Skilled Nursing and Continuing Long-Term Care

Assignment Overview

Your neighbor Susan Jones calls you seeking advice concerning long term care decisions for her parents Stella and Anthony Hill. Mr. and Mrs. Hill are both retired. Mr. Hill is much older than his wife and has considerable limitations in his ability to function. He can not make it through the day without help. Mrs. Hill is in relatively good health.

They are thinking about selling their home and moving Mr. Hill into a Skilled Nursing Facility. Mrs. Hill will then move into a local continuing care retirement center. Susan knows nothing about health care delivery or long term care, and has some concerns about both of her parents. She asks you to provide her information about Skilled Nursing Facilities and Continuing Care Retirement Centers, the advantages and disadvantages of Skilled Nursing Facilities and Continuing Care Retirement Centers as well as information that would allow her to assist her parents with decision-making. What advice and information can you provide Susan?
Case Assignment

Use the information in the modular background readings as well as any resource you can find conducting research on the world wide web. Please be sure to cite all sources and provide a reference list at the end of the paper.

The following terms will be assessed in particular:

Your understanding of the advantages and disadvantages of Skilled Nursing Facilities and Continuing Care Retirement Centers.
Your ability to apply your knowledge of the advantages and disadvantages of Skilled Nursing Facilities and Continuing Care Retirement Centers to provide information to assist in the case scenario.

Assignment Expectations

You will be expected to provide a scholarly basis for your response.
Your opinions must be justified with evidence from the literature.
References should be cited properly in the text of your essay (either in parentheses or as footnotes), as well as at the end.
Please support your discussions with scholarly support (3-5 references). Be sure to properly cite all references.
Be sure to apply critical thinking skills to the assignment components stated above.
The page length for this assignment should be 3 pages (not counting title page and references). You should cite at least 3 references for your discussion. Be sure to properly cite all references both within the text (at the end of paraphrased paragraphs) and at the end of your paper.
Required Reading
Botkin, B. (2011, June 16). Reports outline nursing facilities fly-from minute to life-threatening. McClatchy- Tribune Business News. Retrieved from Proquest
Bynum, J. P. W., Andrews, A., Sharp, S., McCollough, D., & Wennberg, J. E. (2011). Fewer hospitalizations results when primary care is highly integrated into a continuing care retirement community. Health Affairs, 30(5), 975-984. Retrieved from Proquest
Gibson, M., Carter, M. W., Helmes, E., Edberg, A. K. (2010). Principles of good care for long-term care facilities. International Psychogeriatrics, 22(7), 1072-1083. Retrieved from Proquest
Harrington, C., Tsoukalas, T., RuIDer, C., Mollot, R. J., & Carrillo, H. (2008). Variation of the use of federal and state civil monetary penalties for nursing homes. The Gerontologist,48(5), 679-691. Retrieved from Proquest
Kim, H., Harrington, C., & Greene, W. H. (2009). Registered nurse staffing mix and quality of care. Nursing homes: A longitudinal analysis. The Gerontologist, 49(1), 81-90. Retrieved from Proquest
Mason, S., Auerbach, C., LaPorte, H., (2009). From Hospital to Nursing Facility: Factors Influencing Decisions. Health and Social Work 34 (1). Retrieved from Proquest
McClure, R. (2011, April 9). Elderly and facing eviction: foreclosures are affecting senior housing too, residents and their investments at risk. Los Angeles times. Retrieved from Proquest
Shippee, T.P., (2009). “But I Am Not Moving”: Residents’ Perspectives on Transitions Within a Continuing Care Retirement Community. The Gerontologist 49 (3), 418. Retrieved from Proquest
Sweem, S. & Stowe, M. (2012). Six C’s of continuing care retirement communities (CCRC) leadership development. Academy of Strategic Management Journal, 11(1), 27-41. Retrieved from Proquest
Wagner, L. M., McDonald, S. M., & Castle, N. G. (2012). Impact of voluntary accreditation on deficiency citations in U.S. nursing homes. . The gerontologist, 52(4), 561-570. Retrieved from EBSCO
Websites
HELPGUIDE.ORG (2010). Continuing Care Retirement Communities. Retrieved from http://www.helpguide.org/elder/continuing_care_retirement_communities.htm.
How to Evaluate a Continuing Care retirement Community (2010). Retrieved from http://www.ehow.com/how_11581_evaluate-continuing-care.html.
Optional Readings
Anonymous. (2011, June 16). Medicare and Medicaid: retirement community Harrogate receives highest rating from Medicare and Medicaid services. StATe & Local Health Law Weekly. Retrieved from Proquest
Decker, F. H. (2008). Nursing home performance in resident care in the United States: Is it only a matter of for-profit versus not-for-profit? Health Economics, Policy and Law, 3(2), 115- 140. Retrieved from Proquest
Spinner, J. (2008, March 3). Despite city lot, few assisted living centers licensed. The Washington Post. Retrieved from Proquest
NLN/APHA Program for Accreditation of Home Health Agencies and Community Nursing Services. Full Text Available American Journal of Public Health. Dec1979, Vol. 69 Issue 12, p1304-1306. 3p. Retrieved from EBSCO