Skilled Nursing

Septicemia, urinary tract infections rank high on latest list of hospital readmissions causes

Septicemia, urinary tract infections rank high on latest list of hospital readmissions causes

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Two infectious conditions common in long-term care settings — septicemia and urinary tract infections — were among the top causes of hospital readmissions for Medicare beneficiaries in 2011, according to recently released data.

Visitor shot and killed on the grounds of an assisted living community in Kansas

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A woman visiting her mother at an assisted living facility in Kansas was gunned down in the parking lot Sunday, in what authorities are describing as a hate crime.

Skilled nursing facilities could lose big money if they don't hire a managed care coordinator, expert says

Skilled nursing facilities could lose big money if they don't hire a managed care coordinator, expert says

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Skilled nursing facilities stand to lose substantial sums of money as they increasingly do business with managed care plans, unless a coordinator is on top of exclusions and other contract elements, a prominent healthcare consultant told an audience Monday at the American College of Health Care Administrators annual meeting.

End-of-life decisions may cause confusion, anger

End-of-life decisions may cause confusion, anger

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When I lived in Baltimore, a stray, mangy cat adopted us. I am not trying to equate my cat with someone's parent, but I was reminded of Minou's last days when reading the dissertation of Mariette Klein on dementia caregivers. Specifically, how hard it can be to know what healthcare decisions to make for a loved one.

Brookdale, Emeritus merger upends status quo, CEO says

Brookdale, Emeritus merger upends status quo, CEO says

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Brookdale Senior Living is poised to become the largest senior living provider in the country, through a $2.8 billion acquisition of Seattle-based Emeritus Corp.

Acute, post-acute partnerships reduce C. diff about 50% in Washington state

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Hospitals and post-acute facilities in Washington state have cut their rate of Clostridium difficile infections in half since 2012 by partnering with each other in a robust infection control program, according to local news reports.

3 strategies for improved medication management communications in SNFs

3 strategies for improved medication management communications in SNFs

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One area where many SNFs have room to improve is medication management. Optimizing medication management services during care transitions will position SNFs as high-value partners in the preferred referral networks of hospitals and health systems.

Part A claims under scrutiny

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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.

Real-time video enhances post-stroke therapy, researchers say

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Therapists in skilled nursing facilities might help stroke survivors achieve faster progress by incorporating real-time video in sessions, suggests recently published research.

Bipartisan bill proposes new provider networks to serve chronically ill seniors

Bipartisan bill proposes new provider networks to serve chronically ill seniors

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Skilled nursing and rehabilitation providers would be able to join networks dedicated to treating chronically ill Medicare patients, under a new bipartisan bill introduced Wednesday in both houses of Congress. The "Better Care, Lower Cost Act" seeks to establish the Better Care Program, which would enable healthcare providers to form networks similar to accountable care organizations, but with a special focus on coordinating care for those with chronic conditions.

Brookdale targets new goal: national brand recognition

Brookdale targets new goal: national brand recognition

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Brookdale Senior Living is known as one of the largest U.S. assisted living operators, but the Tennessee-based company has ambitious plans to establish itself as the national leader across the whole continuum of care.

Ask the care expert ... about water temperature in SNFs

Ask the care expert ... about water temperature in SNFs

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The nursing and maintenance departments are feuding over the water temperature. What should it be in a skilled care unit?

Hospital observation stays increased more than 100%, AARP study finds

Hospital observation stays increased more than 100%, AARP study finds

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The frequency of hospital observation stays skyrocketed and long stays became much more common between 2001 and 2009, according to a new report from the AARP Public Policy Institute.

Physician and hospital groups call for delay of 'two-midnight rule'

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A policy meant to reduce the number of hospital observation stays is not workable, and stakeholders should collaborate on more comprehensive solutions to the observation stay situation, according to the American Medical Association and American Hospital Association.

MedPAC shows enthusiasm for equalizing SNF, inpatient rehab facility payments

MedPAC shows enthusiasm for equalizing SNF, inpatient rehab facility payments

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More uniform reimbursements for skilled nursing facilities and inpatient rehabilitation facilities could be implemented soon, policy analysts recently told the Medicare Payment Advisory Commission. The Centers for Medicare & Medicaid Services tested the concept in 2006, after developing a patient assessment tool that could be used in both settings.

