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Beyond Bedrails and Bingo: Myths, Truths, and the Future of America's Nursing Homes

by Dave Devereaux

Inside America’s nursing home system

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AlbakiReads Editorial

Inside America’s nursing home system

Dave Devereaux draws on nearly fifty years of work in nursing homes, from housekeeping to executive leadership, to examine how the industry operates and how it reached its present condition. The book combines historical and systemic context with practical guidance on assessing care and navigating decisions for a loved one. Its chapters also include accounts of the difficult choices faced by families and staff, and end with “What You Can Do” sections. Together, these elements connect the larger questions of staffing, cost, and care systems with the decisions people encounter within them.

Good fit for readers who enjoy

  • Families seeking guidance on evaluating nursing home care and navigating decisions for a loved one
  • Nursing home administrators and professionals interested in industry operations and systemic challenges
  • Policymakers and investors examining senior care

Themes

Nursing home care and operationsStaffing and costsFamily and staff decision-makingIndustry history and systemic change

Based on publisher information and book metadata.

Book overview

What happens when the nursing home systems designed to care for our parents, our neighbors, and our own selves break down?

With 1.3 million Americans in nursing home care, 99 percent of facilities reporting staffing shortages, and patient costs now exceeding $120,000 annually, the gap between our values and our systems has never been wider-or more dangerous.

Whether you're an administrator navigating impossible decisions, a policymaker crafting legislation, or an investor evaluating opportunities in senior care, or an individual seeking the best possible care for a loved one-this book separates facts from fiction with unprecedented candor. Drawing on nearly fifty years of experience-from teenage housekeeper to C-suite executive, Dave Devereaux provides the insider perspective that industry professionals wish they could share publicly and that curious readers rarely get to see.

In Beyond Bedrails and Bingo, readers will:
  • Gain the historical context and systemic insights that explain the current state of America's nursing home industry and what it will take to move forward.
  • Learn how nursing homes really work, what questions to ask, what to look for, and how to navigate this complex landscape when it matters most.
  • Discover the human moments-what it's like in the room when difficult decisions are made, what families whisper in hallways, and what staff wish they could say.
Each chapter concludes with "What You Can Do" sections that will give you expert-level guidance stemming from decades of working in the system.

Whether you're working to fix the system or simply need to understand it, the insights in these pages will change how you see America's nursing homes forever.
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