The U.S. has no eldercare system, just a loose patchwork of retirement homes, assisted living facilities, skilled nursing facilties (nursing homes), and group homes. Very, very few of these institutions are operated as or by charities; most of them are shareholder-owned businesses. The motive isn’t to provide good or even decent care, but to realize profits and enrich owners.
Thus, management is under constant pressure to cut costs and maximize the bottom line. Many facilities hire minimum wage workers and treat them badly. Morale is dismal, and staff turnover is high. Employees have no incentive to work hard or help residents.
At the same time, costs are exhorbitant. Depending on the geographic region and type of facility, the monthly fee ranges from about $4,500 – $11,000. Medicare, Medicaid, and private insurance don’t pay for any level of assisted living. Long-term care insurance does, but that’s a relatively new concept and most current senior citizens aren’t covered. SNF care may or may not be paid by public or private insurance, but that’s hit-or-miss and often dependent on state law. In so many situations, families are paying huge fees, truly believing that their loved ones are getting excellent care.
As many of my fellow Jellies know, my Mom has advanced Alzheimer’s. She’s currently in her 4th facility of just the past year. Fortunately, I finally hit the jackpot and found a fabulous place. The staff is wonderful, and Mom, and the other residents, are treated like beloved family. (I visit Mom every day, so I see and hear a great deal.) The place is an immaculate, beautifully maintained luxury building, and the staff is wonderful. Before I found this place, however, here are just a few things that I witnessed at other facilities:
—Residents spending all day and night in pajamas or nightgowns, because nobody could be bothered helping them get dressed.
—People living in filthy diapers for several days, until some employee finally had to give in, clean the bodies, and change the diapers.
—Late-night bed checks, when the employees thought it was hilarious to turn on the bright overhead light in each room, holler “Bed check!,” wake up the residents, and laugh in glee.
—Third-shift employees yelling at each other up and down the hallways, in the middle of the night, deliberating waking up all the residents.
—My own mother wearing the same feces-soiled shirt for 3 days.
—Hyper-sexual, male dementia patients allowed to roam around freely, enter the bedrooms of female residents, and touch and grope the women.