Nursing Homes

MS patients less tense and pessimistic in nursing homes than at home, study finds

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Nursing home residents with severe multiple sclerosis report being less tense and pessimistic than similar individuals receiving care at home, according to recently published research findings.

Long-term care providers achieved 15% antipsychotic reduction goal, CMS announces

Long-term care providers achieved 15% antipsychotic reduction goal, CMS announces

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Long-term care facilities have reduced antipsychotic medication use by more than 15% through a large-scale initiative, according to a new report from the Centers for Medicare & Medicaid Services. That means it's time to set a more ambitious goal, a subgroup says.

CMS releases Medicare physician payment information, includes some nursing home affiliations

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Long-term care providers and residents now can glean insights into where their local doctors stack up nationally by referring to newly released data on Medicare physician payments. For the first time ever, the government made this information publicly available Wednesday.

Close to 1,000 nursing home investigation complaints in LA open for more than 2 years, audit finds

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A lack of oversight into nursing home investigations in Los Angeles County has caused a backlog of thousands of complaints, including 945 complaints that have been open for more than two years, according to an audit from the Los Angeles County Auditor-Controller.

Medicare manual revision addresses civil monetary penalty policies, survey timeframes

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A long-term care facility slapped with a civil monetary penalty has a chance for an independent informal dispute resolution, according to new manual guidance from the Centers for Medicare & Medicaid Services.

60 seconds with ... Leonard Gelman, M.D., CMD

60 seconds with ... Leonard Gelman, M.D., CMD

Q: What motivated the recent decision to extend AMDA membership to nurse practitioners? A: The last set of stats that I saw, about 25% of visits in nursing homes are done by nurse practitioners. This trend has been increasing over the last four to six years. We understand that in certain parts of the country, physicians might not be readily available. My take is it doesn't really matter who does the work, as long as someone qualified is providing the services.

Study: Diabetes often precedes wounds

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Diabetes is the co-morbid condition most strongly associated with the development of pressure ulcers in nursing home residents, according to an analysis of existing research.

Feds recover $10 million in incorrect Medicaid payouts

Feds recover $10 million in incorrect Medicaid payouts

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Federal investigators recovered more than $10 million in incorrect Medicaid payments made to nursing homes in 2013, an annual review shows.

DOJ approval of $1.2 million deal ends case of owner who used nursing homes as 'piggy banks'

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Federal authorities have agreed to a $1.2 million settlement that would bring a long and complex case of nursing home embezzlement to a close, according to news reports from Rhode Island.

Public reporting of physical restraint use led to 36% increase in antipsychotic prescribing for dementia, researchers find

Public reporting of physical restraint use led to 36% increase in antipsychotic prescribing for dementia, researchers find

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Public reporting of physical restraint use in nursing homes caused a spike in the use of antipsychotic medications to control residents' dementia symptoms, according to a recently published analysis. These results suggest that policymakers should consider unintended negative consequences of publicly reporting quality measures, the researchers emphasized.

Pest control company pleads guilty to misapplying poison and cover-up in nursing homes

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The owner of a pest control company has pleaded guilty to endangering nursing home residents by improperly applying a pesticide and engaging in a cover-up, the U.S. Department of Justice announced Friday.

House bill would ease readmissions penalties for hospitals that treat many dual eligibles and low-income seniors

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Hospitals that treat a high percentage of patients eligible for both Medicare and Medicaid would get a break on readmissions penalties if a new bill in the House of Representatives were to become law. Dual eligible beneficiaries have low incomes, are likely to have chronic or complex conditions, and often reside in long-term care facilities.

Doctors are dropping the ball during hospital to nursing home transfers, survey shows

Doctors are dropping the ball during hospital to nursing home transfers, survey shows

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Poor communication between physicians is the No. 1 issue hurting patient transitions between hospitals and nursing homes, according to a recent survey of long-term care professionals.

CMS budget defines nursing home quality targets, requests an additional $50 million for surveys

CMS budget defines nursing home quality targets, requests an additional $50 million for surveys

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The Centers for Medicare & Medicaid Services' proposed budget for fiscal year 2015 requests additional funds for survey activities and lists the agency's targets for nursing home quality measures.

