That's a nice staffing ratio, ours is 1:14 and our residents go to their rooms, they are not all sitting in one room for the day. In a facility of 182 beds, it's difficult to keep folks from falling if they are determined to get up and fall.
Winthrop has a very large day room. The residents there get up in the morning, get dressed, have breakfast in the day room. Day trips in good weather are planned. They also have a fenced in patio where they can sit outside in warm weather. They have parties, have sing a-longs, etc. Some of these patients are very frail and are the ones with the alarm pads and stickers. Some are in the very first stages of Alzheimer's. Then there are some advanced Alzheimer patients that stay behind locked doors and do not come into the day room. These are patients that have become violent in the past. They have their own day room where they are free to play the piano, have an aide work on a one/one basis is needed, and are watched closely.
Then there are patients like myself. We live in our own homes, and go to Winthrop at least once a month for our vitals to be checked and any other problems checked. We have a re-evaluation every six months to make sure our mental state has not deteriorated. Every time I am re-evaluated, when they are through, they send a letter to Poo (my medical proxy) and let him know the results. The re-evaluation consists of my meeting with every member of my medical team starting with my doctor for a physical exam, the NP, social worker, head nurse, dietician, physical therapist, a complete blood workup, and a home visit to make sure I am safe in my home. I have available to me if I choose to ask for it, a housekeeper that will come every day if needed, a pick up laundry service that will wash, dry fold and bring back my laundry wrapped in brown paper. Meals on Wheels, carpet cleaning every six months and windows washed once a year. Anything I want or need is mine just for the asking. From extra safety bars to my scooter. I also have a "Help, I have fallen" service.
They are well staffed. And our care is very comprehensive. I know I bitch about it being invasive a lot, but all in all, I don't have any medical worries. I am very fortunate. I get for $233.00 a months rent, all the heat, hot water and electricity that I choose to use along with building and grounds maintenance .