Chronic constipation is highly prevalent in nursing homes and not well controlled, leading to a high likelihood that residents develop fecal impaction, according to findings from a first-of-its kind study.
The way mobile x-ray company Mobilex bills nursing homes is acceptable, a federal judge recently determined. Mobilex is the nation's largest provider of mobile diagnostic services. It had been facing whistleblower charges that it effectively paid kickbacks to nursing homes through an arrangement known as "swapping."
Inspectors cite LA nursing homes for dangerous practices but supervisors change reports to benefit facilities ... Feds join whistleblower suit charging that hospice billed for ineligible patients ... Magnetic pulses to the head could boost memory in people with Alzheimer's, Northwestern researchers say
If there's a prevailing theme around the hours American Health Care Association senior fellow Elise Smith keeps, it's that they are constant.
Many residents of the Oskaloosa Care Center in southern Iowa used to be farmers. They're reminded of their past by the cornfield next to the nursing home — and, once a year, by a parade of antique tractors.
Due to dynamic factors in moving residents, facilities must invest wisely in lifts, slings and batteries to make sure workers stay safe while performing transfers
Minimum data set coordinators should get as much support as possible from colleagues as they navigate data set changes and ever-evolving requirements
I set out to re-examine dementia from a different framework — one that takes us beyond "interventions" and "programs" to a proactive, strength-based approach.
When people are discharged from the hospital following an illness, injury or surgery, that's often not the end of the story.
Gardening is magic. Gardening is mindfulness. Gardening is therapist, physician and personal trainer without spandex or a copay. And now researchers have confirmed that gardening can help nursing home patients suffering with dementia.
As a long-term caregiver, you get yelled at, told off, put down and dumped on regularly — and that's during good weeks.
It's no surprise that staff turnover remains alarmingly high at many long-term care communities.
In the evidence-based healthcare world, you need to become a real Sherlock (or Shirley) Holmes to take your clues (data) and put them together logically (analyze the data) to make analytics-based decisions to solve your facility's most challenging mysteries.
Ashby Ponds opens all levels of care as it realizes the vision for a fully operating continuing care retirement community in Virginia
We are in default under our loan documents. Will we be able to obtain a forbearance agreement from our lender?
A nurse who said she was not warned that she would be threatened and "taken hostage" by a gunman during an emergency preparedness drill is suing her former Colorado nursing home employer for compensatory, punitive and actual economic damages.
Representatives of a now-defunct Massachusetts nursing home say they will appeal a jury's $14 million award to the family of a former resident who died in 2008, partly because they feel a judge inappropriately prodded jurors into an inflated figure.
Q: You recently received the Mary K. Ousley Champion of Quality Award from the American Health Care Association. What are some of the biggest current obstacles to improving quality in long-term care?
Hospitals have been cast in a harsh light by long-term care advocates recently for allegedly over-using "observation stay" status. The practice can ultimately deny some patients subsequent Medicare coverage for nursing home admission.
Many providers are relieved that Medicare rates are slated to go up by 2% in the next fiscal year. After all, who wants to turn down $750 million, especially in a rate-cutting climate?
Healthcare facilities should avoid "heavily marketed" triclosan soaps, experts advise in updated hand hygiene guidelines.
Methicillin-resistant Staphylococcus aureus colonization is common in groin and rectal areas, especially in men, new research shows.
McKnight's added three national awards to its trophy case last month following the American Society of Business Publication Editors ceremony in Chicago.
Long-term care managers would be wise to allow nursing assistants — and residents' family members — a greater say in managerial-type decision-making, authors of a new study assert.
Medicare should cover people who go to a skilled nursing facility without a preceding hospital stay, experts recently told the Senate Special Committee on Aging.
An Ohio nursing home says residents became defiant after speaking with a state inspector, leading the provider to file a lawsuit.
When is a meager pay hike viewed as welcome news? When the source of that increase — namely, the federal government — seems intent on making cuts almost everywhere else.
MAINE - The state's nursing homes will get their first Medicaid rate increase in six years after a breathtaking display of mid-summer political brinksmanship. But dark days still loom in a state beset with closures and an over-65 population ratio that's second only to Florida's.
