January 2017 38 1 Issue of McKnight's Long Term Care News

January 2017 38 1 Issue of McKnight's Long Term Care News

January 2017 edition of McKnight's Long-Term Care News


Lengthy hiring haunting applicant ranks

The healthcare industry is projected to need 1 million new nurses within five years, but most settings are finding the wait between placing a help ...

MedPAC calls for pay freeze

The Medicare Payment Advisory Commission in December called for the elimination of market basket updates for skilled nursing operators in fiscal 2018 and 2019.

Providers say Price is right to lead HHS

Long-term care providers delivered ringing endorsements of President-elect Donald Trump's choice to lead the Department of Health and Human Services.

A 'satisfying' survey ahead?

Changes to the Five-Star Quality Rating System for nursing homes may be on the horizon under recommendations published by the Government Accountability Office in December.

Pressure sores rising in LTC

Preventive policies are credited for lowering pressure injuries in hospitals by about half over the past decade, even as long-term care rates rose, a new ...

Tubes seen as hindering care

Many hospital patients are given a feeding tube in order to be discharged to a nursing home, but often it's without receiving a palliative care ...

Employers get break from overtime rule

Providers are cheering a federal judge's decision to grant a preliminary injunction in November against a rule that would have increased overtime pay eligibility.

Judge issues appeals decree

The Department of Health and Human Services has four years to end an estimated 700,000 Medicare appeal backlog, a court ruled.

Trump's CMS pick can expect tough choices: predecessors

President-elect Donald Trump's choice to run the Centers for Medicare & Medicaid Services, Seema Verma, was praised by providers. But she will face tough choices ...

Nurse's online rant leads to guilty charge

A Canadian nurse who posted on Facebook and Twitter about her frustrations over a relative's skilled nursing care has been found guilty of professional misconduct ...

OSHA seeks violence input

Federal regulators are asking providers for thoughts on how to curb violence in healthcare workplaces.

State News

State News for January 2017

The Obama administration approved a $52.5 billion Medicaid waiver deal for Massachusetts in December.


The Year of Uncertainty

Questions about the economy, Medicare funding and other reimbursement issues bring more risk to lending and investing in long-term care in 2017

EHR usage still too slow

When it comes to electronic health records use, providers are filling a gradually building bandwagon, but struggling with resources and a lack of interoperability

60 Seconds with...

60 Seconds with ... Timothy W. Farrell

The American Geriatrics Society recently unveiled guidance for the term "unbefriended" for older adults. What does that term mean?

Ask the care expert

Ask the Care Expert about ... flu vaccinations

One of my nurses has refused to get an annual flu vaccine. What should I do?

Resident care

Most LTC residents decline dental care, study concludes

Almost 90% of long-term care residents do not use available dental care services during their stay, according to recent research from the State University of ...

Study verifies 'as-needed' drugs, falls tie

Psychotropic drugs, including antipsychotics and antidepressants, increase the risk of falls among nursing home residents, according to a recently published study.

Ask the treatment expert

Ask the Treatment Expert about ... pressure injury assessments

Why are formalized pressure injury risk assessments so important?

Wound care

Skin cell communication key to wound healing, study says

Medical science may be getting closer to developing better treatments that cause damaged skin in the elderly to repair itself more quickly.

Sea salt spray shows healing promise

Researchers say they are encouraged by results of a recent small study that points to potential benefits of sea salt-based spray in diabetic foot ulcer ...

Ask the nursing expert

Ask the Nursing Expert about ... dignity citations

We just finished our state and federal survey and received one federal citation. It is about dignity — are you familiar with this regulation, and ...


Diminished nurse skill mix is linked to poor outcomes

Healthcare settings that substitute lower-level staff for registered nurses do so at their own peril, according to an extensive review of nurse skill mix at ...

Ask the payment expert

Ask the Payment Expert about ... acuity-based staffing

What is acuity-based staffing and how do we know what our acuity is?

Payment & policy

New ACO designed to better serve dual eligibles strategy

The Centers for Medicare & Medicaid Services announced Dec. 15 it was starting an ACO pilot program aimed at beneficiaries enrolled in both Medicare and ...

Ask the legal expert

Ask the Legal Expert about ... arbitration clauses

May a SNF continue to use arbitration clauses in resident contracts?

Legal Matters

Shortchanging 850 workers will cost operator $2 million

A New York-based skilled nursing chain will pay more than $2 million in back wages and damages after underpaying nearly 850 workers, the Department of ...

Report: LTC liability costs to rise in 2017

A skilled nursing facility with 100 occupied beds can expect to pay roughly $235,000 in liability expenses in 2017, according to the recently issued Aon ...


Focus on the mind

Community gives residents with dementia a holistic relationship with the entire environment and eschews segregated living spaces

How to do it…

How to do it... Design for infection control

During remodeling or in between, providers must be continuously mindful of keeping environments clean. "Designers, housekeeping staff and maintenance professionals need to take every opportunity ...


Back to you, LaVern ...

Just about every morning, LaVern Withrow reports the weather and sends well wishes to hundreds of people. And she does it all without leaving Valley ...


Epilepsy self management boosted by tablet-based tool

One-third of people with epilepsy, or about one million Americans, have trouble controlling their seizures, even with medication. Frequent and severe seizures can severely undermine ...

Where Are They Now: The Terraces at Los Gatos

Since winning the 2013 McKnight's Excellence in Technology Awards in the Dignity category, The Terraces at Los Gatos in California has continued to build on ...


Reader Poll: What would you tell your younger self if you had the chance?

"Take everything in stride. Work through the difficult times and enjoy the good ones. You stress about too much stuff you can't fix."

The wisdom of age

It's like a dash of smelling salts under the nose. Talking to actual long-term care residents always affects me like that: an abrupt awakening from ...

Company news

Kindred spends $700M with Ventas to ready for SNF exit

Kindred Healthcare Inc. has entered into an agreement to purchase 36 skilled nursing facilities from Ventas ahead of its exit from the skilled nursing sector, ...

Guru predicts consolidation

The skilled nursing sector could see increased operator consolidation in the coming years, according to an official with the National Investment Center for Seniors Housing ...

Vendor news

C. diff tablet gives providers new solution for old problem

3M has introduced C. diff Solution Tablets as an alternative for providers looking to kill challenging Clostridium difficile spores.

Latest cleaning alternative fits like a glove

SCA has added its Tena Bathing Glove as an option for U.S. long-term care facilities. As an alternative to soap and water, it is the ...

The big picture

The real staffing puzzle

When you ask people in this sector about the biggest staffing challenges ahead, responses often pour into familiar buckets.

Editor’s desk

A good reason you might sense a lawsuit increase

Given the most recent report from Aon's Actuarial & Analytical Practice, a few stanzas of "Whistle While You Work" could be helpful. Either that or ...


Profile: Benjamin A. Breier

Benjamin A. Breier may be at the helm of one of long-term care's industry giants as the president and CEO of Kindred Healthcare. But in ...