Medicaid fraud units recovered $10 million from nursing homes in 2013, annual report shows

Medicaid fraud units recovered $10 million from nursing homes in 2013, annual report shows

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Medicaid Fraud Control Units recovered about $10.3 million from nursing facilities in fiscal year 2013, according to an annual report issued Friday. Civil fraud settlements and judgments accounted for the majority of nursing home recoveries last fiscal year, the report showed.

Privately managed Medicaid threatens long-term care quality and options, New York Times article states

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People with complex needs could find themselves squeezed out of the most appropriate long-term care settings as Medicaid beneficiaries become enrolled in programs from private sector companies, The New York Times reported in a lengthy Page 1 examination of the subject Friday.

WV Supreme Court hears ManorCare's appeal of $90 million verdict

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The West Virginia Supreme Court will consider the distinction between corporate negligence and medical negligence as it weighs a $90 million verdict against an HCR ManorCare facility, according to reports on oral arguments that took place Wednesday.

Government report: 1 in 5 Medicare patients suffers an adverse event while receiving post-acute SNF care

Government report: 1 in 5 Medicare patients suffers an adverse event while receiving post-acute SNF care

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About 22% of Medicare beneficiaries experienced an adverse event during a post-hospitalization skilled nursing facility stay in fiscal year 2011, and the majority of these events were preventable, according to a newly released government report. Post-acute provider groups said many initiatives to lower this percentage already are underway.

State News

State News

HAWAII — One of the most expensive states in the country for long-term care is staring down the barrel of dwindling budgets and a rapidly growing elderly population. Officials are taking proactive measures to ensure adequate funding and better engage aging residents.

What's needed in emergency preparedness

What's needed in emergency preparedness

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Emergency preparedness is an evolving issue for long-term care providers. While a recent study by the Office of the Inspector General found that most nursing homes nationwide met federal requirements for disaster plans and training, they also saw that gaps in implementing these plans still exist.

Court expresses concern over Omnicare drug packaging practices but dismisses False Claims suit

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A whistleblower exposed disturbing drug packaging practices being used by long-term care pharmacy Omnicare Inc., but the charges don't fall under the False Claims Act, a federal appeals court recently ruled.

Catholic long-term care provider claims free speech violations in its full appeal against Affordable Care Act contraception policies

Catholic long-term care provider claims free speech violations in its full appeal against Affordable Care Act contraception policies

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A Catholic long-term care provider is claiming freedom of speech and religious freedom violations in a much-anticipated legal appeal over the Affordable Care Act's contraception mandate.

Multidisciplinary teams cut costs but do not improve pressure ulcer healing in nursing homes, study finds

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Nursing homes could save money by utilizing multi-disciplinary teams for pressure ulcer treatment, although these teams may not improve clinical outcomes, according to recently published research.

Consistent assignment study shows need for careful culture change implementation, Eden Alternative leader says

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Consistently assigning nursing home aides to particular residents could cause the aides to feel isolated and overburdened, suggests a study forthcoming in the Western Journal of Nursing Research. However, a prominent voice in the nursing home culture change movement says the study simply shows that providers must adhere to best practices to see the benefits of consistent assignment.

When states get a golden goose, they usually feed it to the lions

When states get a golden goose, they usually feed it to the lions

As my dear mother used to say, it's a rare cloud that doesn't offer some kind of silver lining.

Nursing homes' security threatened by information posted to hacker website

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Documents posted to a file-sharing website could have been used to steal medical record and credit card information from three nursing homes in New York state, according to a Tuesday report in the Wall Street Journal.

Nursing home provider fails in legal bid against 'extrapolation method' in determining Medicare overpayments

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A government contractor can calculate how much money a provider owes for Medicare overpayments by doing a limited audit and then extrapolating from those findings, a federal appeals court recently affirmed.

More talk about putting nursing homes out of business

More talk about putting nursing homes out of business

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Almost exactly two decades ago, we saw a huge push to move residents from nursing homes into home-based settings. But a funny thing happened once the number crunchers started doing the math. It soon became clear that such a shift would actually increase long-term care costs. Not surprisingly, the plan was given a quiet, decent burial

Many post-acute providers anticipate being acquired by more tech-savvy competitors, survey shows

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Nearly half of post-acute providers anticipate they will be acquired by an organization with better technological capabilities in 2015, according to survey results released today.

FDA warning: Recalled rice product sold to nursing homes

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Nursing homes should ensure they are not serving potentially hazardous Uncle Ben's brand rice products, the Food and Drug Administration has announced.

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