Leadership & Ethics

Leadership Case Study

Sandra Jones was recently hired as the CEO of ABC Residential LTSS Corp, a private, for-profit, organization with two Skilled Nursing Facilities and three Assisted Living residences. The Company had been steadily losing money. Staff turnover is high. Resident satisfaction is low. Staff members report the atmosphere in all facilities is toxic. Residents report that they feel they have no control over their decisions and often feel neglected.

The board of directors hired Sandra to turn the company around. The have charged her with initiating culture change in all locations, implementing a person -centered service model in all locations, and developing residences focused on respect for all residents and staff. They also expect her to fill all beds, break even in three years and turn a profit in five years.

"Person-centered care means that individuals' values and preferences are elicited and, once expressed, guide all aspects of their health care, supporting their realistic health and life goals. Person-centered care is achieved through a dynamic relationship among individuals, others who are important to them, and all relevant providers." (American Geriatrics Society, 2016)

"Culture change is a philosophy and a process that seeks to transform nursing homes from restrictive institutions to vibrant communities of older adults and the people who care for them. A key principle of culture change is that residents and staff will become empowered, self-determining decision makers. This ethical thread is implicit in the principles and care plans constructed by and withresidents and their caregivers." (Annals of Long-Term Care, 2006)

Please answer the following questions:

1. What does Sandra need to do to ensure resident satisfaction?

2. What does Sandra need to do to Improve staff attitude, morale, and skills?

3. How does Sandra work with the board? - What is the role of the board?

4. What structure/s does Sandra need to put into place to ensure success for the new model?