August 2012 Issue of McKnight's Long Term Care News

August 2012 Issue of McKnight's Long Term Care News

August 2012


Rehab claims scrutinized, expert warns

Nursing home administrators who can't back up every minute of rehab therapy delivered in their building leave themselves open to auditing, an MDS 3.0 expert ...

GOP pledges to fight on after vote saves healthcare reform

Who says one vote doesn't matter? The Supreme Court preserved the Affordable Care Act because a conservative judge decided that a liberal president's expanded healthcare ...

60 Seconds with...Marilyn Tavenner

A big part of our effort has been working closely with states to begin building new health insurance marketplaces, the Affordable Insurance Exchanges, where Americans ...

McKnight's earns more awards

McKnight's Long-Term Care News recently captured six APEX Awards. The tally includes a Grand Award for its website,

OIG: Antipsychotics use rarely compliant

An overwhelming percentage of nursing facilities reviewed were not compliant with regulations regarding residents who take atypical antipsychotic medications, according to a recent federal report.

MRSA rates dip amid changes

Methicillin-resistant Staphylococcus aureus rates are falling in both healthcare facilities and in communities, suggesting a change in how MRSA is being transmitted and prevented, a ...

Vitamin doses cut break risk

Daily vitamin D supplementation prevents fractures in the elderly, but only in higher doses, Tufts University researchers said.

Private room: $222 per day

The cost of living in a long-term care facility increased steadily over the last year while home care costs have stayed flat, a Genworth Financial ...

Liability costs rising: report

Long-term care operators have had to pay 4% more annually in liability costs over the past three years, a new analysis shows.

ACA decision raises Medicaid questions

The Supreme Court's historic 5-4 Affordable Care Act decision clarifies insurance rules. But the controversial verdict appears to make Medicaid's requirements and boundaries less certain ...

State News

State news: Dementia care, training the focus of reform efforts

Gov. Deval Patrick (D) has signed off on sweeping reforms designed to improve dementia care in nursing homes. The law includes a requirement for minimum ...


Pass the smell test

Many providers risk rejection by underinvesting in laundry or housekeeping units, putting their reputations in peril and driving away potential residents.

In search of support

Providers can use help navigating the terms and conditions of the pressure-relief surface market; here's what you need to know to enhance resident care.

Ask the care expert

Ask the care expert: Can we limit med passes to three times a day?

This answer is directly from Centers for Medicare & Medicaid Services: "We have no regulation that requires medications to be ordered for specific clock times. ...

Resident care

Safety concerns squash elders' intimacy

Nursing home residents often are deprived of consensual sexual relationships due to concern for their safety and a lack of sufficient formal policies dealing with ...

Loneliness has major impact on mortality, function decline

A deep sense of loneliness is not just an indicator of a person's mental health — new research says it also can be linked to ...

Ask the treatment expert

Ask the treatment expert: Are allergies to wound care products common?

Years ago, this question wouldn't have even made our radar screen. However, now it seems a standard consideration since allergies have become increasingly prevalent.

Wound care

Literature review offers care guidance

A comprehensive literature review has revealed new perspective for the care of chronic and other wounds. Full findings appear in the British Journal of Surgery.

High-tech wound dressing is shown to fight infection

University of Wisconsin researchers have demonstrated how an ultra-thin layer of polymer impregnated with a surgical antibacterial can help healing by preventing infection.

Ask the nursing expert

Ask the nursing expert: What's the best way for SNFs to reduce readmissions?

Start by bringing your community leaders together as an advisory board to discuss collaboration to improve quality of care in the community.


Group: Reimburse coordination of care

Care coordination functions, as carried out by registered nurses, should be federally reimbursed, a leading nurses group says.

Expert: Staff cohesion crucial to providing top quality care

Strong working relationships and good communication among nursing home caregivers enhances the perception of staff cohesion, which ultimately leads to a higher quality of care, ...

Ask the payment expert

Ask the payment expert: What's the best way to maximize Medicaid and Medicare reimbursement?

It depends on which state you are in as to which Medicaid reimbursement program you are managed under. For the RUGs III Medicaid reimbursed states, you ...

Payment & policy

Court curtails union fees

The U.S. Supreme Court came down against organized labor recently in a 7-2 ruling that opens the door for objections to unexpected fee increases or ...

Report: States headed for Medicaid funding upheaval

Regardless of whether states choose to expand Medicaid under healthcare reform law, they are facing huge fiscal crisis conditions, largely due to rising healthcare costs ...

Ask the legal expert

Ask the legal expert: Are pregnant employees covered under the Americans With Disabilities Act?

Pregnancy alone is not considered a disability under the Americans With Disabilities Act. Only conditions that are the result of a physiological disorder are "impairments" ...

Legal Matters

Residents sue SNF over staffing, safety

Five residents of a for-profit California skilled nursing facility sued a Mariner Health Care Inc. facility in June, alleging inadequate staffing and an unsafe environment.

WV negligence lawsuit gets another day in the courtroom

A verdict against a nursing home of slightly over $90 million is being reconsidered in West Virginia due to a verdict-form error.

Pursuing excellence

Inaction may seal our fate

The 4th of July is usually a really great time to feel warmly about America. But after watching my dog driven insane by a barrage ...

How to do it…

How to do it... Resident security

Few things are more important to long-term care providers than their residents' safety. There's far more to security than just wandering alarms and locked doors. ...

A day in the life

Taking the 'blues' out of 'bluegrass'

Bluegrass fans are well-versed in the music's invigorating effects. Now, residents at a Silver Spring, MD-continuing care retirement community have ample opportunity to both play ...

I couldn't live without...

I couldn't live without...Frogman Interactive

Vicki Ullery, marketing director at Royal Oaks Lifecare Community, in Sun City, AZ, says the interactive marketing tools Frogman Interactive has designed makes her job ...


Experts: Push EHR progress even if feds won't help pay

Long-term care providers might not be eligible for federal meaningful use incentives for electronic health records. But that does not mean that facilities should ignore ...

Company news

Ciena SNFs are refinanced

Capital One Bank closed a five-year $29 million loan for Ciena Healthcare in July.

Genesis facilitates Sun set with multimillion dollar deal

Genesis HealthCare agreed in June to purchase rival Sun Healthcare Group in a transaction that should close the second half of 2012.

Business & Marketing

Invest aggressively

Last month, I wrote about three potential conflicts that might arise when ministries, nonprofits and companies work with investments. One of my goals is to ...

The big picture

Time to revamp Medicaid

As this goes to press, many of the nation's governors are sorting out a major Medicaid decision: Take the money or run.

Editor’s desk

Lawsuits and resulting costs remain an anchor

In case you had not checked lately, you're liable to be paying more than ever just to run your basic eldercare business.


Optimistic man with plan

As the ranking Republican member on the Senate Special Committee on Aging, Bob Corker has witnessed firsthand the debates on antipsychotic legislation, long-term care financing ...