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We are blessed with a good AL facility, on the smaller side with about 28 apartments, and pretty good staff. We have the occasional issue but they are very responsive. Once before we've given gift bags of chocolates and hard candies for all the staff (about 20) to show our appreciation. I would appreciate any ideas on how you show your appreciation to the care staff. Also, there are two or three staff that work most closely with my MIL, and go the extra mile. How have you handled showing 'extra' appreciation for a few special staff without slighting the rest of the staff?

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texasbrit: Perhaps the best way to show appreciation is to compose a letter to the ED on how wonderful the staff is/has been. You really don't know if they have a policy against gifting of any kind, although you did gift candy in the past.
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Let me just say we workers are IN LOVE with food! It's a great treat, and fruit baskets are wonderful too!! Our unit seems to be lucky,, food arrives for all the shifts, or the charge sets some aside for the other shifts. And don;t forget about the others who work there also,, cleaning, techs,, So often families often only notice the "professional" staff, and judge the number accordingly,, but those extra staff are important too! In my ICU the Dr on the weekends provides a breakfast of sorts for the staff. We have one clueless Dr who buys 2 dz bagels or doughnuts.. for about 30 staff of all sorts who are working, both shifts means about 50 ( less at night),, so that doesn't go far )
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The best way to properly acknowledge staff that go above and beyond is to put it in writing to the ED. Giving more to certain people could get said people in trouble.
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My late husband was in a small nursing home early in the COVID outbreak. His home was suddenly swamped with sick patients and too few nurses. My daughter and I started a Meal Train to deliver regular meals to the staff who were were working long hours. We ordered enough to cover two shifts (microwaves were available to warm up meals if necessary.). It worked out very well and the staff appreciated the efforts by patient's family members and towns people who supported the program. (PS) Meal Train is an on-line group that, for a small fee, provides a place for people to volunteer to prepare meals or have them delivered by local restaurants for specific volunteer efforts.
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It sounds like it would be difficult to ensure the 11-7 shift is recognized equally. I would write a letter of appreciation specifically mentioning those who care for my LO and enclose a check for the employee fund.
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Write a note of commendation to their boss. Most places cannot allow their staff to accept gifts as it isn't ethical and appears to be buying favored treatment for your LO.
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Massages? Facials? Online gift cards that don't expire?
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As most on this forum have said, a hearty "Thank you" is probably enough but, as they have also said, food is great too. Just remember that the night shift doesn't get the love that the day shift gets. I would usually bring snacks about 9pm even during covid. I would just call and tell them it is in the vestibule. Pizza, doughnuts, cinnamon rolls, bagels, etc. I even brought a few 2l bottles of soda.

After she passed, I made special mention in the obituary about the MC facility and called out a couple of the staff by name.

She died in September, in December, (I got permission from the director first) I went to Scrubs and bought a gift certificate for a new set of scrubs for every member of the staff. Since it was a small home, it wasn't an overwhelming expense. It made me feel better.
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geddyupgo Jul 2022
You rock!!
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When mom was in a NH for a couple of days (refusing to get out of her wheelchair and screaming at EVERYBODY)...we moved her to a 'better' place and I went and bought 2 -2lb boxes of super high quality chocolates. Wrote a note of thanks to the entire staff and left the candy at the nursing station. It was the absolute least I could do, she'd disrupted so many people.

Now, it's a standard that I do for when I've had long term care or DH has. And I DO remember the 2nd & 3rd shifts if they have them.

Many NH's have a bulletin board just for the 'thank you' notes and kind comments. It does help with morale.

I'm unsure about the gift cards--you'd need to check and see what's appropriate for each facility.
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I occasionally bring flowers for the nurses' stations, Activities, and Social Services desks.

That way, ALL of the shifts can enjoy them.

