New kitchen staff- has a major effect to food quality and consistency- food is undercooked and portion sizes inadequate
Wheel chair/walker devices- need regular cleanings to remove food debris and to maintain clean measures
During interview process- pay amount is hidden knowledge to prevent potential employee from deciding on staying or leaving- when I asked why the rate was so low even after recieving my license I was met with confusion and disregard - after reflecting on this for so long I am tired of presenting this as a top concern and so are other carestaff- it seems the best solution is to find employment elsewhete with competitive pay
Onboarding paperwork is overly cumbersome and gets lost
No regular trainings to maintain active knowledge of position and expectations- residents get physically hurt in the process of improper transfers (pulling from hands, not using gaitbelts, attempting single person lifts and single person hoyer lifts)
Very little to no advancement opportunities to existing employees- we discover the company has sought out help from other communities to fill position gaps
Language barriers make ot difficult to provide directions or make requests from care staff- help is limited in this way
Life neighborhood (memory care)- delivered news of higher pay, no certainty or actual rate mentioned, nor a suitable timeline
Higher pay = Better retention of skilled staff and better overall outlook and care for residents- care staff often overlook care items or take shortcuts- this subject gets too much attention, with no results
Clothing articles- become lost or damaged and not replaced- there are residents with only 1 bra, mixed socks or none, missing shoes and some without shoelaces- residents need comfortable, safe shoes for walking and stability
Micro management leadership
Leadership and skilled employees sent to other Aegis communities to fix problems- we lose valuable assets to entire care team- (head chef, housekeeping, supply manager)
Very low retention of skilled care staff
Care staff often have to borrow supplies from other residents: toiletries, nail clippers, hair brushes, clothes, towels - Associate care directors and directors are supposed to talk to families about getting the right supplies- no regular follow-up provided
No frequent nail care- responsibility was shifted over to care staff from nursing staff- care staff neither have the tools or skills to properly care for this task- residents develop in-grown nails and fungal disease
Unable to retain nursing staff or onboard
Complaints from families often shifted back to care staff to resolve- no overhead solutions
No overtime pay for all employees- directors specify that the company does not reward care staff with overtime pay- hrs are placed into next pay cycle
No hazard pay during CV19 pandemic- care staff presented with takeout meals instead
Maintenance repairs- understandably, there is only 1 maintenace carpenter with 1 maintenance director- work gets back logged repeatedly, and is completed usually after several reminders
Leadership often sides with families when care expectations appear too unreasonable
Housekeeping is not trained to clean biomatter- floors, toilets, walls, beds go uncleaned- some beds have remnants of blood stains and fecal matter stains
Low retention and hiring of qualified staff- leaves shift openings and reduced staff and limited care to residents
Info sessions for benefits reviews- are infrequent and withold key information
Health insurance benefts- too expensive $250/paycheck for employee/spouse basic plan
Care staff are allowed to enter kitchen areas and self-serve food- raises many red flags about food safety and contamination- this community faced a norovirus outbreak which spread very quickly while care staff were allowed to handle food items
CV19 precautions are limited to allow families to enter facility more regularly- mask wearing precautions and policies are often ignored by gamily members
Inconsistent completion of paperwork/ charting on a repeat basis
Uncleanly offices used as a storage for residemt supplies and belongings
Too much unnecessary radio traffic- prevents relay of actual important information and emergencies
Poor radio communications and alarm responses -needs remediation
Locker policy 24hr rule- does not get enforced, locks are left on for days and weeks at a time
Breakroom- broken tv, used furniture, unkept
Stock items soap and paper towels- need a work order to relace- prevents staff from maintaing infection control practices