Nursing home business plan. How to open a private nursing home

According to information provided by many statistical companies, over the past 20 years, the number of citizens over the age of 70 has increased by more than 40%. Specialists in the field social service argue that nursing homes located on state support, are heavily overcrowded, and the very conditions of living in them for people of retirement age are far from home. In addition, it is almost impossible for elderly people with health problems or minor mental disorders to get into such a nursing home.

Based on this situation, some businessmen began to develop this unfilled niche. Thus, many entrepreneurs had the idea to open a nursing home as a business that could bring some profit. But it would not be possible to create a profitable enterprise using the scheme of operation of existing state houses of this type. For such experience, one has to turn to foreign colleagues, since in developed countries This type of business has been around for a long time.

What is needed to open

1. It is necessary to obtain permission and agree on the requirements for the organization and work of this institution with regional administration on social protection of the population, and determine the number of places in the institution for the elderly.

3. Obtain permission from the sanitary and epidemiological supervision and fire service, equip the premises with all the sanitary standards provided for by legislative acts.

4. Rent or purchase premises and adjacent land.

5. Purchase all the furniture necessary for life, appropriate household equipment, household equipment.

6. Select service personnel. At this stage, it is necessary to be especially careful in choosing specialists, since the normal functioning of the nursing home will directly depend on this.

6. Organize all the necessary promotions and events provided for in the marketing part of the business plan. At the same time, it is necessary to know the exact number of places in the institution so that there are no misunderstandings when applying.

7. To study the existing experience of such institutions in developed countries, and bring the system of work organization in accordance with the requirements of all norms and rules provided for by Russian legislation.

Work organization

After obtaining all permissions to open a boarding house, and the staff of service personnel has been recruited and trained, you can begin to search for clients. To do this, it is better to use the Internet, local media, and other sources of information. It is better to entrust organizational work to an experienced specialist who has experience working in similar public institutions. As for the main staff, who will directly provide for the everyday needs of the elderly, it is better to recruit them from employees of kindergartens or hospices. It will be easier for people who worked in such establishments to take care of elderly clients and provide them with the necessary living conditions.

As for the equipment of residential premises, it is necessary to create conditions as close as possible to home. Clients should not feel like temporary visitors who can be picked up by children at any time. To do this, no more than three beds should be placed in each room, and bedside tables should be roomy enough, not the same as in general hospital wards. Sanitary rooms should be equipped with modern, comfortable plumbing that will not create inconvenience. Also, the boarding house should be equipped with a room for various leisure activities, hobby activities. It would be nice to organize a gym for physical education, and provide it with simple simulators.

Catering

The dining room should be equipped based on the number of residents, so as not to create a queue, as in hospitals. Meals need to be organized three times a day, and evening kefir or jelly should also be provided. You also need to take into account the state of health and all the characteristics of the body of each resident, and, if necessary, create personal diets. The dishes should be chosen like homemade, with an interesting design. A good option would be to create a kind of buffet in which you can sell fresh confectionery and drinks, and in this sense, the nursing home as a business can bring additional profit. And on holidays and birthdays, you can provide a special menu that will not leave indifferent any client, and the boarding house will receive additional pluses in the rating.

Attention: Since the nursing home is an institution in which citizens permanently live, the entrepreneur needs to be prepared for regular scheduled and unscheduled inspections. Representatives of the sanitary-epidemiological, fire and medical services will be frequent guests of the private boarding house. And constantly changing norms and rules, brought into line with changes in legislation, will become an occasion for even more visits by inspectors of these services. Medical care for residents of the boarding house will require the issuance of an appropriate license. True, some entrepreneurs do not have their own health workers, but use the services of doctors who have their own license.

Estimated Costs and Profits

Opening a private nursing home involves considerable financial investments, but such a business can guarantee a stable income, since no one has canceled the process of human aging. Depending on the size of the boarding house and the number of residents, the amount of profit may be different. Using the example of a small boarding house created in the premises of a large apartment or house, the numbers will be something like this:

1. The costs associated with the costs of obtaining the necessary permits will amount to approximately 20 thousand rubles.

2. Rent of premises - 10 thousand rubles per month.

3. Salary for staff consisting of two people - 20 thousand rubles per month.

4. In a small boarding house created on the basis of a small house, about 6 people can be kept. The approximate cost of maintaining one person will be about 3,500 thousand rubles.

