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Mom not getting the care she needs on weekends
Hello. My Mom has been in a memory care facility for about 18 months. Recently, as her disease progresses, she has become incontinent. She seems to be well monitored and cared for Monday through Friday, but when family member stop by on the weekend, her clothing and bedding is often soiled and her room smells like urine. I've spoken with management a number of times. Seems there is not as much staff and/or senior staff onsite over the weekends, so the care giving slips and we have to clean up wet clothing and bedding while we are there. Is this standard practice to decrease staff on weekends? Makes no sense to me since the care needs are the same irrespective of holidays and weekends. Do I need to move Mom to a full time memory care facility to ensure folks are trained in dementia care (this is half assisted living)? Would very much appreciate any suggestions.
Welcome to our world Clgarvens. I'm so glad you found our site.
The situation you describe is unacceptable. I would think it is due to the management at that particular site and has nothing to do with the type of residence.
This also has nothing to do with dementia care but everything to do with incontinence. I assume you have spoken to management? What steps are being taken to mae sure she is properly being taken care of? If the answer is that there is a shortage of staff on weekends, it's time to look for another place. Now you know one of your questions will be # of staff on weekends as compared to weekdays.
This is up to the facility to work out. It's a difficult human resource challenge for them. It's their challenge to solve. There is no excuse for having a different standard of care, a different set of standards on the weekends. I would have a serious conversation with the facility director, with the management team, and ask them how they are going to solve for this. I would also start looking around for alternatives - and ask them how they solve for this.
My experience was that communication between shifts, between weekdays and weekends, was the most frustrating part of having a LO in a facility. Again, it's a challenge for them to solve. I can bet you that unless you bring it up, the weekday management team is not aware of these issues, or is hoping you don't notice.
So go big - talk to facility leadership - and go small - next time your mom is a mess, find the closest caregiver and ask "why is my mom a mess? what is the standard for how often you check on her? Is this normal? What can we do to fix this?" Don't go with guns blazing necessarily because you need these people on your side, but do be firm and clear. Not acceptable. "I am not ok with my mom sitting in pee. Would you be ok if this was your mom? Is this normal here?" This is 100% not acceptable and not how a person - anyone - should be treated. You aren't asking for anything special here - only that your mom be treated with dignity and care.
Thank you. These replies are helpful. I have done all the things suggested. I have talked to management multiple times, I have thrust dirty laundry at weekend staff. It is still happening. As one poster mentioned, I certainly understand the staffing challenges, but come on.
This facility has gone through three management companies/changes since Mom started in the Assisted Living side almost three years ago.
It's gonna get real!! I needed this validation to know it's time to escalate past local management. Thank you.