Long Term Care Resources


Long Term Care Resources

Culture Eats Strategy for Lunch: Staffing SOS #5 – Solutions to the Workforce Crisis in Long-Term Care

This is the 5th of a series of 6 articles about recruitment, retention and culture in long term care. Each of these issues – retention, recruitment, and culture – has a direct bearing on the staffing crisis in the sector. There are no easy fixes, and only careful, disciplined approaches will have long-term, beneficial effects. […]

Presentation: Conflict Management – What Does Unresolved Conflict Cost You?

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Notes from an Optimist? Now, I’m Not so Sure

The current situation in healthcare delivery throughout the United States is bad, and among long-term care providers the situation is grim. And this is from an optimist. Or, a former optimist. Now, I’m not so sure. Unavoidable Facts There is a shrinking supply of nursing homes, and the available workforce is constrained. Sector advocacy groups […]

Finding the right candidates – Staffing S.O.S. #4: Solutions to the Workforce Crisis in Long-Term Care Recruitment

This is the 4th of a series of 6 articles about recruitment, retention and culture in long term care. Each of these issues – retention, recruitment & culture – has a direct bearing on the staffing crisis in the sector. There are no easy fixes, and only careful, disciplined approaches will have long-term, beneficial effects. […]

My Family’s SNF Experience, Published in New England Administrator, January 2024

We arrived at the locked front doors of the SNF in New Jersey at 12:30 AM Friday night/Saturday morning. We had left the hospital in Pennsylvania five hours before, following my sister- and brother-in-law who were in a medical transport van. We got there before they did. I had called ahead to alert them of […]

Recruiting Staff in Long-Term Care: Staffing S.O.S. #3 – Solutions to the Workforce Crisis in Long-Term Care

This is #3 of a series of 6 articles about the staffing crisis in long term care. Each of these topics – retention, recruitment & culture – has a direct bearing on the staffing crisis in the sector. There are no easy fixes, and only grounded, disciplined approaches will have long-term, beneficial effects. These articles […]

Retention & Relationships in Long-Term Care: Staffing S.O.S. #2, Solutions to the Workforce Crisis in Long-Term Care

  Before the pandemic, median annual turnover for registered nurses was 102.9% for the years 2017–18; for licensed practical nurses, 79.8%; and for certified nursing assistants, turnover was 98.8%. We know that retention is important because turnover in the sector is just nuts — in many categories it’s over a 100%. If you’re experiencing less […]

Retaining Frontline Staff in Long-Term Care: Staffing SOS #1, Solutions to the Workforce Crisis in Long-Term Care

“Listen…” In our language and in our society this phrase, often as an injunction, is extraordinarily powerful. We say this to young children or adolescents to emphasize an important point. We also often say this when talking to a friend who has sought out our advice on a sensitive matter. As important as the injunction, […]

Minimum Standards or Wishful Thinking?

By Irving Stackpole & John Sheridan in McKnights Long-Term Care News The Centers for Medicare & Medicaid Services notice of proposed rulemaking and the report on which it is based have made the foundational point that more staff in nursing homes will result in better patient care and outcomes. While this relationship may seem self-evident, […]

Overcoming Obstacles for Higher Quality of Life in Long-Term Care: Insights from Irving Stackpole and Dr. Mara Karpel

  In this article, we delve into an insightful podcast episode featuring Irving Stackpole, the keynote speaker and President of Stackpole & Associates. Alongside him is Dr. Mara Karpel, renowned mental health expert and co-host of the podcast, “Your Golden Years.” Together, they shed light on the challenges faced by long-term care residents and provide […]

Inflation kills another nursing home effort to upgrade infrastructure – Quoted in McKnights Long-Term Care News

By Kimberly Marselas in McKnights Long-Term Care News … The complicated interplay between payers, regulators and patients makes skilled nursing innovation and investment challenging, Irving Stackpole, president Stackpole & Associates said during a webinar last week. “The usual hydraulics, the usual dimensions of supply and demand, even in service-based economic environments, are twisted and changed […]

The Last One Standing: Strategies & Tactics for Survival in the Long-Term Care Sector

Long-term care, and the nursing home sector, is struggling in the United States. More and more nursing centers are going out of business, closing down wings, and struggling financially. Representative organizations like LeadingAge and the American Health Care Association are raising their voices, calling for politicians and regulators to improve payments and protect their vulnerable […]

Transitions of Care and Re-Engineered Discharge are Essential for Remediation in U.S. Hospitals

Health systems around the world continue to groan under the strain of increased demand and fewer staff. These constraints create public health challenges, economic disruptions, and personal distress. Patients can’t get out of or into hospitals either because medically fit patients are unable to be discharged, or staffing isn’t available to deliver essential care. Doctors, […]

What’s Really Possible for Long-Term Care?