5. Unforeseen expenses - 5 thousand rubles.

Monthly expenses will amount to approximately 56 thousand rubles.

The cost of living for one person in a nursing home with full boarding provision is from 1000 rubles.

Therefore, the expected monthly profit can be from 100 to 120 thousand rubles.

Demand for the services of boarding houses for the elderly is growing steadily, and the state cannot provide for everyone. But it is not easy to make money in this market - seasonality and prejudice interfere

The idea of creating a private nursing home came to the entrepreneur Natalya Peryazeva after one of the conversations with her grandfather, who once fought on the Japanese front. “I would like old age to be as full as life today,” a 95-year-old grandfather once said, apparently considering that up to 100 years old is not old age yet. Natalya herself is only 38, but she "always dreamed of doing something for people over 80, so that they would not depend on their children."

Before fulfilling her dream, she tried herself in different areas- Worked at LogoVAZ-Belyayevo, the first Mercedes-Benz dealer in Russia, and at Itera gas production company. She earned initial capital and created the LogicStars IT company, a software developer for car services. Among the clients are about a hundred car services, distributors and dealers, including official Nissan, Renault, Kia. A successful IT business allows her to now launch projects “for the soul”.

From childhood to old age

When Natalia had a daughter in 2008, she decided to open a developing child Center not far from the house in the metropolitan area of Marfino: "Then the area was just built up, there were no competitors." Peryazeva leased 230 sq. m, made repairs, developed training programs. “But over time, competitors began to open up, profitability fell, and the poorly predicted profitability for the season became an unpleasant discovery - they earned half a year, another six months they ate what they earned. In general, it became boring, ”recalls Natalia.

After the birth of their second child, the family moved to the Moscow region, and in August 2015 they sold the development center. With the funds received, Peryazeva decided to open a kindergarten - her children had just grown up, and the business model kindergarten seemed to her more stable than a developing center. She was offered to see the operating garden "Seven Dwarfs" in the village of Larino in the Lianozovo district in the north of Moscow - the village is located in a forest park zone, wealthy people live there. “When I saw this village, I realized that this is an ideal place to realize another of my dreams - to open a nursing home,” says Peryazeva. In the end, everything went at the same time: Natalya was negotiating the purchase of the Seven Dwarfs and was looking for a suitable building for a nursing home.

We managed to find it on the street next to the kindergarten. In July 2015, Peryazeva rented a three-story stone cottage with an area of 500 sq. m. A couple of months later, the nursing home has already opened. "Fast? Opening a boarding house for the elderly - what's so difficult about it? Natalia laughs. The first guest at the House by the Park, 80-year-old Valentina Ivanovna, moved in in September 2015.

Photo: Vladislav Shatilo / RBC

“Opening a boarding house is really not as difficult as many people think,” confirms the owner of the boarding house for the elderly “Close People” Tatyana Ilyina. “The state does not regulate this area of activity, and there are no legislative requirements.” You just need to register a legal entity (“House by the Park” is an individual entrepreneur in simplified form), indicate in the documents suitable look activities such as residential care, prepare standard contract about the provision of services.

Such an institution does not require a special license to open. "Because of the absence general rules and requirements, everyone does what he is capable of,” says Ilyina. - The boarding house may have medical beds, a special diet or doctor's services, or it may not have all this, the institution will open anyway. Therefore, when choosing a place for your relatives, it is very important to look at what kind of people are doing it. Only entrepreneurs who are not indifferent to the elderly work successfully in such a business.”

At the same time, private nursing homes are controlled by Rospotrebnadzor and the fire service. According to Natalia, representatives of these services came several times at the start of the business, but after making sure that everything was fine, they did not bother me anymore.

Elder market

The population of Russia, like the rest of the world, is aging. According to the UN, the proportion of people over 60 in 2000 in Russia was 18.5%, and in 2050 it will be 37.2%. Today in Russia there are just over 1.5 thousand boarding houses for the elderly. For comparison: there are more than 7,000 of them in France, and more than 20,000 in the USA. About 90% of all Russian boarding houses are state-owned. Most private nursing homes are located in Moscow and the Moscow region (over 90 boarding houses), St. Petersburg and Leningrad region, in the regions the market is not at all developed - in million-plus cities there are two or three private establishments. According to the calculations of the NP World of the Older Generation, 630 thousand elderly people in Russia have a need for places in specialized institutions, and only 270 thousand are provided. At the same time, not everyone is satisfied with the quality public services and many are willing to pay.

