Ms. Schulz reported that there were 1000 candidates in 1997-98. Burn out, due to staffing, budget, regulations and human need. Inadequate preparation of candidates by the educational system complexity of the job. Expecting administrators to be experts on everything. Threats of imprisonment as a penalty resulting from surveys.
Survey reports that focus on negatives, rather than positives.
Insufficient training of surveyors and, thus, inequitable surveys. Risk is too high. Salaries are not high enough to warrant the risk. Since assisted living is less regulated, many administrators are working in this area. These agencies are now reviewing that agreement and working toward a revised document that will assure meaningful cooperation in achieving compliance with provisions of federal law, relating to substandard quality of care at a nursing facility.