» The Centers for Medicare & Medicaid Services launched a technical assistance program, called the Medicaid Innovation Accelerator Program, in July. The goal is to help with payment and delivery system reform. It was created through a collaboration with the Center for Medicaid and CHIP Services (CMCS) and the Center for Medicare and Medicaid Innovation, along with the Medicare-Medicaid Coordination Office and other centers.
HealthcareSource has helped Eldersburg, MD-based provider EMA make better hiring decisions and has fostered "healthy dialogue" between leadership and hiring managers, says Ryan Lillis, EMA's director of organizational development.
Mobile health apps need more oversight, according to a July article published in the New England Journal of Medicine.
» CNL Healthcare Properties completed the acquisition of seven communities in Texas and one in Illinois for approximately $187.2 million, with potential adjustments related to property net operating income. The eight properties collectively have 798 units and 72 skilled nursing beds. They were acquired from Dallas-based South Bay Partners Ltd.
AdCare Health Systems plans to divest its senior living properties and become a holding company, the firm announced.
Seniors housing stock collectively rose by 0.1% in the second quarter, putting the sector on pace for a 1.5% annual increase, according to new data from the National Investment Center for the Seniors Housing & Care Industry.
What information is available so we can compare our nursing facility to others in the industry?
A Congressional proposal to provide low-wage hourly employees with more stability and workplace protections could hit nursing homes.
Medicare Recovery Audit Contractors returned a record $100.4 million in identified underpayments to providers between April and June.
How can a director of nursing juggle all the day-to-day responsibilities and still be available to the needs of his or her staff?
Philosophical awareness is not only relevant to nurse education but "vital," according to researchers from the University of Victoria in Canada.
Nursing homes may benefit from registered nurses working longer after age 50, researchers from RAND Corporation say.
While moisture promotes wound healing, what about those wounds that have a lot of drainage?
Different body positions change residents' tissue blood flow and may relate to how wounds heal, according to new research. The optimal position might be a 30° supine tilt.
Those who are treating diabetic foot ulcers should evaluate modern total contact casting techniques, according to a new analysis.
Singing familiar songs may encourage conversation among people with Alzheimer's disease, a small study shows.
Nursing homes are no longer returning or refusing a free dementia care training resource, according to the Centers for Medicare & Medicaid Services.
Long-term care bucked healthcare industry trends with strong merger and acquisition activity in the second quarter of 2014, according to newly released data from professional services firm PricewaterhouseCoopers.
Granting more authority to nurse practitioners is associated with reduced hospitalization of skilled nursing facility residents, according to recently published findings.
A California healthcare system has become the latest dropout from the Pioneer Accountable Care Organization program, despite reducing skilled nursing facility utilization and improving its readmission rates. Sharp HealthCare announced its decision in a quarterly financial statement released Tuesday.
Improper pesticide in nursing homes leads to 2-year prison sentence for company owner ... 8 injured after car crashes into NC nursing home and causes fire ... Long road to smooth transfer of hospital record info to other providers
McKnight's will not publish its Daily Update on Monday, Sept. 1 in observation of Labor Day. We will resume our regular publishing schedule on Tuesday, Sept. 2.
A leader in Congress has called for an evaluation of the nursing home five-star rating system in light of a recent New York Times article. Rep. Elijah Cummings (D-MD) requested that Centers for Medicare & Medicaid Services officials brief his staff by Sept. 16. One area of concern is the heavy reliance on nursing homes' self-reported data about staffing levels and quality of care, which may not be regularly audited for accuracy, Cummings stated in his Aug. 26 letter to CMS Administrator Marilyn Tavenner.
Skilled nursing facilities must complete a discharge assessment when a resident is transferred from a certified to a non-certified bed, even if both beds are in the same building, the Centers for Medicare & Medicaid Services emphasizes in a recent memorandum.
An affordable, easily implemented relaxation technique could improve nursing home residents' psychological well-being. It also could potentially boost their immune systems, according to recently published findings.