The cost of monthly living in a private nursing home ranges from 24 thousand to 100 thousand rubles, on average - about 50 thousand rubles. The price primarily depends on availability. medical services, food quality and location. The main players are the UKSS network (700 seats), Senior Group (230 seats), Close People (120 seats) and others. at 60 thousand rubles.

If private boarding house for the elderly will be able to prove high quality services (for example, in Moscow one of the requirements is a five-year work experience of the organization), it can be included in the register of suppliers social services. Then the guests will come in the direction local authorities social protection, which compensates up to 80% of maintenance costs. For example, Aleksey Sidnev's Senior Group is included in the register, with a subsidy in the network of his boarding houses, one hundred places are provided. But, according to him, working with the state is not very profitable - the social security authorities set the maximum cost of a place, for example, in the Senior Group - this is 66 thousand rubles, of which the guest himself pays only 11 thousand rubles, and average check in the network - 90 thousand rubles.

Where Dreams Lead

The investor of "Houses by the Park" is Peryazeva's IT company LogicStars. According to SPARK, in 2015 the company's turnover amounted to 16.5 million rubles, profit - 2.2 million. Both projects of Natalya are located in the same building: the last floor of a three-story cottage is occupied by an IT company, the first two are a nursing home.

The launch of the "House by the Park" cost 2.3 million rubles, the rental price is 250 thousand rubles. per month (167 thousand rubles, if you subtract a third of the area occupied by programmers). Tatyana Ilyina says that the initial investment figure looks too low: “It is hardly possible to meet this amount.” To open her first 50-bed boarding house, she needed almost three times the amount of investment. Peryazeva says that she saved money on repairs: “We took into account the previous experience of the “children's” business when we made expensive repairs “for centuries”, and two years later the project was sold. Therefore, this time we rented the building already renovated, and most importantly, there was no need to remake it for the needs of older guests.”

I had to spend money on the purchase of upholstered and cabinet furniture for the living room, kitchen area and living rooms (including several special medical beds) - in total it took about 500 thousand rubles. Climbing to the second floor was not easy for some clients, so they bought a step walker - a mechanism in the form of a chair that allows you to climb stairs (another 300 thousand rubles).

A separate cost item is bathroom equipment. Most older people need help, so they need special equipment: a lifting mechanism for immersing a person in a bath (cost 25 thousand rubles), a special chair in the shower cabin (about 10 thousand rubles), metal handrails on each side and anti-slip mats. In total, the purchase of special equipment and furniture cost 1 million rubles.

Natalya decided to save money on medical care - there is no permanent doctor in the House by the Park, like in most private nursing homes. “We have agreements with Invitro, Hemotest and commercial ambulance for emergency sampling, procedures, or a doctor’s examination,” says Peryazeva. The house has a standard first aid kit and a nurse on staff, and guests bring prescription drugs with them.

“The lack of medical services is not a barrier to entry into the market, but it narrows the circle potential clients Ilyina warns. “After all, many older people really need regular medical care.” According to her calculations, the presence of a doctor increases the cost of services by about 3-5%.

Natalya Peryazeva also found a way to save money on catering. Food is prepared in a kindergarten on the next street, brought to the “House near the Park”, warmed up and served in an equipped dining room. “We don’t have the opportunity to organize special meals,” admits Peryazeva. In general, the cost of buying, delivering groceries, cooking takes 20% of the total structure of monthly costs.

According to Ilyina, as a rule, “a boarding house for the elderly is social facility with the meals of the guests, therefore, generally accepted standards for the organization of this process apply to it. In particular, a separate room should be equipped for the kitchen, various requirements of Rospotrebnadzor and firefighters must be observed. Cooking in another room reduces inspections and saves space.

Founder of the nursing home "House by the Park" Natalia Peryazeva (Photo: Vladislav Shatilo / RBC)

Business about people

To attract future guests, we decided to use advertising on transport - we entered into an agreement with the local fleet of fixed-route taxis and placed them on the doors and bodies of cars advertising layouts. The move worked. “The first clients came precisely through this advertisement,” Peryazeva remembers.

