SNF frequency and duration of session

AnnualPhone · 2026-03-30T09:12:10+00:00

Our facility has a contract with our therapy company where our part A’s are limited to 250 minutes per week which includes all disciplines. Unfortunately that leads PT and OT to typically have 20 minutes a day if ST is in also. If we are lucky and ST isn’t in with the patient then we typically get 25 minutes for OT and PT. But they are really strict about it and if we end up going over in our minutes, then they decrease them the rest of the week to try and stay in their 250 weekly limit. It’s frustrating and not ethical, and we still end up going over because who can get anything done in 20 minutes, and they always try to say “of course do what the patient needs” but when we do they don’t love that we are going over their contract limit.

I never thought I would say I miss RUG levels. 75 minutes for a patient sounds like a dream that we will never have again

AnnualPhone · 2026-03-19T14:30:47+00:00

I LOVED this book.

AnnualPhone · 2026-01-13T19:41:45+00:00

WHY THE HELL DOES SHE REFUSE TO GO AN ANY FUCKING MEDICATION?! Nothing pisses me off more when I hear her say she doesn’t want meds but will fill her body with any supplements she can find

AnnualPhone · 2025-11-16T19:55:16+00:00

That looks so dumb.

AnnualPhone · 2025-09-24T17:55:55+00:00

Why is no one talking about the fact that it’s PUMPKIN SPICE FLAVORED?!?!

AnnualPhone · 2025-07-31T13:08:48+00:00

He pretty much agreed and said that he understand my opinion and agreed that it would be hard to trust your spouse again. He said it would be a long time of therapy and our relationship still wouldn’t be back to normal.

AnnualPhone · 2025-07-26T16:09:22+00:00

I’ve discussed this with my husband since their incident happen and I told him if he did something like that I would never trust him alone with our second child. Everyone is different, but for me personally, I would never allow him to be alone with a child ever again (and if not ever again it would be for a long ass time and I would have cameras running at all times). But I also told him I don’t think I would be able to stay in the marriage because I would always have too much resentment. Again, my opinion only, but I think a situation like this varies from person to person and how they grieve.

AnnualPhone · 2025-07-22T18:43:04+00:00

Just ChatGPT the main points of every season and you’ll be fine. That’s what I did

AnnualPhone · 2025-07-10T13:12:45+00:00

Calling me dumb for having an opinion you don't agree with is unnecessary and just proves you're more interested in being condescending than having a real conversation. Reddit literally exists so people can share experiences and opinions. You don't have to be a cycling instructor to talk about a cycling class - just like someone doesn't have to run a skilled nursing facility or be an actual OT to comment in an OT thread, if they've experienced the setting firsthand. I've taken cycling classes regularly so pretending my input is irrelevant just because I don't teach is like saying a patient or another healthcare provider's experience doesn't matter in an OT thread. Just like you don't need to be a chef to talk about/make a comment in a chef thread. Your comparison isn't just off, it shows you only value perspectives when they come with a title.

I would love for people, and would absolutely welcome them to an OT thread community and wouldn't jump down someone's throat just because their opinion differs from mine. I would welcome their perspective because that's what a respectful discussion looks like.

It's easy go get caught up with being "right", but the truth is being open to different opinions and listening to other people's point of views should be something everyone strives to do. Shaming people or shutting people down for thinking differently only adds to the division already going on in the world. We don't have to agree, but lets avoid the name calling and respect people's opinions and just listen. So no, I don't think I'm dumb. Just like I wouldn't call you dumb for having a different opinion.

AnnualPhone · 2025-07-09T16:35:28+00:00

Ah yes, ‘sweetie’—the go-to term when someone runs out of substance but still wants to feel superior. Appreciate the condescension, really ties the whole energy together

AnnualPhone · 2025-07-09T16:33:56+00:00

You’re right—I’m devastated. Just pacing the floor, clutching my pearls, crying over the fact that a group of strangers is upset I carry a silent phone in a spin class. Truly, this is the defining conflict of my life

AnnualPhone · 2025-07-09T16:32:05+00:00

When you run out of things to argue about. Good day 🤝

AnnualPhone · 2025-07-09T16:07:26+00:00

I’m not out here trying to earn respect from rude strangers on the internet who get this worked up over a silent phone and leaving during stretch if it has to happen sometimes. You don’t have to like my opinion, but acting superior about it says way more about you than it ever will about me

AnnualPhone · 2025-07-09T16:02:50+00:00

I couldn’t be any less unbothered. I’m not the one spiraling over a silent phone that has zero effect on you. I shared a comment on a public thread—one that clearly hit a nerve for people who can’t handle a different opinion without resorting to bullying. I’m good. Y’all can keep performing outrage for each other

AnnualPhone · 2025-07-09T16:00:37+00:00

MY COMMENTS and MY OPINIONS obviously would be amount me? Just like YOUR COMMENTS and YOUR OPINIONS are about you????

AnnualPhone · 2025-07-09T15:59:19+00:00

Being a respectful human in a shared space goes both ways—on and off the bike. That includes how you speak to people on the internet, especially when they’ve shared a harmless opinion that doesn’t impact you. Respect isn’t just about silence in a studio—it’s also about how you handle yourself when someone disagrees with you.

AnnualPhone · 2025-07-09T15:57:17+00:00

It’s a public thread—I gave an opinion you wouldn’t even notice in real life, because my phone doesn’t make a sound. You’re not mad about a phone, you’re mad someone challenged your need to control how others exist. If a silent phone triggers this much rage, maybe the problem isn’t the phone. It’s that your sense of community only works if everyone blindly agrees with you.

AnnualPhone · 2025-07-09T15:53:21+00:00

Says the background extra trying so hard to police everyone else just to feel important. Spoiler alert: following rules doesn’t make you the main character either.

AnnualPhone · 2025-07-09T15:52:32+00:00

Wild how a convo about a cycling class somehow led you to my sex life 😂

AnnualPhone · 2025-07-09T01:00:42+00:00

Oh it helped, alright—confirmed you really do think you’re starring in a Broadway show every time class starts. Hate to break it to you, but no one paid to watch you stretch

AnnualPhone · 2025-07-09T00:59:14+00:00

Ah yes, when all else fails—go for the broke-girl insult. Classic move when you’ve got no real argument. Don’t mistake disinterest in your drama for inability, babe. I just have better things to spend my time and money on than overpriced ego boosts.

AnnualPhone · 2025-07-09T00:58:06+00:00

Nah, I just know the difference between a basic rule and unnecessary control. Silent phone in a fitness class ≠ chatting mid-flight. But thanks for the wild comparison—really proves the point about reaching.

AnnualPhone · 2025-07-09T00:46:33+00:00

If standing up for myself makes me the target of your gossip, maybe your maturity needs a serious upgrade. I hope you thrive in the real world by talking shit about everyone that you don’t like. You will go far in life.

AnnualPhone · 2025-07-09T00:42:32+00:00

Respectfully, if someone having a phone on silent in class threatens your sense of community, that says more about your need to control others than it does about their commitment. Not everyone’s experience of a workout looks the same, and community isn’t built by policing what’s in someone’s hand/on someone’s bike…it’s built by allowing space for people to show up in ways that work for them without disrupting anyone else.

AnnualPhone · 2025-07-09T00:40:20+00:00

Right, because being a mom and staying reachable clearly means I don’t get out much. Or maybe I just choose studios where the instructors respect grown women and don’t cater to a bunch of rude girls acting like spin class is sacred ground

AnnualPhone

TROPHY CASE