Marijuana compound slows Alzheimer's ... CBO: Medicare spending for 2014 will be $9 billion less than projected ... Former nursing home bookkeeper pleads guilty to embezzling $188,000 ... Lack of naturally occurring protein linked to dementia
Federal regulators should start collecting nursing home staffing information directly from payroll systems as soon as possible, members of the Congressional Seniors Task Force said in a letter to a top healthcare official Tuesday.
A Texas certified nursing assistant can continue to pursue charges that his former nursing home employer has made false, defamatory statements about him in the job referral process, a federal court recently ruled.
Long-term care providers have been outspoken in their criticism of the Medicare appeals process, which has all but ground to a halt. Now a class-action lawsuit says Medicare beneficiaries also are being harmed by the excessively long delays.
Dementia sharply increases stroke risk ... CMS releases training tool to build respect for LGBT long-term care residents ... Canes fitted to the hip are better for stroke patients ... 'Mindfulness' training improves sleep, reduces depression in early-stage dementia
Nursing homes are using self-reported data to pump up their ratings in the Center for Medicare & Medicaid Services' Nursing Home Compare system, the New York Times reported Monday in a front-page article.
An Illinois nursing home won a victory last week when the U.S. Court of Appeals for the Seventh Circuit voided a $9 million verdict.
Culture change pays off by increasing the quality of care in nursing homes, according to a new study from Brown University.
House Republican demands New York given back $15 billion in Medicaid overpayments ... Faith-affiliated companies can tell government they object to contraceptive mandate under new Obama accommodation ... States with higher Medicaid payments for office visits result in beneficiaries being more likely to be screened for cancer, study finds.
Those with MS can improve awareness through task-oriented cognitive rehabilitation, study says... Minnesota home health workers allowed to move forward on union vote....Kaiser Family Foundation releases report on the ninth year of Medicare Part D.
Hydrocodone combination products such as Vicodin will now be in the same, more-restrictive category as OxyContin and fentanyl under the Controlled Substances Act, the Drug Enforcement Administration announced Thursday.
A Ventura Convalescent Hospital deal ends litigation filed in 2011, when families of residents said antipsychotic medication was being given without informed consent under the care of a skilled nursing facility physician.
An updated alert system in electronic health records heavily reduced urinary tract infections acquired in a hospital, according to a new study.
Iowa's nursing homes lost, on average, 41% of their employees each year from 2010-2012 ... Researchers identify proteins necessary in wound healing ... More than 40% percent of SSDI recipients take opioid pain relievers, study says.
The rate of improper Medicare payments to skilled nursing facilities has increased largely due to issues with certification and recertification statements, according to a recently released government memorandum. The Centers for Medicare & Medicaid Services document summarizes requirements that SNF physicians, non-physician practitioners (NPPs) and billing staffs must meet for compliance.
Nursing home operator Ralex Services Inc. has agreed to a $2.2 million settlement in a whistleblower case involving forged documents at a facility in New Rochelle, New York.
Healthcare facilities should consider replacing antibacterial soaps containing the chemical triclosan, University of California-San Francisco researchers assert in a recent Journal of Occupational and Environmental Medicine article. The conclusion echoes recently updated hand hygiene guidelines.
A nursing home's staffing patterns and admissions trends are among the most important factors driving residents' quality of life over time, according to recently published research findings.
OH Supreme Court hears case of woman who transferred property then paid for nursing home through Medicaid ... Nursing home video education project part of new $19 million round of NIH funding ... Researchers identify neuron issue leading to Alzheimer's sleep issues, may lead to new therapies
Genesis HealthCare and Skilled Healthcare Group Inc. will merge to create a single long-term and post-acute care company with more than 500 facilities nationwide, the providers announced Tuesday.
Older people who take antipsychotic medications are at a markedly increased risk of acute kidney injury, according to newly published research findings out of Canada. The study further supports ongoing efforts to reduce the number of nursing home residents on these drugs.
Family members of a Texas long-term care resident have sued the facility where she lives, claiming they were banned from visiting due to their social media posts, according to a publication covering legal proceedings in the state.