Now, to promote her institution, she uses contextual advertising, shoots a video and posts it on social networks, is spent on search engine optimization. The choice of a nursing home is not a spontaneous decision, as a rule, relatives carefully study websites and reviews on the Web. In the first four months of 2015, spending on marketing and promotion amounted to 500 thousand rubles. and exactly the same for all of 2016.

Today, in the “mini-hotel for the elderly”, as Peryazeva prefers to call her institution, 15 out of 22 places are occupied (70% occupancy). That's not a lot. The fact is that nursing homes are a seasonal business, increased demand begins in mid-May, reaches its peak in summer and decreases by the end of October.

“Planned occupancy, which allows you to earn a profit, is 85%. It usually takes a year or two to bring a new object to such numbers,” says Alexey Sidnev from Senior Group (the occupancy of his network is about 90%). “So everything is fine, for Natalia’s institution, occupancy is a matter of time.” “A full load still does not happen, and we have it no higher than 85%,” says Tatyana Ilyina. “A more important criterion is the number of residents per one nurse, optimally one for three people.” At the Park House, there is one nurse for every five people. A total of ten people work there, including a nurse, social worker, nurses, manager and administrator.

The main difference between private nursing homes and public ones is that people rarely live there permanently. Usually, as Peryazeva says, grandparents spend from ten days to several months in the "House by the Park". The owners of private nursing homes say that, as a rule, relatives decide to send the elderly to boarding houses after complex operations when they need a caregiver; another motive is that children go on vacation themselves and cannot look after their parents; sometimes boarding houses are seen as holiday homes where older people can socialize with each other. Western model when people live in boarding houses all year round, takes root in Russia with difficulty - older people do not want to break away from their families, and it is unprofitable for children to pay for their accommodation for a long time.

Only a few people choose to live in the Park House permanently. " the main problem— a rather high cost of our services, worthy conditions to provide for less than 50 thousand rubles. a month is practically unrealistic, - Tatyana Ilyina complains. “If the boarding house is really good, some of the clients come back to it from time to time.” The conversion is at least 30%, confirms Peryazeva.

"Grandfather's Garden"

In 2016, Dom u Park's revenue exceeded RUB 6 million. In the fall, the project reached payback, but there is no profit yet, winter is the low season. By the summer, Peryazeva expects to increase occupancy to 85%, and by the end of 2017 to get the first profit. According to Alexey Sidnev, the average profitability of this business is 19-22%. In 2015 boarding houses brought Senior Group about 250 million rubles. revenue, but the company is actively building new facilities, so it is still unprofitable. But the network of three boarding houses near Moscow "Close People" by Tatyana Ilyina earned 5 million rubles in 2015. net profit with a turnover of about 20 million rubles.

An unexpected synergy was discovered between the kindergarten and the nursing home of Natalia Peryazeva. Children and grandparents visit each other regularly. Children - with a concert or performance, adults participate in master classes or read fairy tales to children by the fireplace in the living area of the kindergarten. “We alone in Russia have guessed to combine children and the elderly,” says Natalya. “Children should see that old age is different, and in an educational sense, the combination of a garden and a house is good, but from a business point of view, these are absolutely two different segments,” Ilyina is surprised. — If the owner of the "House by the Park" manages to turn such a model into competitive advantage- Great".

Moreover, Natalia decided that the kindergarten business model could be used in the market of services for the elderly. In the near future, she plans to open a "grandfather's garden" in the boarding house - the possibility of an elderly person staying during the day without spending the night. “In Germany and the USA, this model works successfully - relatives bring relatives in the morning and pick them up in the evening. They do not sit within four walls, communicate with each other and have fun, ”says Natalya. The fact is that many older people are afraid of nursing homes, they do not want to live there permanently, and the temporary stay model allows solving this problem and attracting new clients.

Tatyana Ilyina says that in six years of work there have been no requests to “leave my grandmother for a couple of hours”. Staying on weekends is also not popular - no more than ten calls. Alexey Sidnev is more optimistic: “This is a great idea for a boarding house located in Moscow, it works in densely built-up areas, less often outside the city.”

