Russell Keogler

Vice President of Corporate Operations, HMR Veteran Services
LinkedIn

The Administrator of an HMR-operated State Veterans Home (SVH) stands at the front of the room. Everyone on the team already knows why they are there. But when the Administrator says the words “no deficiencies” out loud, the reaction is immediate. Smiles spread. Shoulders drop. A few people laugh, not because something is funny, but because the moment is joyous with evidence that our culture is delivering the best possible experience for Veterans and their families.

Simply put, achieving a deficiency-free result means an SVH, nursing home, or long term care (LTC) organization has earned full compliance with the U.S. Centers for Medicare and Medicaid Services (CMS) requirements for healthcare, quality, and safety.

HMR Veterans Services recently experienced this moment — twice. Two of our State Veterans Homes completed CMS surveys with no deficiencies cited. What’s more, 0across our latest three surveys, HMR had only one single deficiency.

A physical feeling arises with those wins. Pride moves through the body. The workday feels lighter. Pride transforms how people show up. Teams move with confidence. The community feels more alive, conversations more open, and the work has a new rhythm.

That rhythm, in turn, translates to every HMR employee serving Veterans with the latest advancements in medicine, technology, and pharmacy so Veteran residents and their families can continue their story with the high quality of life they deserve.

At HMR, our teams leverage the survey victories as an inflection point that fortifies the leadership, administrative, and clinical teams to use the feeling that success creates to deliver the same level of consistency again and again.

We are deliberate about giving that momentum what it needs to grow. One of the clearest examples is our Preceptor Program. At its core the program builds a stable, committed workforce that extends well beyond employee retention alone. Our Preceptor Program, in fact, equips experienced staff with a visible role in someone else’s success to create daily moments where pride, accountability, and growth all intersect.

When an employee reaches a milestone, that success belongs to more than one person. It belongs to the preceptor who invested time and trust as well as the team that supported the transition. That shared ownership strengthens HMR’s culture as momentum in one area of the organization begins to take root everywhere else.

Workforce stability supports stronger execution. Stronger execution supports better care experiences and the accompanying survey outcomes. Those outcomes reinforce pride and the cycle of high-quality care for Veterans and their families continues apace.

Even surveys start to feel different. No longer moments of fear or tension, they serve as confirmation that conditions necessary to produce good work already exist. A deficiency-free survey is not the finish line. It is evidence that the HMR Veterans Services communities are working. When leaders treat that moment as something to build on rather than something to admire, success becomes repeatable.

Over time, it becomes who you are for the most important people: the Veteran heroes and their families we serve with connection, camaraderie, and purpose so they thrive with the dignity they deserve.