I recently asked a hospital discharge planner how she chooses which nursing home to discharge to. "Five-Star" was the reply. Was I surprised? Not at all. Once again, it demonstrates just how far this Centers for Medicare & Medicaid Services consumer initiative reaches.

Now that Mother's Day has passed, it's on to the next best thing, Father's Day. This year, one long-term care professional has created an extra special twist to it, even though it's about a month away.

The holy grail of long-term care hiring would have to be the ability to divine in advance who will end up becoming a personnel liability and workplace nightmare. Most providers try to do that with a combination of intuition, hypnosis, polygraphs, frisking and background checks.

Major depression is a highly debilitating illnesses associated with significant morbidity, impairments in occupational and social functioning and increased risk of suicide. Patients typically have some degree of symptomatic response to treatment, but often suffer from persisting residual symptoms that cause significant functional impairment, decreased quality of life, and increased risk of relapse.