Five Star makes changes to rely less on public funding

Five Star makes changes to rely less on public funding

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Five Star Quality Care recently transferred operations of two rehabilitation hospitals in Massachusetts to Reliant Hospital Partners, marking the latest move in the company's dramatic shift toward private pay operations.

Wounds unwelcome

Wounds unwelcome

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As hospitals look for post-acute provider partners, skilled nursing operators must gauge their effectiveness at post-operative care and wound prevention

Lack of data causes doctors to steer patients to unnecessary post-acute care, experts say

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Without solid research about how discharged hospital patients fare in various post-acute settings, cautious doctors are ordering more intensive and expensive care than is needed, according to medical experts writing in the Harvard Business Review.

Ziegler ranks stand-alone, non-profit CCRCs by size

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Erickson Living's Charlestown campus in Catonsville, MD, is the nation's largest single-site, not-for-profit continuing care retirement community, according to rankings recently compiled by investment bank Ziegler.

Man used false identity to work at nursing home for 6 years, authorities charge

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A man used a false identity to gain employment at a skilled nursing and rehabilitation facility where he worked for six years, authorities in Tennessee have charged.

Assisted living continues to grow while SNF stays stable, NIC experts show

Assisted living continues to grow while SNF stays stable, NIC experts show

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Assisted living continues to boom in the seniors housing market, but caution is needed as more units are slated to open in mid-2014, said experts Thursday at the annual meeting of the National Investment Center for the Seniors Housing & Care Industry.

Strokes drastically reduce quality of life, showing need for better care systems, researchers say

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The system of post-stroke care warrants increased attention in light of a study showing people have poor quality of life in the years following a stroke, according to researchers.

Faith-based provider forced to sell off 6 nursing homes

Faith-based provider forced to sell off 6 nursing homes

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Catholic Health Care Services of the Archdiocese of Philadelphia, one of the nation's largest faith-based long-term care providers, has announced it will sell its six nursing homes and one assisted living facility to help close a huge budget deficit.

LTC campaign revamps goals

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The Advancing Excellence campaign is calling on skilled nursing providers to use a set of updated goals to create a framework for achieving better care.

Alarm-free bed monitoring earns The Terraces of Los Gatos top honors for dignity through technology

Alarm-free bed monitoring earns The Terraces of Los Gatos top honors for dignity through technology

A fall from bed can cause more than bodily injury, if a resident's dignity is compromised by a loud, embarrassing alarm. Recognizing this, nonprofit operator The Terraces of Los Gatos implemented new smartbed technology — and won top honors in McKnight's Excellence in Technology Awards for the effort.

LTC Commission wins praise for recommendations, but some members say the group failed to complete mission

LTC Commission wins praise for recommendations, but some members say the group failed to complete mission

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Long-term care advocates have praised a set of recommendations issued by the Congressional Commission on Long-Term Care, but some commissioners broke ranks, saying the panel did not fulfill its mandate.

OIG finds 'observation stay' problems, calls for reform

OIG finds 'observation stay' problems, calls for reform

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Long-term care groups are among those hailing a federal study that raises critical questions about hospitals' apparent over-use of "observation stay" designations for patients.

The grateful gatekeeper

The grateful gatekeeper

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Close to 50 years ago, John F. Taylor made two important decisions. First, he married his wife, Paula. Then, he left college roughly 10 credit hours shy of graduating.

Nurse hiring remains difficult, hurting staff morale and patient care, survey shows

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Healthcare providers are having a hard time hiring nurses, and the vacancies are having a negative impact on staff morale and patient care, according to a new survey from CareerBuilder.

New chef wins 'top' honors

New chef wins 'top' honors

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Bernie Karlov has been chef at Life Care Center of The Willows less than a year, but he's already made the 100-bed nursing home proud. His slow-cooked spare ribs and chuck wagon slow-simmered baked beans wowed at the third annual Taste of Care in June, where The Willows took the competition's highest prize: Top Chef.

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