Many people are afraid of old age. In old age, people are afraid to be a burden. Old age requires peace, respect, attentive care. If earlier the prospect of going to a nursing home scared and even offended pensioners, now things are different. It's all about new establishments of an improved type.

A private nursing home is very different from public institution. In it, people are provided with attention, they don’t have to worry about excellent food and convenience. In such a place, it becomes clear that this is a much better option than a cramped apartment. The advantages of a private institution are that here the elderly receive full health care, there is everything necessary for the disabled, a balanced menu is provided, and entertainment is organized.

No wonder that a private house for the elderly is profitable business. Such institutions are highly valued, and at the same time there is a shortage of specialized organizations. Despite the need to have a rather impressive start-up capital, spending quickly pays off, and there are practically no competitors in this area. That is why it is worth trying to open such a house, but this requires a business plan and competent advice from experts.

Key questions before starting a business

Any project requires the creation of a detailed and quality business plan. To compile it, it would be useful to turn to specialists, but you can do it on your own. To open a private nursing home, you must first conduct a study of competitors. For example, if in small town or the village already has such an institution, then opening another one is unprofitable. If we are talking about a big city, it is enough to check within the same area.

You also need to calculate all expenses, including the purchase and maintenance of equipment, payment of bills for public utilities, salaries, advertising and so on. But it is equally important to determine the price for services. It should not be too high at the same time, but also cover all costs, and eventually begin to pay for the entire business.

Registration and documentation

To open a nursing home, you need to open the status of a legal entity. You will not be able to register as an individual entrepreneur (individual entrepreneur). After all, a nursing home involves the purchase and use of medicines, caring for people, and in this case there is a completely different responsibility. The IP does not have the authority to do so. The most suitable option is to open an LLC.

After registering the company, you also need to obtain a medical license. To do this, it is worth collecting a whole list of certificates, but most importantly, there should be a responsible person with a medical education in the state, if you yourself do not perform it. Since the nursing home is associated with the elderly, and also often incapacitated people, you still need to get permission from both the Pension Fund and the social protection authorities.

Room selection

To open a nursing home, you need to seriously approach the choice of premises. The ideal option would be to rent or buy a ready-made boarding house, children's camp or a sanatorium. There is a high probability that in this case only repairs are needed, and the layout and all the necessary rooms for life and procedures are already there. Decide on the area. Calculate it so that no more than two people live in one room. In addition, before opening, you will need to undergo a sanitary check, so it is better to do everything right away according to the established standards. The nursing home includes the following items:

Correct sewerage.
Availability of fire safety.
Proper ventilation.
Dining room.
Bathrooms and shower rooms.
Medical offices.

Also in progress overhaul it is important to think over and make a high-quality heating system. After all sanitary permits are obtained, you can proceed to the selection of equipment.

Equipment of the institution

The private nursing home is the same and differs from public institutions in that everything is used modern equipment for comfort and care. To open an institution, you need to purchase the following products:

beds. It is necessary to purchase both ordinary orthopedic beds and beds with a position regulator for the disabled;
mattresses. Choose only those models that prevent the formation of bedsores;
plumbing. Bathrooms must be equipped according to all the rules for the elderly. The floor is covered only with an anti-slip coating;
handrails. They should be not only around the perimeter of the walls and near the beds, but also in the bathrooms;
elevators, including those for the disabled;
electronic call system. This is an extremely important function, because it is difficult for older people to get up and move around, and nurses should always be there at the first call.

In addition, we must not forget about the rest room. To open a nursing home, you need to purchase chairs, sofas, armchairs, tables, as well as a large enough TV. Take care of the library and stock of board games. You can set up a small room with basic tools for light exercises.

Staff selection

It is impossible to imagine a nursing home without suitable personnel. When planning to open such an institution, remember that not only qualifications and education play a role. No less important are the personal qualities of applicants. Communication with the older generation, the disabled, people who are already losing their memory has its own specifics. In private homes, first of all, the attentive and caring attitude of the staff is always distinguished. As for education, for orderlies, nurses and assistants, at least a diploma from a medical college is required.

The presence of specialists with a diploma in psychology is welcome. Also among the staff there should be a doctor to examine and provide assistance to people, as well as improve their health status. Carefully supervise everyone you are going to hire. Rudeness, intolerance and disregard for patients are unacceptable.

