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Welcome:


 

If you know about our organization or if you have a need to have an urgent question answered simply click on the service desired button to the left and we will get your problems solved today! For those new to our site read further and please contact us as we love to meet new friends and make them our clients. If you are looking for employment opportunities click below.

We are not a staffing agency, but we can help you as though we were one. We do not charge you those high agency rates! Our staffing program allows you to budget for your vacancies and smoothes any unexpected staffing issues. It is difficult for you to attract employees if you have ongoing vacancies. Potential applicants do not like to see any program with vacancies. 

It is very difficult to stay at 100% staffing. Our staffing program allows you to stay in that capacity all year long. This avoids the urgent need for the Director or Nursing or other administrative staff to fill unexpected vacancies. In today's complex world administrative staff need to devote all their time to making a better program. If you have been forced to provide last minute services yourself because two or three agencies failed to fill those sudden vacancies, you need our program to help you.

If you would like to learn how our company can keep you at 100% staffing but save you from those extremely high agency rates click on the photo below.


Our Services

We quickly supply nursing services to Intermediate Care Facilities and Skilled Nursing Facilities. Some of the nursing service programs we offer include:

 Interim Director of Nursing

 Clinical Nursing Services.

 Corrective action plans for Abuse and Neglect Incidents.

 Medication delivery program documentation improvement.

 Dir. Of Nurses Training Program.

 Psychotropic Drug Management Programs.

 Dietary Programs Consulting

 In-service and On-site Training 

 Activities & Social Services Consulting

 Case Managers Training Program

 High-Risk Patient Management Programs

Check off those services that you need and email us by clicking on the checklist below:


The Regulators

The provision of nursing home services to patients has never been so challenging as in today's regulatory environment. Occupancy is going down, acuity is going up. Many facilities are functioning as minor acute care facilities. The information contained in this website will help you in the operation of your facility and will empower you. We have helped hundreds of administrators and thousands of patients. Lets look at who our long term client facilities are across the country.

According to the National Center for Health Statistics of the Centers for Disease Control and Prevention, there are 17,000 nursing home facilities in the United States, with at total of 1.8 million beds and 1.6 million residents.

The average nursing home has 107 beds. Sixty-seven (67%) percent of all nursing homes in the U.S. are privately owned. Twenty-six (26%) percent are non-profit with the rest being government-owned (7%). More than 70 percent of nursing homes are certified by both Medicare and Medicaid. The overall occupancy rate was 88 percent in 1998, while it was 93 percent in 1988.7. Occupancy rate has dropped during the past decade.

Your facility is not the average facility and the reason we exist is to help your facility accomplish its mission and stay financially strong to continue its mission into the new millennium.

Our staff can work with your facility to alter occupancy, staff up your facility and review the financial results that you are currently experiencing while making recommendations to improve your financial returns.

The Healthcare Financing Administration has a remarkable amount of information available to the public. Our staff visits with all of the regulatory and policy agencies to ensure that our programs are structured to help you fulfill your long term care mission.

CMS Central Office

 


How do we do it so inexpensively?

Our medical staff have thousands upon thousands of hours of experience solving the problems that are surfacing today. The current staffing shortages and regulatory requirements are simply business as usual to our senior staff. Our proprietary nationwide database of medical provider staff which was decades in the making can turn a seemingly career breaking event into a quiet business as usual schedule.

Over and above that capacity we guarantee to do this within the financial restraints of today's long term care economy. This ability is unique to our organization. It is the reason that we are growing at such a rapid rate.

We welcome an opportunity to meet with you and provide a roadmap of problem solutions for you. 


Why do we do it with an eye out for costs?

 Five of the nation's top nursing-home chains have filed for Chapter 11 bankruptcy protection in the past two years because of a 1997 bill that tightened Medicare  spending. Those five companies run 1,800 of the nation's 17,000 nursing homes. In some states it is worst than others. Almost half of nursing homes in Nevada and New Mexico, for example, are operating in bankruptcy. More than 20 percent of 20 other states' facilities are also bankrupt. The long-term care community is facing a financial restructuring squeeze!

Medicare is the largest source of nursing-home revenue: In 1999, it made up 48 percent of revenues. Out-of-pocket payments were the next at 34 percent. Medicaid, the federal program that pays for health care for the poor, and private insurance accounted for 13 percent and 5 percent, respectively. Medicare's share of the costs is high because patients typically don't stay in nursing homes that long.

Another problem is a change in the nature of nursing homes. They once served mostly as residences for elderly people, but have become more medical-care oriented, hiring expensive doctors and nurses, as hospitals cut their budgets and began dismissing patients more quickly.  Medicare pays for a patient's first 100 days of care at a nursing home after a three-day minimum hospital stay. Medicaid takes over after that period, unless the patient can afford the medical bills.

Increases in facility per diem care costs are due to a number of changes including marked increases in resident acuity, the severe labor shortage and increased wages, high turnover rates in admissions and discharges, and soaring vacancy rates. These factors, coupled with the recent Medicare nursing facility payment reductions under PPS, place facilities in a financially and operationally unstable situation.

Where facility hands get tied in the year 2000 is quality of care,  trying to get the staff with the small amount of reimbursement that they are getting.

Nationally, facilities cost anywhere from a Minnesota facility at $94 a day ($34,310 a year) to operate, to a Pennsylvania facility at $350 a day ($127,750 a year) per patient to operate, depending on extra care they may need. The average cost of a nursing home stay in the United States has been estimated to be $159 per patient per day in 1999.

Unfortunately, the national average facility reportedly gets only $126 a day for a Medicare patients. The difference is made by cost shifting and in some cases contracting with Pennhurst Group on a long term basis so as to hold employee costs stable. 

Downsizing is not the way to save costs!

What we can do for you:

Our website is designed to help you find the solution to any issues involving long term care facilities. Please use the navigation buttons to the left of this page to find your area of interest or simply call us at:

610-524-2400 Extension #15

We look forward to the possibility of working with you. 


Contact Information

Our staff is here to answer your questions and are available on a 24 hour, seven day a week basis. 

Telephone
610-524-2400 Extension #15
FAX
610-524-0952
Postal address
Suite 250, 300 N. Pottstown Pike
Electronic mail
General Information: max@chestnet.com
Webmaster: info@virtualnursinghome.com
Website usage policy and disclaimer (click here)

 

 

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Last modified: December 01, 2002