Looking into the future is always risky, if there’s any interest in being accurate. Those of us working in long-term care are aware, many of us painfully and acutely aware, that we have the combined crisis of occupancy, revenue, unavailable labor, and of declining public confidence. The path long-term care is on doesn’t seem to […]

Fatal Contraction: Healthcare Adjusts to a Shrinking LTC Sector, View Video

Download the Presentation Recorded on Thu, Dec 1, 2022 12:00 PM – 1:00 PM EST Long-term care in the United States and the UK is suffering a fatal contraction of both supply and demand. These important sectors were in very serious shape in the“before times” (prior to the pandemic) and are now enduring the most […]

Retaining Staff in Long Term Care

Date: 2nd June 2022 To watch the recording click here Register here to download the webinar presentation. Retention in Long Term Care Webinar Resources Facing labor shortages and cost hikes, many long-term care facilities are shuttering Advocates say things will worsen when federal assistance expires in July. ABC News, May 3 2022. Eli Cahan and Laura […]

Long Term Care Webinar: The Staffing Crisis

Date: 8th March 2022 To watch the recording click here Register to download the webinar presentation. Resources Irving Stackpole Williams, B. Failure to Thrive? Long-Term Care’s Tenuous Long-Term Future. See: https://scholarship.shu.edu/shlj/vol43/iss2/3/ True, S. et al. COVID-19 and Workers at Risk: Examining the Long-Term Care Workforce. Stackpole, I. Bridging the Divide: Transitions to Cross-Continuum Collaborations in Healthcare. See: https://stackpoleassociates.com/transitions-cross-continuum-collaborations-healthcare […]

Long Term Care Webinar: Designing the Future of Long Term Care

Date: 2nd November 2021 To watch the recording click here Register to download the webinar presentation. Transcript Designing the Future of Long Term Care Facilitated by Irving Stackpole, with Susan Ryan from The Green House Project and Jamie Timoteo from Plante Moran. [Irving] We have seen quite a few changes in long term care. We’re […]

Markets for Long Term Care: Epilogue to a Crisis

Date: 8th September 2021 To watch the recording click here Register to download the webinar presentation. Transcript  Epilogue to a Crisis Facilitated by Irving Stackpole. This presentation is designed to focus on issues that relate to the Long-Term Care story that’s playing out in the post-Cold War era, in the post-Pandemic time period. I’m going […]

LTC Facilities – Design Dinosaurs

Date: 24th February 2021 To watch the recording click here Register to download the webinar presentation. Transcript LTC Facilities – Design Dinosaurs Facilitated by Irving Stackpole. With architect Kevin Kozak, interior designer Laura Sheehan and Garth Johnson of Cutler Associates. Irving Stackpole  Thank you all for coming today I am very flattered that so many […]

Failure to Thrive: Rehabilitating long term care

Date: 18th November 2020 To watch the recording click here Register to download the webinar presentation. Transcript Failure to Thrive: Rehabilitating Long-Term Care Irving Stackpole My hope is to further the dialog about long term care in the United States and the U.K. The title, “Failure to Thrive” is an homage to one of the […]

Long Term Care on the Brink; Saving the sector

Date: 22nd September 2020 To watch the recording click here Register to download the webinar presentation. Transcript Long Term Care on the Brink; Saving the sector Irving Stackpole We are concerned about long-term care. I’ve made the statement here that it’s on the brink and I’ve also used the term saving the sector. I don’t […]

Fawlty Towers Recovering & Restoring Long Term Care

Date: 6th August 2020 To watch the recording click here Register to download the webinar presentation. Transcript Marketing Fawlty Towers: 4 Ways to Restore Long Term Care Irving Stackpole The topic today is long term care, which is at a crossroads both in the United States, the U.K. and elsewhere. I’m using the image of […]

Rip it up & starting over in long-term care

Date: July 29th 2020 To watch the recording click here Register to download the webinar presentation. Transcript Rip it up & starting over in long-term care Irving Stackpole What I hope to do is I hope to cover some very broad topics within long-term care and focus on the current situation. How we got here, […]

