News

$11.6M to nurse paralyzed by flu vaccine

By

A former nurse has received an $11.6 million government settlement to pay for future care after a flu vaccine paralyzed her.

Facility fined $16,000 after reviving resident with DNR

Facility fined $16,000 after reviving resident with DNR

By

Authorities have fined a Florida nursing home $16,000 for reviving a resident who had a do-not-resuscitate order.

Special juice reduces UTIs

Special juice reduces UTIs

By

Drinking black chokeberry juice may reduce the rate of urinary tract infections among nursing home residents, according to findings published in Nutrition Research in June.

Certain lights ease dementia

By

Certain lights may improve quality of life for residents with Alzheimer's and other types of dementia, according to a new study.

McKnight's reaches APEX again

By

McKnight's Long-Term Care News Senior Editor Elizabeth Newman earned a Grand Award for blog writing, and McKnight's staff pulled in four other Awards of Excellence in the 2014 APEX Awards for Publication Excellence program.

Lawmakers want pay that is risk-adjusted

Lawmakers want pay that is risk-adjusted

By

Calculations for Medicare readmissions penalties should be risk-adjusted so that providers do not lose money for serving the sickest, poorest seniors, a group of Congressional lawmakers said in a letter to regulators. Long-term care is carefully monitoring how hospital readmissions penalties are calculated because nursing home reimbursements will be tied to readmissions starting in 2018.

QAPI on minds of leadership

QAPI on minds of leadership

By

A critical decision in a Quality Assurance Performance Improvement plan is not what, but whom, to include, a former Centers for Medicare & Medicaid Services official said at the annual NADONA conference.

Report: QIOs are reducing ulcers

By

Nursing homes that have partnered with Quality Improvement Organizations over the last three years have delivered drastically reduced pressure ulcer rates and restraint use, according to new government figures.

MedPAC urges rates blind to care setting

MedPAC urges rates blind to care setting

By

Skilled nursing facilities and inpatient rehabilitation facilities should receive equal payments for treating some conditions, the Medicare Payment Advisory Commission proposed in its latest report to Congress.

Administrators pan pay-for-performance

By

Most nursing home administrators do not believe that pay-for-performance initiatives lead to improved resident care or stronger bottom lines, according to findings recently published in the Journal of Aging and Social Policy.

Feds: Without more funds, we are cutting provider oversight

Feds: Without more funds, we are cutting provider oversight

By

Nursing providers could feel reduced heat from federal Medicare and Medicaid oversight activities — if an agency official's testimony is to be believed as more than just budget-request bluster.

Sorbet raises food intake

Sorbet raises food intake

By

Nursing home residents who have a sorbet appetizer tend to eat more at mealtime and maintain their weight, according to findings from a small study.

Aspirin not best for wound care?

By

Non-aspirin pain relievers may be best for residents with chronic wounds, according to new study results.

McKnight's wins 9 more awards

By

The McKnight's editorial team earned four honors in the 2014 ASHPE national editorial awards program.

LTC nurses likeliest to want new setting

LTC nurses likeliest to want new setting

By

Most nurses find their work rewarding and satisfying. But nurses in the long-term care sector appear to be the most likely to want employment in a different setting, according to a survey from CareerBuilder and Harris Poll.

SNF Medicare rate rises 2%

SNF Medicare rate rises 2%

By

The government has proposed increasing skilled nursing facility Medicare payments by $750 million in fiscal 2015.

Readmission numbers drop

By

Readmissions of seniors to a hospital within a month of discharge declined in 2013, according to the Department of Health and Human Services.

Ultra-High therapy keeps surging: CMS

Ultra-High therapy keeps surging: CMS

By

Providers aren't just being accused of coding therapy patients in higher payment categories than ever before. The charge is being backed by hard numbers in a recent memorandum from the Centers for Medicare & Medicaid Services.

Providers' payments tied to readmissions

Providers' payments tied to readmissions

By

President Barack Obama signed legislation that ties skilled nursing facility Medicare reimbursements to hospital readmissions, starting in 2018.

Pressure sore stats predict readmissions

By

Compared with other quality measures, pressure ulcer prevalence is particularly good at predicting whether a nursing home will readmit residents to the hospital, according to findings published recently in HSR: Health Services Research.

Doc fix bill once again is less than LTC field had hoped for

Doc fix bill once again is less than LTC field had hoped for

By

A measure President Barack Obama signed into law does a lot more for doctors than it does for long-term care operators.

Vitamin D as cognition clue?

Vitamin D as cognition clue?

By

There appears to be a link between low vitamin D levels and cognitive decline over time, according to a new study from Wake Forest Baptist Medical Center.

New method for delirium

By

There's a new method for measuring delirium severity in older adults from researchers at Harvard and Brown Universities and the University of Massachusetts.

Managed care experts wanted

By

Skilled nursing facilities could take major hits to their bottom lines unless a coordinator is on top of managed care contracts, a prominent healthcare consultant said last month at the American College of Health Care Administrators annual meeting in Las Vegas.

Senators urge tougher LTC survey process

Senators urge tougher LTC survey process

By

The Centers for Medicare & Medicaid Services said it plans to focus more on quality improvement initiatives rather than stricter surveys, but that didn't stop a pair of veteran U.S. senators from calling for more stringent measures.