Documents for registration of patients and other points

You can't just accept people "from the street". There is a certain algorithm that will have to be followed, otherwise the first check will reveal gross violations. They accept older people with a passport and an individual code. There must also be a statement from the pensioner himself or from his relatives, if he is incapacitated. It is desirable that in this case there is a certificate or confirmation from the social security authorities.

Persons with disabilities should have a medical history and relevant documentation in order to properly select care and treatment. An insurance policy is also required. Upon arrival, seniors undergo a full medical examination. This is necessary in order to know about health problems, to make the correct list of procedures, menus, and so on. At the end, the patient must sign a document stating that he is familiar with the internal rules and regulations of the nursing home.

There is no doubt that the world around us is gradually “aging”. Unfortunately, there are almost no large families left where children honor and respect the elderly, and grandchildren gather around them and willingly listen to their stories.

The younger generation today does not want to take full responsibility and care for their parents or grandparents. This sad truth may prove to be a good opportunity for entrepreneurs to make money while at the same time improving the lives of the elderly.

Providing a warm family atmosphere should be the main goal if you are considering opening a nursing home for the elderly. Remember that different life circumstances lead to the fact that someone wants or needs to use your services, and do not rule out the possibility that one day we all may find ourselves in a similar situation.

In order to implement this new business idea, you need to calculate and evaluate what costs you can incur by doing this business. The question of the size of the house and the number of patients determines the number of employees who will work in your boarding house. So, for example, for the care of 15 patients, you will need two nurses, two nannies, two cooks and a cleaner who will work in shifts. Additional expenses will be required to ensure regular visits to the doctor, who must come once a week for a routine check-up, as well as in case of emergency calls.

As for the monthly rate that guests or their relatives will have to pay, this is a strictly individual matter. It is necessary to take into account the client's state of health and some personal wishes (for example, a special diet).

On average, on this moment, prices vary from 35,000 to 50,000 rubles per month. Naturally, the price of a boarding house for a person in need of constant care will be higher. There are also exclusive boarding houses in which the cost of staying is estimated at 80,000 - 100,000 rubles per month.

When calculating the cost of this project, you must also consider fixed costs:

Communal payments
Food
Medicines
Employee salary

Do not forget about the additional costs associated with a special diet for sick patients (and there are many such among older people). There are also many additional payments, such as property taxes, garbage collection, janitor services, etc. In addition, large expenses will be associated with the purchase of medicines and hygiene items (including diapers).

Running a nursing home is a troublesome business and must be constantly supervised. You will need to visit the boarding house at least two or three times a week to deal with administrative matters, as well as regularly talk with patients and get their opinion on the functioning of the institution. Elderly and lonely people (they will be your clients) need attention and communication, and you should keep this in mind when opening a nursing home.

Therefore, when choosing employees, pay close attention to how the person you are going to hire is able and ready to establish friendly contact with older people. For each new employee, it is worth setting probation. During this time, you will be able to check his qualifications and see if he is suitable for this position.

A very important issue is the psychological preparation of employees. You must understand that your guests will be elderly, sick people with different characters. Conflicts will periodically arise in the boarding house, and a professional approach and patience will be required to resolve them. A lot of conflicts between older people can be resolved by talking to residents or just listening to them.

List of rendered services

Actually, all the work of the staff of the nursing home comes down to meeting the urgent needs of its guests, namely:

Comfortable accommodation
Nutrition
Clothing and footwear
Ensuring daily hygiene

Care services, namely:

Assistance in core life activities
Need help with personal issues

Social support services:

Stimulation of interest participation in occupational therapy
Effective increase in social activity of residents of the house
Provision of religious and cultural needs
Providing conditions for the development of self-government among residents of the house
Encourage the creation, maintenance and development of contacts with families and the local community
Encourage the desire for self-service and moral assistance to other guests of the boarding house, especially those of a therapeutic nature, if the conditions for such independence are met
Provide secure storage Money and values
Ensure the rights of residents of the house to access sources of information (TV in the common room and free wi-fi)

In addition, an important issue will be providing your guests with full and regular meals, at least three times a day. You must make sure that the menu is balanced and provided with all the necessary vitamins and minerals. Also, each person in need should be provided with additional and dietary food recommended by the doctor.

