Senior Care Rehabilitation, Nursing Staff Facilities Massachusetts

What are the best practices for hiring Skilled Nursing and Rehabilitation staff?

Hiring Skilled Nursing Staff for Nursing Home, Skilled Nursing and Rehabilitation

According to the Nursing Home Best Practices Evaluation Final Report prepared for the Centers of Medicare & Medicaid Services (CMS) National Nursing Home Quality Care Collaborative in July 2014, there are specific characteristics sought after when hiring skilled nursing and rehabilitation staff. We agree and implement these practices when we hire staff.

First of all, staff need to be passionate about providing compassionate care. Those involved in the hiring process use behavioral-based questions during interviews. For example, we might ask “How would you respond to a resident’s or family member’s concern?” Another question might be: “What would you consider to be a high quality nursing home?”

During the interview our interviewer embeds a consistent message of high expectations to make it clear that we are looking for staff that represent a good fit, consistent with our organization’s mission, vision, and values.

While new staff are expected to have certain educational training and skills, we welcome new staff and help them to feel part of the team. We focus on supporting new staff through the first few months with orientation and training. We might assign “buddies” or mentors who check in regularly to see how the new staff are settling in and what might be needed to meet the challenges of a new position.

We focus on skill-based competencies and assess skill levels, following up with additional training, if needed. We provide opportunities for staff to shadow other disciplines during orientation so that they can learn how their role interacts with others in our organization. Leaders set the expectation that it is the job of all staff to respond to resident needs and requests. We have mechanisms to gather input from staff to gain feedback on the quality of care being provided and we respond in a timely way to needs that may emerge.

A reliable team member is one that comes to work on time, provides high quality care for residents, implements the care plan, supports team members, and keeps leaders informed and aware of any needs or concerns getting in the way of providing the best of care.


Excerpted from the Nursing Home Best Practices Evaluation Final Report

Prepared for the Centers for Medicare & Medicaid Services (CMS)

National Nursing Home Quality Care Collaborative, July 2014

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