McKnight's awards open

By

The entry period is now open for McKnight's 3rd annual Excellence in Technology program.

LTC achieves antipsych goal

By

After years of pushing, long-term care facilities have reduced their use of antipsychotic medication for dementia, according to an April report from the Centers for Medicare & Medicaid Services.

White House spending plan less than industry hoped for

White House spending plan less than industry hoped for

By

In every White House budget, there are winners and losers. Unfortunately for providers, long-term care again falls into the latter category. All told, President Obama's $3.9 trillion spending plan for fiscal year 2015 would cut funding for healthcare by $402 billion over the next decade.

22% of beneficiaries return to hospital

By

A large number of rehabilitation patients seek hospital care shortly after being discharged from a nursing facility, according to recent research.

Obama budget cuts provider payments

Obama budget cuts provider payments

By

Presidents usually release budgets for reasons that have less to do with spreadsheets than legacies. President Obama's fiscal year 2015 spending plan is no different. The $3.9 trillion proposal offers a partisan blueprint for improving jobs, the economy and the nation's long-term fiscal outlook.

CMS requests survey buildup

By

The Centers for Medicare & Medicaid Services is asking for $49 million more in its next budget, largely to expand long-term care inspection programs.

Audits paused, providers glad

Audits paused, providers glad

By

Long-term care providers are applauding a pause in the Medicare recovery audit contractor program.

Feds looking to QAPI, not penalties, for help

Feds looking to QAPI, not penalties, for help

By

Centers for Medicare & Medicaid Services officials said they consider the upcoming Quality Assurance and Performance Improvement guidelines, not harsher penalties, as the better way to reduce adverse events in post-acute care.

Staffing, quality link found shaky

By

Nursing home staffing levels have not been definitively linked to better care, according to an analysis published in JAMDA.

New test for Alzheimer's

By

A new blood test reveals with 90% accuracy which people will develop Alzheimer's disease or mild dementia within three years, according to study results in Nature Medicine.

Meddling relatives harm end-of-life care

By

Relatives of dying residents make it harder to provide high-quality end-of-life care, according to a majority of long-term care professionals surveyed.

Guidance identifies clothing choices for infection control

Guidance identifies clothing choices for infection control

By

Healthcare professionals should consider a "bare below the elbows" approach of short-sleeved tops and foregoing a wristwatch, jewelry or ties, according to guidance released in late January from the Society for Healthcare Epidemiology of America.

Eye injections trim SNF use

Eye injections trim SNF use

By

Injectable drugs ranibizumab (Lucentis) and bevacizumab (Avastin) help prevent nursing home admissions among those with age-related wet macular degeneration, according to findings in JAMA Ophthalmology.

Video speeds stroke rehab

By

Real-time video used in therapy sessions could help stroke survivors rehabilitate more quickly, according to researchers.

McKnight's 8th Expo is here

By

The universal problem of how providers can best prepare for regulator inspections will be one of five key topics covered in McKnight's Online Expo educational sessions March 26-27.

Home-based caring practices boost SNFs

Home-based caring practices boost SNFs

By

Nursing homes could improve the comfort and dignity of residents who are dying by following practices common in home-based hospice care, according to the results of a large-scale trial.

MDS staff face time crunches

MDS staff face time crunches

By

Each nursing home resident assessment takes five hours on average for a Minimum Data Set or nurse coordinator to finish, according to survey results from the American Association of Nurse Assessment Coordination.

Part A claims under scrutiny

By

Government investigators will issue a report on skilled nursing facilities' Medicare Part A billing practices later this year, according to the latest annual work plan from the Department of Health and Human Services Office of the Inspector General.

Cynical admins apt to leave jobs: study

Cynical admins apt to leave jobs: study

By

Cynicism and "emotional exhaustion" are the strongest predictors of nursing home administrator turnover, according to doctoral research by a former administrator. Misaligned personal and corporate values also lead to turnover.

Flu shot cuts stroke risk 24%

Flu shot cuts stroke risk 24%

By

People who are vaccinated against the flu are 24% less likely to suffer a stroke during that flu season, say British researchers who analyzed records of nearly 50,000 patients.

Delve into hot topics at the 2014 Expo

Delve into hot topics at the 2014 Expo

By

8th Annual McKnight's Online Expo brings national experts, continuing education credits, vendor booths and more straight to your desktop, or wherever you connect to the Internet

Bookkeeper linked to long-term scheme

By

A Wisconsin bookkeeper who worked at a nursing home for 31 years is suspected of garnering $850,000 in what authorities describe as a complex embezzlement scheme.

Jimmo guidance: Document goal before you provide care

Jimmo guidance: Document goal before you provide care

By

Skilled nursing facilities should not claim that therapy was to maintain a patient's condition if documentation reflected only an improvement goal.

Hand washing might be moot

Hand washing might be moot

By

Caregivers who wear gloves can likely save time and skip hand washing before putting them on without worrying about increasing nosocomial infection rates.

Glucose meters views sought

By

Federal authorities are accepting comments through the first week of April on newly proposed stricter guidelines for blood glucose monitoring systems.

Don't miss any McKnight's news

Featured Articles