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I think I would ask for a meeting with the DON (director of nursing) and ask how you can work together to solve this nighttime toileting issue. Do they keep a record of calls for assistance (my mom's NH had a computerized bell system, so the actual requests and response times were recorded). Is mom pushing the button hard enough? Is she becoming anxious because she doesn't see staff bustling around the way they are during the day?
I would not leap to the conclusion that the staff is slacking off until you make them aware of the fact that there is a problem.
Why does mom call you? Do you then call the facility to tell them that mom needs assistance? We had the experience of mom calling us with issues because she didn't want to "bother" the staff.
I agree, night shift doesn't have the supervision that daytime has but there has to be an RN or LPN on duty overseeing the aides. My daughter says that nighttime is not all that quiet.
Put it in writing and give a copy to the DON and facility administrator. Tell them it will be sent to Medicare if you get one more call in the middle of the night because the workers are screwing off and not taking care of patient needs.
Be a squeaky wheel to get her the care she is paying for.
Night shifts don't have the same supervision and tend to be screw offs, someone needs to bring this to the attention of management.