To keep it from getting costly, I buy one large bouquet, and divide it up, and place the flowers in cute smaller jars. Then, I make a label for each jar stating that it's from my mom.
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ALWAYS remember there are THREE shifts working. for some reason, third shift always get over looked. Second shift gets little recognition either. They are often short of staff and each and every resident needs much care at night. When I worked night shift, there were many times we'd find empty gift baskets, candy boxes, etc in the trash that were meant for all shifts. Very depressing.
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Island9445 Jul 2022
How do we make sure the other shifts are also able to enjoy any food gifts that are brought in short of making sure we have 3 separate trays, etc. at the same time (which can get costly)? At the NH where my mom is, the shifts are 7-3, 3-11, 11-7. My sister and I bring in trays of sandwiches, cookies, order pizzas, etc. at least once a month to express our appreciation and because we know they are short-handed and very often eat lunch on the run (if able to get a break at all to eat). We have brought items in during all hours/shifts so that (we hope) no one is left out. Unfortunately, we cannot guarantee someone won't take more than others and nothing will be left for the next shift. That's hard to manage in my opinon.
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Food is always a welcome thank you. If providing a breakfast or lunch is too much of an expense a snack basket with assorted things would be appreciated. A tray of cookies is always great.

Make sure the food is store bought and individually wrapped for safety.
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Staff at my mother's senior facility were not allowed to accept gifts. It's best to speak with the facility manager about this. Maybe you could order in pizzas for them. Also, tell them how much you appreciate what they do for your Mom. A 'thank you' goes a long way.
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As a Senior Memory Care Advisor to a community, our associates can not accept gifts, but is always so wonderful to receive personal notes of appreciation from the families of our residents. Post a positive review on Goggle or many of the other sites. That too is always appreciated.
In our community families always want to do something special for our team, they have brought in donuts, pizza, holiday cookies and treats, and our team were very appreciative of this kind gesture. For those caregivers that you feel have gone the extra mile, take some time to write a letter to the executive director, owner or management company to say how they go above and beyond. Thank you for your dedication and hard work means so much who dedicate themselves to caring for your loved one.
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I always sent Edible Arrangements and was NEVER disappointed by the reaction and appreciation of the staff! They always LOVED it and the bouquets are so pretty, colorful and good for you!
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anna739 Jul 2022
Did second and third shift share in your gift? Most don't. So sad.
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Can you have lunch sent? Maybe some pizza and drop off drinks and chips? Even a 6 ft sub would feed 20 people. People love food!
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anna739 Jul 2022
Second and third shift too?
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At the facility SO now works for, an individual accepting anything could be fired instantly. The families are encouraged to contribute instead to the employee Christmas fund or toward scholarships to help kids of employees or employees themselves.

Every facility is different, but the last thing anyone wants is to put employee livelihoods in jeopardy. Check with the managers first.
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Each day you visit do the following.
Smile, greet the staff. (Even the person pushing a broom)
Wish them a Good Morning, afternoon....

If there is one or more that you are really appreciative of write a letter or note to them and make a copy for administration. Tell them that you appreciate what they have done and give examples. This can go a long way if someone wants better hours, a day off or even if they go for another job.

Most places have restrictions on gift cards or cash. If it is allowed it is probably limited to $25.00

A nice thing would be to have coffee, donuts and fruit delivered, or you bring it for the AM staff.
A sandwich tray, or a tray of cold cuts and cheese and bread from a place like Sam's, Costco or a local sandwich place for the Mid day or PM staff.
Overnight seems to be left out a lot so see if something could be set aside for them. Or a late night pizza delivery.
(make sure you set up anything like this in advance so they are aware of a delivery)

And once again smile, say thank you when you leave.
Treat them the way you would want to be treated if you were working and better treat them the way you want them to treat your mom.
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MargaretMcKen Jul 2022
Spot on. And treat them like fellow carers, not just 'staff'. If you are a lot richer than they are (which is not uncommon in AL), it's important not to seem like you are 'talking down' when you thank.
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