Mike’s Column

Was Spenser correct–survival of the fittest–facilities?

Herbert Spenser, not Charles Darwin, coined the phrase, “survival of the fittest.” In this context, which facilities will survive: the state’s high taxes and rising minimum wages; rising worker’s compensation premiums; higher food and utility costs; rising liability insurance premiums (if any carriers stay in California); fewer and a less qualified workforce (or forcing the hiring of CNAs); the proliferation of punitive laws and regulations; and the acceptance of nearly all health conditions? To survive, legally, facilities must deny admissions to SSI and low-income residents, and force the state to pay for the care when these individuals are placed in

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Was Spenser correct—survival of the fittest…facilities?

Herbert Spenser, not Charles Darwin, coined the phrase, “survival of the fittest.” In this context, which facilities will survive: the state’s high taxes and rising minimum wages; rising worker’s compensation premiums; higher food and utility costs; rising liability insurance premiums (if any carriers stay in California); fewer and a less qualified workforce (or the forced hiring of CNAs); the proliferation of punitive laws and regulations; and the acceptance of nearly all health conditions? To survive, legally, facilities must deny admissions to SSI and low-income residents, and force the state to pay for the care when these individuals are placed in

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The Forces for Success or Failure in 2018

California’s assisted living industry is literally at a critical point—survive or die! The forces determining the industry’s survival or death are minimum wage increases, higher worker’s compensation premiums, liability insurance premiums and the exit of carriers from the state, increased regulations and new laws, rising cost of gasoline and utilities, ineligible employees via the sanctuary state provisions (cannot hire illegals), the push to hire nursing assistants over caregivers, the “medical model” and the push to admit prohibited conditions—I could go on. Can you stand anymore? The licensee must face reality. The true cost of care in California is beyond the

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