Reply to Are Medicaid Nursing Homes Really That Bad?

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Reply to "Are Medicaid Nursing Homes Really That Bad?"

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[quote=Anonymous]At the simplest level, private pay facilities work for the clients/residents and answer to them. Medicaid facilities in effect answer to the government (and themselves) and this significantly disempowers the clients/residents.

While it is impossible to generalize (there are good Medicaid facilities, and private pays where it would be immoral to board a dog), Medicaid facilities tend to be more crowded and less well staffed. They are not well positioned to compete for the best employees, at least financially.

My experience was that distance and convenience matter. If you are visiting regularly you can advocate for your person and ensure they are less likely to be neglected even when you are not there.

Perhaps the most important factor is the staff. There are amazing people who work for peanuts and still give every patient 100%. There are activities directors who are fountainheads of enthusiasm even with minimal resources. There are directors who make it their business to wring every possible benefit for the patients, not the employer.

And then there are the others.

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