued to make profits even with fines levied for Medicare Fraud.
I am just one overworked, tired nurse. I wish I had more in my power to encourage a return to values and the core principles this organization was purportedly founded on. I only see the face of greed and profit driven practice at this LCCA SNF. – less
Alica – April 22, 2013
Disorganized management I have experienced thus far! Walking down the halls of thee Willows is like a maze , due to all medical equipment displaced. Residents look neglected,We have seen the 2 new top positions in new management in charge but have not seen any hands on shared experience come out of them. Don't they see what us visitors are seeing. Staff on cell phones in offices. Moving on party's for those who quit, while the residents not cared for. If management can hold up in there offices, why cant, they come out and work the floor with all the spare time ..nuff said
Massachusetts – May 2, 2013
I am a current long term employee, which is a term in this company that is fast becoming extinct. Turnover is huge in the Northeast for ED's, Rehab Managers, therapists.and DNS. Unrelenting pressure to maximize reimbursement despite clinical appropriateness of services being provided is chasing the ethical practitioners out. All in the presence of a pending trial for such allegations. No plan to succeed other than increasing the length of stay. If you are ethical, stay away from this company.