TB
Tracey Brownlee
Sep 18, 2025
My father was in memory care at The Oaks West Cobb for one year. During that time, we watched him turn into a drugged-out zombie from being constantly overmedicated. While I realize that those with Alzheimer's need meds to manage their moods, anxiety, and sleep, I would hope that a memory care facility would have staff who are trained to manage such residents vs. staff who treat residents worse than you would treat a dog.
Instead of immediately adding more and more meds, stop and consider what else might be happening to elicit a negative response (just as you would a small child). Perhaps lack of sleep, soiled diaper/clothing, uncomfortable sitting position, lack of proper nutrition, boredom. Perhaps reacting to your tone, your attitude, the lack of understanding. Any of those things can make someone lash out.
Until recently, The Oaks allowed families to install Ring cameras in apartments. They have since banned cameras in the interest of "patient privacy." What are you afraid we will see? Had it not been for the camera in my father's room, we would not have known the neglect he often suffered at the hands of the staff. We would not have been able to report when he fell out of bed and was not checked on for over 8 hours while lying on the floor in his own excrement. We would not have been able to dispute the various tall tales we were told (e.g., that he "hit" a staff member when in reality he grasped at the staff member as she allowed him to fall out of his wheelchair). We would not have been able to alert staff that he had been awake the entire night, thus impacting his mood.
Unless it's just a coincidence that the disease progression in every resident is the same, it seems odd to me that so many who once seemed content and mobile now have a blank look in their eyes and are constantly told to stay seated. Rather, I think residents are overmedicated as a way to make up for the lack of staff on hand.
Sadly, staff who are kind and compassionate (e.g., PTs Taylor and Skyler, Med Tech Rochelle) are outnumbered by staff who seem unhappy with their jobs and/or scared of management. In recent months, we were told (in confidence) that staff were instructed not to interact with or share information with families. When they did interact, it was often stifled. Unfortunately, the revolving door of management and staff make positive change very difficult.
Working w/residents in a nursing home or assisted living community is different from working w/residents in memory care, particularly those w/ALZ. It's similar to working w/children in preschool. Using raised voices, acting bossy and impatient, and showing little compassion often yields negative results. How about smiling at them, talking to them (often more slowly) so that they understand, using distraction/deflection when they are agitated, telling them what you plan to do, showing patience and kindness, and giving them grace? Understand that those with ALZ aren't able to learn and remember new things, so you have to do it all over again each time you interact.
As far as "activities," how about bringing in a musician or children's choir. Or providing children's toys. Or taking residents outside to the courtyard and playing music at a reasonable volume. Anything to brighten the day of a group that otherwise sit in front of the TV watching shows they can't follow or understand.
The Oaks should spend more money on hiring and training quality staff and less on making sure the building and grounds look pristine.
When we moved my father, even though we asked that they not administer particular meds the morning of his departure, he was a complete zombie and unable to eat or hold his head up and eyes open for an entire day. However, within two days at his new facility, thanks to a supervisor who could clearly see that he had been overmedicated, he was sitting up in his wheelchair, feeding himself, and talking again. Within TWO days.
I could go on and on. I'm happy my father made it out alive. Though he has advanced ALZ, he still deserves to be treated with dignity.