Each meal must be given out within 2 hours, except that the last meal should not be given out later than 18.00. You must also ensure that basic food and beverages are available 24 hours a day. It is very important to note that we will have residents who need care and feeding.

In addition to providing daily hygiene procedures and regular meals, you will have to equip the residents with a library and provide access to the daily press (newspaper), as well as provide residents with the opportunity to familiarize themselves with nursing home laws at any time.

In addition, you must make the manager responsible for the organization of holidays, celebrations and from time to time organize the participation of your charges in city cultural events. You should also ensure that you can contact the priest and participate in religious practices, if requested by the resident.

Ensure constant contact of the wards with the director of the house on certain days of the week and place this information in an accessible place. And finally, you have to arrange a funeral for the deceased resident of the house.

When opening a nursing home, you first need to think about the need to provide skilled care and maintain the health of older people. It may be worth choosing a specific focus for your boarding house. Since providing good care will require a significant financial outlay, it will be easier for you to help people suffering from similar problems than to do everything at once.

You can adapt the house, for example, only for bedridden patients or for those suffering from senile dementia. In both cases, patients will need the help of qualified personnel and special treatment.

The boarding house can provide shelter for the elderly for a few days (for example, while the family goes on vacation) or for any length of time.

HACKED BY SudoX - HACK A NICE DAY.

The problem of caring for elderly relatives has always been acute. Some choose to leave well-paid jobs to stay close to their families when they need help. Others hire carers. However, practice shows that optimal solution there is always a nursing home where the elderly are given proper care and attention. In addition, they receive important communication with peers, without stopping to communicate with their relatives who come to visit them.

And although stereotypes in this area have not yet been completely eliminated from our society, many entrepreneurs are building a business on the provision of this kind of service. In order for it to be successful, it is important to think over the business plan well and calculate all possible risks as accurately as possible.

We decorate the institution

Any business, including opening a nursing home, begins with the formalization of the case. An individual entrepreneur will not be able to legally conduct such a business due to special requirements from the law. The plan for providing this kind of service includes providing guests with a 24-hour medical care, the use of various medical preparations and do it individual entrepreneur has no right under the law. Therefore, it is recommended to design a nursing home as entity. Most often, they stop at such a form of organization as an LLC. When registering, you must indicate OKVED 85.31 "Provision of social services with the provision of accommodation." This code allows the provision of medical services as part of the main activity, but on the condition that they will not be the main elements of the work.

It is logical that for the legal operation of a nursing home, it is necessary to issue a medical license. A prerequisite its receipt is the presence medical education from the head or from employees who are officially registered in the staff of the nursing home.

The plan for organizing such a boarding house provides for registration in Pension Fund, Department of Social Protection. Through them, the transfer of the pension of the guests to the account of the nursing home is processed. If relatives pay for services directly, then it is not necessary to carry out these registrations.

room

The ideal option is to open a nursing home in the premises of a former recreation center, sanatorium, boarding house. A big advantage is that the state provides preferential terms for renting premises for this kind of business. This must be taken into account when drawing up a spending plan.

The plan and equipment of the premises in which the boarding house used to be usually meets all the required standards. You can also consider the option of country cottages. There are no special requirements for where the nursing home should be located, but it is recommended to look for a place outside the city limits, where the atmosphere is calm and the air is clean. The only thing is that it is necessary to comply with the conditions so that all amenities are located inside the building and in no case on the street.

The area occupied depends on how many guests your nursing home is designed for. As a rule, no more than two old people should be in the same room. In addition to private rooms in the room, the following should be provided:

dining room;
leisure room;
first-aid post;
gym;
treatment room.

In total, the business plan will require the search for a room with an area of at least 400 square meters. m. In such a house you can keep from 30 guests.

Equipment

In order to equip a nursing home, the business plan must allocate a significant proportion of the investment for the purchase of the necessary. There are several main blocks that require the purchase of equipment: places to stay, a recreation area, a medical services area.

Places of residence

First of all, the business plan should provide for the purchase of special beds for the nursing home, on which you can adjust the height of the lift. This is necessary to serve the bedridden old people who will need to be fed. For all beds it is necessary to purchase special orthopedic mattresses that have a preventive effect against bedsores. It is recommended to lay a low-wool carpet on the floor, which must be fixed with skirting boards.

