This presentation is intended to serve as an introduction to the long-term care industry, including the scope, purpose and organizational structure of a typical long-term care facility. While applicable for everyone, this like all of our presentations is specifically designed for caregivers in a long-term care environment.

1. Introduction to
Long-Term Care

2. • What is long-term care?
• Who is long-term care for?
• What are the various roles in a long-term
care facility?
Initial Questions

3. What is Long-Term Care?
• Long-term care refers to variety of
services that includes medical and non-
medical care.
• Long-term care is to assist people with
support services such as Activities of Daily
Living (ADL) like dressing, bathing, and
using the restroom.

4. Did You Know?
• In 2009, it was estimated that 9 million men and
women over the age of 65 would need long-term
care.
• By 2020, 12 million older Americans will need
long-term care.
• About 10 percent of the people who enter a
long- term care facility will stay there five years
or more.

5. Who is Long-Term Care For?
• Long-term care services
are utilized by people
who have a chronic
illness or disability.
• It is important to
remember that you may
need long-term care at
any age.

6. What are the various roles in a Long-
Term Care Facility?
Everyone that interacts with residents and/or
family members, plays an important role
that enables the facility to develop an
individualized plan of care for every
resident while in the facility.

7. The Role of an Administrator
• Long-term care Administrators have a variety
of oversight responsibilities, including
handling the residents’ medicinal
requirements, creating and implementing
facility policies, processing admissions to the
facility, and handling the financial aspect of
running a nursing home establishment.

8. The Role of a DON
• Director of Nursing or DON is the title given to the
nurse who performs a supervisory role for an entire
nursing department in a long-term care facility.
• A Director of Nursing is required to interact with
doctors, patients, families and other nurses, making
the position one of the most important in the field of
nursing.
• There is a great deal of responsibility that comes
with being the Director of Nursing.

9. The Role of an RSM
• A Rehab Service Manager or RSM is responsible
for directing the clinical and operational aspects of
a rehabilitation department(s).
• Coordinates the rehabilitative services provided to
patients by all disciplines in the facility.
• Leads the communication between the
rehabilitation department and all other facility
departments.

10. The Role of an MDS
Coordinator
• A Minimum Data Set Coordinator or MDS
Coordinator is a professional who organizes the
delivery of care for patients which includes
administering procedures for care plans,
completing chart reviews, quality assurance and
continued reviews on patients to receive maximum
Medicare or Medicaid reimbursement.

11. Minimum Data Set (MDS)
MDS is a process mandated by the Center for
Medicare and Medicaid Services for all patients in
Medicare or Medicaid certified facilities.
This process is a carefully documented clinical
assessment of patients, and sent electronically to
the Center for Medicare and Medicaid Services.

12. The Role of a QOL Director
• A Quality of Life Director facilitates all of
the planned activities that happen in the
facility and is the interviewer to ask the
resident what is important to them in their
daily activities to assure that the resident
receives the best quality of life while in the
facility.

13. The Role of a BOM
• The Business Office Manager’s role is to
assist in the day-to-day accounting
functions of the facility in accordance with
current acceptable accounting and cost
reimbursement principles relating to
nursing facility operations, and as may be
directed by the Administrator.

14. The Role of a HR Director
• The Human Resources Director guides and
manages the overall provision of Human Resources
services, policies, and programs for the entire
company. The major areas such as:
• Recruiting and staffing
• Employment and compliance to regulatory concerns
• Employee orientation, development, and training
• Employee safety, welfare, wellness and health

15. The Role of a
Social Service Director
• A Social Service Director’s role is to work
directly with the team, resident and family
members to address the resident and
family members’ psychosocial needs with
the goal to maintain the highest
practicable physical, mental and
psychosocial well-being.

16. The Role of an SDC
• The Staff Development Coordinator works
cooperatively with the Administrator, Human
Resources and Director of Nursing.
• Develops and implements job skills training
• In-service education as required by regulations
• Employee health monitoring for the nursing
department employees.

17. The Role of a CDM
• A Certified Dietary Manager in a long-term
care facility manages the operation of the
Dietary Department to include staffing,
food ordering, and preparation, food
delivery and clean-up in accordance with
facility policies, physician orders, resident
care plans and appropriate regulations.

18. The Role of a
Plant Operations Director
• Maintain the building(s), equipment and
utilities in good working order and ensure
facility grounds are properly maintained in
accordance with facility policies and state
and federal regulations.

19. The Role of an
Environmental Services Director
• Establish systems for, direct, and oversee
all aspects of environmental services to
include housekeeping and laundry
services for the facility.

20. The Role of a Chaplain
• The Chaplain meets the people at the point of their
need with an inter-faith approach of binding up the
brokenhearted and helping to heal the sick.
• Chaplains offer more than just a service of
encouragement, but an intervention of physical
and emotional wellness, in partnership with the
interdisciplinary team, to radically change the
landscape of long-term care forever.

21. The Role of a Chaplain
• As a member of the interdisciplinary team, the long-
term care chaplain is involved in the daily clinical
meetings to discuss and be utilized as a
careplanned intervention if needed.
• If the chaplain is asked verbally to be used as a
careplanned intervention, the Chaplain Referral
Form is initiated and completed for follow up and
communication purposes.

22. Resources Cited
• www.wisegeek.com/what is
• www.medicare.gov/longtermcare
• eHow.com
• www.ehow.com/facts
• www.iaswresearch.org
• intranet.shccs.com/hr/default.aspx