Sadly, the one thing I took from my time as an EMT and paramedic was which nursing homes to consider and which to avoid. I filed more than one complaint with the DOH.
It's a standing joke that whenever 911 crews respond to a nursing home, the report you'll get from staff will be a bingo game of:
- "I just got on shift; I don't know why you were called."
- "This is not my usual floor; I'm just covering while someone is on lunch. I don't know why you were called."
- [utterly unrealistic set of vitals, in either direction, healthy, lively vitals for someone who is not thriving, or "should be unconscious" vitals for someone lively and spry]
- [extended time waiting for patient notes, history, an outdated med list with everything they've taken in their ten years at the facility]
And so on.
I (generally) don't blame the floor staff (though some things, as you describe, are inexcusable) but management/ownership. The same management/ownership that has the policy to call 911 for anything more involved than a bandaid for some weird idea of managing liability, nurses that "aren't allowed" to do several interventions that they can, for the same reason, all the while the facility has a massive billboard out the front advertising "24/7 nursing care" (and fees/costs commensurate with that).