LTC Insights: Staff, Rules & Money

Addressing Pain Points and Exploring Solutions : Staff, Rules & Money

The biggest pain points for management and executives of Long-Term Care (LTC) residences typically revolve around the following key areas: staff, rules and money:

  1. Staffing Shortages & Retention
  • High turnover rates among caregivers and nurses lead to constant rehiring and training costs.  
  • Burnout & stress among staff due to demanding work and low pay.  
  • Compliance with staffing ratios amid workforce shortages.
  1. Regulatory Compliance & Liability Risks
  • Frequent provincial health inspections, privacy compliance, and safety audits.
  • Maintaining proper documentation to avoid fines or lawsuits.
  • Keeping up with changing regulations and compliance burdens.
  • Risk of lawsuits related to elder abuse, neglect, or wrongful death.

 

  • 3. Financial Sustainability & Provincial Funding Challenges:
  • Provincial funding delays and complexities in reimbursement.
  • Rising operational costs: wages, insurance, medications, technology.
  • Tight profit margins, especially for publicly funded facilities.
  • WCB costs impact financial sustainability through both resident and staff claims.
  • Private pay affordability concerns, limiting market potential.
  1. Quality of Care & Resident Satisfaction
  • Balancing cost-cutting measures while ensuring high-quality care.
  • Managing behavioral issues and dementia-related aggression. 
  • Preventing falls, infections, and other preventable incidents.
  • Ensuring residents engage in meaningful activities to improve well-being.
  1. Technology Integration & Digital Transformation
  • Transitioning from paper-based to digital record-keeping (EHRs).
  • Ensuring staff adoption of new technology.
  • High costs of upgrading infrastructure.
  1. Family Expectations & Reputation Management
  • Handling family complaints and expectations for personalized care.
  • Managing online reviews and public perception
  • Addressing emotional stress of families with loved ones in care.

Implementing Montessori practices in dementia care has been shown to lead to a range of positive outcomes for individuals with dementia.

 

See the Center for Applied Research in Dementia’s published work for evidence based solutions and proven results.