Bruce W. McCollum

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Wound Care Isn’t Just Clinical — It’s a Legal Exposure Point…

Pressure wounds remain one of the most cited deficiencies in nursing home and adult foster care surveys — and one of the most litigated. NHA 1409:...

Even Conditions Without Chronic Symptoms Are Still a Daily Responsibility…

Hypertension rarely announces itself, which is exactly why it demands consistent attention from staff rather than reactive care. A resident can feel entirely fine while their...

Developing A “Safety-First” Culture Costs Less Than a Claim…

Workman’s compensation claims in group living settings rarely come from a single dramatic incident — they build from repetitive strain, rushed transfers, and safety gaps that...

Before Offering Substance Abuse Services, Understand the Business Behind the Care…

Adult Foster Care owners increasingly encounter residents whose care intersects with substance use — and some consider offering or partnering with treatment services directly. Direct Care...

Getting Older Doesn’t Mean Getting Left Behind…

Elderly residents deserve the same enriching outings as anyone else, but mobility limits, medication schedules, and hydration needs mean the planning has to be more deliberate....

Running a Home Well Takes More Than Good Instincts…

Tennessee nursing home, assisted living, and home for the aged administrators are expected to be fluent in dementia care, nutrition standards, financial management, and regulatory compliance...

A Behavioral Addiction Deserves the Same Structured Response as Any Other…

Pornography addiction is a behavioral health issue staff genuinely encounter in residential care, and avoiding the subject or reacting with discomfort helps no one — least...

A Good Day and a Bad Day Can Look Completely Different With MS…

Multiple sclerosis doesn’t progress the same way for any two residents — symptoms can flare, fade, and shift in ways that are easy to misread as...

The Right Outing Can Build Confidence a Session Indoors Never Will…

Community outings offer residents with mental health diagnoses a genuine chance to build social skills and confidence — but the wrong destination, timing, or level of...