Long Term Care: The Road Ahead Updated

Date: 17th June 2020 To watch the recording click here Register to download the webinar presentation. Transcript Long Term Care After COVID19: The Road Ahead Updated. June 17th 2020 Irving Stackpole Thank you again for being here. I’m both humbled and overwhelmed by the response to these to these webinars. We are three months into […]

Long Term Care: The Road Ahead

Date: 20th May 2020 To watch the recording click here Register to download the webinar presentation. Transcript Long Term Care After COVID-19: The Road Ahead May 20th, 2020 Irving Stackpole It’s a pleasure to see you all here. I’m both flattered and humbled by the participation in this event and in the prior event, the […]

Covid19: Crisis Communications

Date: April 15th 2020 To watch the recording click here Register to download the webinar presentation. Transcript Long-Term Care Crisis Communications Irving Stackpole It’s a pleasure to talk with you. I should modify that word pleasure. I wish the circumstances were somehow different. I wish the topic the thing that the crisis that precipitated the […]

Long-Term Care Resources - Presentations:

Stackpole & Associates spoke at various event on a range of topics for marketing healthcare services for the long term care markets.

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Long-Term Care Resources - Publications:

Stackpole & Associates publishes periodic articles on a range of topics for health tourism services, increasing customer satisfaction and employee training in today’s professional environment.

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Recommended Resources - Long Term Care

Nursing Home Staffing Study Comprehensive Report, Abt Associates

Medicare and Medicaid Programs; for Long-Term Care Facilities and agency, Centers for Medicare & Medicaid Services (CMS), and Department of Health and Human Services (HHS).

Minimum staffing in nursing homes. The LTC sector is protesting the new minimum staffing standards, stating that they’ll result in more closures. Family advocacy groups are claiming that these are “inadequate”. Here are both the CMS directive, and the Abt Report on which the CMS directive is based.

See: CMS directive and Abt report

The National Imperative to Improve Nursing Home Quality. A consensus report published February 28, 2022 by The National Academies of Sciences, Engineering, and Medicine.

“The Committee on the Quality of Care in Nursing Homes began their work in the fall of 2020 at a pivotal time when a bright light had been cast on care delivered in nursing homes because of the COVID-19 pandemic. The committee worked to describe the care being delivered in nursing homes before the pandemic, now made manifest by the crisis. The committee was given a substantial task of examining how the United States “delivers, finances, measures, and regulates the quality of nursing home care.” The challenge was enormous, but as reflected in the final recommendations, real change in nursing home care will require bold action in each of these domains. In the report chapters that follow, the committee presents the evidence of the need for change followed by specific recommendations. The final chapter concludes that “the way the United States finances, delivers, and regulates care in nursing home settings is ineffective, inefficient, fragmented, and unsustainable.”

See: The NASEM report

The White House Fact Sheet – March 2022. Protecting Seniors and People with Disabilities by Improving Safety and Quality of Care in the Nation’s Nursing Homes.
See: The White House FACT SHEET

Coronavirus Commission for Safety & Quality in Nursing Homes
See: Final Report of NH Commission Public Release Case.pdf

ACHCA Newsletters

Click on the image below to read the latest ACHCA New England Administrator newsletter. Irving Stackpole, has written articles for the ACHCA publication on long term care.

ACHCA June 2021
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Long Term Care Resources
ACHCA March 2021
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Achca September

Stackpole & Associates

Stackpole & Associates delivers scientifically based consulting, research, training, strategic planning and organizational development solutions to healthcare, senior living and human services organizations. Our overall goal is to measurably improve our clients’ healthcare solutions – as defined by the client. The company’s commitment is to produce the highest possible value through our combined intelligence, integrity and the quality of our work.

Who We Work With

  • Hospitals
  • Skilled Nursing Facilities
  • Health Insurance, Managed Care & Intermediaries
  • Assisted Living & Congregate Housing
  • Home Health Care

Irving Stackpole, President of Stackpole & Associates, has been named Project Manager for the Linn Health Navigator project, part of the $1 million grant awarded to break down barriers between institutional and community-based programs to redesign service delivery for the elderly in Rhode Island.

Click here to read the full press release

Extra Resources

Long-term care Publications 

Long-term care resource Links

Recommended Reading list

Thank you for visiting this page. Long Term Care Resources.
Stackpole & Associates is a marketing, research & strategy consulting firm focused on healthcare and seniors’ services markets. Irving can be reached directly at istackpole@stackpoleassociates.com.

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