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Case Study - Turning a Failing Care Center into a Peak Performer

The Problem:

This care center had several ownership changes in a short time period. The owners were absentee owners from another state. Morale was low. Employee turnover and resident vacancies were high. And the residence was losing substantial amounts of money. On top of all this the care center had performed horribly on its survey, which led to the state barring it from admitting more residents. New management saw a need for immediate help and called Ecumen Consulting Services.

Our Solution:

We did an immediate clinical and operational analysis. The assessment uncovered that the owners’ attempts to save costs on meals and staffing were actually causing the organization to lose money, destroying morale and leading to substantial performance problems.

Our recommendations led to an organizational restructuring. We analyzed every position and its value to the care center and its residents. Several positions were eliminated. RN staff was doubled. A ward helper program was initiated to eliminate minor survey violations that previously accumulated into major and expensive problems. During the transformation process we visited frequently to monitor new initiatives. Today the care center is fully occupied, turnover has decreased, and the care center has increased revenues by nearly $1 million and is now profitable.