New cosponsors sign on to Medicare Residential Care Coordination Act ... Cognitive declines do not always worsen quality of life for Alzheimer's patients, study finds ... C. diff discovery suggests new ways of attacking the bacterium
Only about half of nursing facilities correctly reported abuse or neglect allegations in 2012, indicating that the government needs to provide more guidance and oversight, according to a new report from the Office of Inspector General.
Taking aggressive measures to lower older adults' blood pressure may not increase their risk of falls, contrary to conventional wisdom, according to recently published research findings.
Long-term care and other provider types already have been on the alert for large-scale computer breaches, and their concerns likely will be stoked by news that one of the nation's largest hospital organizations has been hacked. The personal information of about 4.5 million patients was compromised in the cyber-attack, Community Health Systems announced in a regulatory filing Monday.
AHCA announces Gold National Quality Award recipients ... Older adults' cognition peaks in the morning ... DNA alteration linked to Alzheimer's
The government should collect and release more claims information from managed care plans, the nation's largest long-term care provider association stated in a recent letter to leaders of the Senate Finance Committee.
A federal court in New York has tossed a whistleblower lawsuit charging that large long-term care pharmacies violated the False Claims Act by failing to dispense requested generic drugs.
Nursing homes could save money and improve resident skin care by using disposable wash gloves rather than giving traditional soap-and-water bed baths, according to results from a study in the Netherlands.
Communication tool helped improve nursing home antibiotic stewardship, government agency says ... Poor sleep quality increases suicide risk in older adults ... Wall Street Journal takes a look at how feds combat Medicare fraud
Mental healthcare providers for the elderly expressed anger Thursday over an apparent snub of seniors mental health services in a proposed new federal behavioral health plan.
Better outcomes and cost savings could be achieved if states exclusively funded long-term care for Medicaid beneficiaries, a prominent expert has proposed in a plan that would comprehensively transform the nation's healthcare system.
An Alaska man has been charged with murdering a worker at a small assisted living facility in Anchorage, according to local news reports.
High-dose flu vaccine about 25% more effective for seniors ... Regular internet use reduces dementia risk in seniors, scientists say ... Expert panel recommends seniors receive Pfizer pneumonia vaccine ... TX lawmakers propose '3 strikes' rule to close nursing homes
Long-term care and other providers could be facing unfair burdens due to ineffective government oversight of Medicare auditors, according to a new report from a federal watchdog agency.
Too many patients choose a post-acute care facility for the wrong reasons because hospitals do not give necessary and needed guidance, according to a paper forthcoming in the Annals of Long-Term Care.
A New York-based long-term care company has agreed to a $6.5 million settlement with the state over practices at an adult day care location, Attorney General Eric T. Schneiderman announced Tuesday.
Teenager wins kudos from Google for Alzheimer's app ... Mainstreet, Health Care REIT announce $2.3 billion deal ... Product innovation for long-term care needed, UK poll finds
New "muscle suits" are designed to reduce musculoskeletal injuries among Japan's older adults and their care workers, Japanese professor says.
A nurse at an assisted living facility in Georgia has been charged with concealing a body that was buried on the property, according to local news reports.
A type of drug-resistant Pseudomonas aeruginosa discovered in an Ohio long-term care facility has killed one person and infected six others, according to clinician researchers. A dangerous genetic element of this pathogen might already have been spreading, and "surveillance is urgently needed," the investigators announced.
Decline in ADLs linked to deterioration of certain brain areas ... Pew Trusts examines long-term care for inmates ... Man with rare condition sparks Alzheimer's treatment hopes ... Scientists create brain tissue in lab for dementia research
A Chicago psychiatrist has been stripped of his medical license over charges that he received kickbacks and overprescribed antipsychotic drug clozapine to nursing home residents.
A Mississippi nursing home did not violate the law by firing an aide who refused to pray the rosary with a resident, according to a recent appeals court ruling that overturned a nearly $70,000 verdict.
Providers recently applauded a large bipartisan effort to expand veteran's healthcare options for long-term and post-acute care.
NY man suspected of trying to smother nursing home resident ... Medicare agency publishes QIO evaluation criteria ... TX nursing home deaths raise questions about mentally ill residents