Carson Manor Case

Case Study 6-3 Carson Manor

Background and History

Carson Manor is a home for people that require nursing care. Carson was opened about 30 years ago. This nursing facility has the capacity to house 470 people and staff 235 personnel. These personnel are unionized under the District Service Workers Union Local 325. The Carson Manor administrator is responsible for the day-to-day operations. The administrator reports to Mr. Henry Davis who is the city’s director of social services. Mr. Davis is responsible for policy and budget plans regarding Carson Manor.

Impact

Seeing as how Carson Manor is a state sponsored facility it is only logical that the state would want to keep cost down while still providing excellent services. The problem here is that costs are becoming increasingly high and Carson Manor doesn’t exactly have a history of being proactive to this issue. It is so bad, in fact, that the average cost of a bed is 14 percent higher than private institutions. A big reason for all these problems is that Carson Manor does not posses a patient classification system that would make it easier to develop standard levels of nursing care for their patients. If Carson Manor does not resolve this issue soon they will be running into more financial trouble since the cost for both current residents and new applicants is on an upward trend.

Pros/Cons

Carson manor has a reporting structure that creates checks and balances against the excesses of individuals in positions of authority. Each person is directly answerable to another individual on a higher position in the hierarchy of power and authority. This ensures that each person takes responsibility for his or her actions thus enhancing transparency and accountability. Budget planning and policy making are processes that require the contribution of various