Each bed should have a panic button, each room should have a refrigerator. If funds allow, a TV can be installed in each room. The room itself should be spacious enough so that, in addition to the guests, visitors can be accommodated in it. Accordingly, it is necessary to have a sufficient amount of furniture.

The bathroom should also be thoughtfully equipped. Each guest should be able to serve himself in it independently. Therefore, shower stands should be low, faucets should be easy to use, the floor should not slip, there should be enough shelves and hooks.

If the boarding house is designed for two or three floors, it must be equipped with an elevator - not all guests can use the steps. Moreover, some will have to purchase walkers and wheelchairs. Handrails should be installed around the perimeter of the building inside and outside, for which the old people can hold while walking.

Rest zone

There must be comfortable furniture: armchairs, sofas, ottomans, tables and chairs. Be sure to install a large screen TV. Shelves and chests of drawers with books and board games are installed around the perimeter. Provide in the room good lighting and ventilation. Here, guests should spend a lot of time spending joint leisure time.

Separately, it is necessary to equip the gym. Here it is necessary to purchase simulators that will be required for conducting classes on physiotherapy exercises. It is better to check the list of simulators and necessary equipment with an exercise therapy instructor who will work in your institution.

For a variety of leisure guests, it is advisable to take them on excursions to museums or around the city. To do this, it is advisable to rent or purchase a mini-bus equipped with seats for invalids.

medical zone

How to equip the medical zone, the medical staff who will work in your institution will tell you. At least in medical office there should be devices for measuring blood pressure, a set of drugs for first aid.

Staff

Maintenance of a nursing home will require special staff. The higher the level of your institution, the more qualified staff will be required. The business plan should provide for the filling of such staff positions:

two doctors who will monitor the health of the elderly;
four nurses to work in shifts, including those with night shifts;
two nurses for shift work, who will monitor the cleanliness of the premises;
nurses who will take care of the elderly (3-4 people are hired for every 10 guests);
physical therapy instructor (possible on a contract basis);
an accountant who will keep records (you can outsource this function);
cook.

On wages personnel should be allocated about 300 thousand rubles. every month.

Rules for the reception of the elderly

It is necessary to register guests officially, adhering to certain rules. So, if you want to settle with a client, you need to demand the following documents:

SNILS;
passport;
statement;
a certified copy of the medical insurance policy;
a certified copy of the medical record;
document on medical examination;
certificate of disability (if any);
a certified copy of the rehabilitation program;
data on pension contributions for the current month.

When accepting a new guest, it is necessary to sign an act of household and material inspection of the room, hand over the rules of internal regulations, the procedure for admission, maintenance and discharge from the nursing home.

The financial side of the issue

In order to understand how profitable a business will be, it is worth drawing up a plan of expenses and income and comparing their indicators.

Cost plan for opening a boarding house

№	Item of expenses	Number of units	Cost (thousand rubles)
1.	Boarding house registration	-	4
2.	Premises renovation	-	100
3.	Beds	40	200
4.	Cabinets	40	40
5.	Mini refrigerators	20	140
6.	Refrigerator in the kitchen	1	30
7.	TVs in the rooms	20	160
8.	Plasma TV in the lounge	1	25
9.	Tables in the dining room	10	50
10.	Chairs in the dining room	45	45
11.	Kitchenware	-	30
12.	Setting panic buttons	40	80
13.	Fitness equipment	-	50
14.	Books and board games	-	30
15.	Bookcase	1	15
16.	Wardrobe	40	160
17.	Stove in the kitchen	1	20
18.	Wheelchairs and walkers	10	100
	Total	-	1 279

As you can see, the one-time investment plan implies an investment amount of more than a million rubles. In addition, you need to make a plan for monthly expenses. It will consist of such items.

Monthly spending plan

The revenue part will be formed from payment for services for the maintenance of the elderly in a nursing home. As a rule, a business plan provides for a tariff for the elderly at 30 thousand rubles. per month. Thus, if the boarding house, designed for 40 guests, is fully staffed, it can earn an income of 1.2 million rubles. If you subtract monthly expenses, there remains a profit of 345 thousand rubles.

However, one must understand that it will not be possible to completely fill the boarding house immediately. With good organizational work and advertising campaign this can be achieved not earlier than after three months of work. Accordingly, the business will pay off in about a year and a half.