TheComprehensiveGuide toNursing HomeAdministration,Second EditionBrian Garavaglia, PhD, FACHCA

TheComprehensive Guideto Nursing HomeAdministrationSecond EditionBrian Garavaglia, PhD, FACHCA

The Comprehensive Guide to Nursing Home Administration, Second Edition is published by HCPro, a division of BLR.HCPro, a division of BLRCover Image Anelina. Used under license.All rights reserved. Printed in the United States of America. 5 4 3 2 1ISBN: 978-1-68308-184-5No part of this publication may be reproduced, in any form or by any means, without prior written consent of HCPro or theCopyright Clearance Center. Please notify us immediately if you have received an unauthorized copy.HCPro, a division of BLR, provides information resources for the healthcare industry.HCPro is not affiliated in any way with The Joint Commission, which owns the JCAHO and Joint Commission trademarks.Brian Garavaglia, PhD, FACHCA, AuthorOlivia MacDonald, EditorErin Callahan, Vice President, Product Development & Content StrategyElizabeth Petersen, Executive Vice President, HealthcareMatt Sharpe, Production SupervisorVincent Skyers, Design Services DirectorVicki McMahan, Sr. Graphic DesignerJake Kottke, Layout/Graphic DesignTyler Oswald, Cover DesignerAdvice given is general. Readers should consult professional counsel for specific legal, ethical, or clinical questions.Arrangements can be made for quantity discounts.

ContentsHow to Access the Quiz Questions. ixAbout the Author. xiIntroduction.xiiiChapter 1: Nursing Home Administration.1The Current Nursing Home Landscape.2Culture Change.13Nursing Home Administrator Requirements.15The Evolution of the Nursing Home Industry.19Aging and the Elderly . 23Chapter 2: The Language of the Healthcare Culture:Biological and Psychosocial Aspects of Aging.23Life Expectancy, Life Span, and Change.24Biological Theories on Aging. 26Biological Aging of the Body. 28Health and the Aging Process. 29Psychological Aging.31Social Aging. 33Gaining Some Clinical Knowledge. 36Geriatric Medicine 101 .51Chapter 3: Long-Term Care Management Personnel.69The Administrator.70The Director of Nursing.73The MDS Coordinator.75The Rehabilitation Services Director.78The Dietary Supervisor.79Social Services. 82The Director of Admissions. 87Maintenance Personnel. 89 HCProThe Comprehensive Guide to Nursing Home Administration, Second Edition iii

ContentsThe Staff Development Coordinator. 93The HR Coordinator. 95Records Personnel. 96The Activities Director. 98The Medical Director.101The Consulting Pharmacist.103The Physical and Occupational Therapy Staff.105Chapter 4: Long-Term Care Nonmanagement Personnel.105Nursing Assistants.106The Housekeeping Staff.109Kitchen Personnel.109Nurses. 110Business Office Personnel. 111Chapter 5: Management and Organizational Structure Within Healthcare.113The Group. 114The Effects of Status Characteristics on Social Interaction.123Organizational Justice.124Is a Team Different From a Group?.125Is a Team Always Necessary?.127Healthcare as an Organizational Environment.128General Systems Theory in Understanding Organizations.133Organizational Culture.135Management Principles.142Strategic Planning and Management in Long-Term Care.145Management Theory and the Ethics of the Long-Term Care Environment.152Major Ethical Principles and Guidelines.153Key Ideas From the Management Gurus.156Personal Reflections on Management and Leadership .161Preventive Maintenance.163Temperatures.163Chapter 6: Environmental Management and Building Operations.163Electrical System.165Lighting and Illumination.167Sound and Noise .168Monitoring for Tactile Issues.170Right-to-Know Information .170iv The Comprehensive Guide to Nursing Home Administration, Second Edition HCPro

ContentsDaily Administrative Oversight.171External Building Features.183Hallway Clearance and Wheelchair Accessibility.186Understanding Useful Life and Depreciation and How They Factor Into Preventive Maintenance.187Safety, Disaster, and Emergency Preparedness.188Pest Control.190Infection Control .190Maintenance and OSHA Standards.191Chapter 7: Human Resources: Managing Personnel.193Disparate Treatment and Disparate Impact .