LOCAL NEWS Borman Hall Continued from Page 1 How about giving them something they'll never ask for. Bless 'em. It seemed as soon as they could talk, they started asking you for the moon. And as sure as the sun rises in the east, you were there to provide it. Well now you can give them something that's truly out of this world. . . a subscription to The Detroit Jewish News. And when they ask you how come? them that The Detroit Jewish News is the largest Jewish weekly in the nation. And that every week award winning journalists write about national and international events with caring and sensitivity. Or, that The Jewish News is the best way to find out about local and community news. After all these years of giving your kids the sun, the moon and the stars, give them something that will enrich their world. The Detroit Jewish News. You couldn't ask for a better gift. THE JEWISH NEWS A Publication You Can Put Your Faith In. Save 40% over the newsstand price. Receive 52 award-winning weekly issues plus five Style magazine supplements for only $33.00 (out-of-state $45.00) ❑ Yes! I want to be a faithful reader of The Jewish ❑ Why should I be the only one to enjoy? I'd like to News. I'd like to order my own subscription. send a gift subscription. ❑ Payment enclosed ❑ Bill my MC VISA Send my thoughtful gift to: Card # Exp. Date Signature Name Address My Name City My Address City State Phone Stale Zip Gift card to read Phone L 12 Please send all payments along with this coupon to: The Jewish News, 27676 Franklin Road, Southfield, MI 48034 FRIDAY, SEPTEMBER 11, 1992 Zip In conjunction with the changes, the Borman Hall board last week approved a voluntary, self-imposed sus- pension of new admissions un- til Nov. 1. "We need to get the staff focused and energized" on changes, Mr. Budin said. "And we can best do that by maintaining the same resident population." The key issue for Mr. Budin — the one upon which all oth- ers hinge, he said — is quali- ty of life. "I'm talking about respect- ing the dignity of the residents, responding to the residents," he said. "And that's a matter of changing attitudes — prob- ably the most difficult of all the Level A violations to correct." To achieve his goal, Mr. Budin has instituted a num- ber of training and teaching seminars to sensitize staff to residents' physical and men- tal needs. One example is a program, started this week, to discuss causes and individu- alized treatment for bladder and bowel problems. "What has been dealt with until now is the symptoms, not the causes," he explained. "A symptom is odor — the smell of urine. To go around and just dean up after the accident is not acceptable. Its also a dig- nity issue." For Mr. Budin, "changing attitudes" is a program that starts at the top. "There will be no double standards in this place," he said. "If it's good enough for the housekeeper, it's good enough for me." Consequently, he is deter- mined to secure top-level staff. Among the new personnel al- ready hired: a director of food service, of activities and of nursing services. Mr. Budin also is appoint- ing registered nurses to man every floor of the home; each nurse will be responsible for guaranteeing all activities — from patient care to food ser- vice — in his area. "Previously, there was no consistency. It was simply the job of whichever nurse was on duty at the time," he said. "That's unacceptable." A new team already is at work to improve resident as- sessments, the records on each person living at Borman Hall. "What we had before was more of a paper compliance that really did not tell the sto- ry of that resident," he said. Mr. Budin wants a complete assessment. Ha resident, gen- erally wheelchair bound, takes three steps one day and four the next, Mr. Budin wants it recorded. If another eats pureed food but needs to move to solids, Mr. Budin wants the progress charted. "It's a tall order," he said of the required changes. "But we're not going to just hire con- sultants and temporary staff' to overturn the Level A defi- ciencies. "We want to mak the changes permanent." Though with this most re- cent Public Health report Borman Hall, for the first time, received Level A cita- tions, such marks are not un-. common. Since January 1991, 44 nursing care facilities in Michigan have been handed Level A deficiencies. Borman Hall has, in past., years, been cited for minor de- ficiencies by a Detroit-based. , review group. This year's report was is- sued by a Lansing team and conforms to new standards set forth in the Nursing Home* Reform Act of 1987. The new law says that health officials must conduct interviews with residents and their families be- fore issuing evaluations of nursing care facilities. Previous evaluations could be based solely on nursing home records. Violations cited in the ev uation are determined by fre- quency. If numerous residents complain, for example, that their medical care is inade- quate, the issue is likely to be- come a Level A violation. Should the survey team members find an overwhelm- ing number of Level A viola- tions, or determine that residents' lives are in imme-• diate danger, they will imme- diately bring in an interin? staff to take over the nursing facility. A second option, for homes with a significant but not over- whelming number of Level violations, is to give the facilii ty in question 23 days to make improvements, before return- ing for a second survey. The third option — which the Public Health team sea lected for Borman Hall — is to give the nursing facility 41 days in which to show progress. Administrators are obligat- - ed to address each complaint in the report, offering a plarr for correction and the date by which it will be accom- plished. ❑