Staffing

A tisket, a tasket ... No LPNs in the RN basket

A tisket, a tasket ... No LPNs in the RN basket

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Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios should not come as a surprise — but you could be in for a shock if you don't pay attention to your details.

Lessons from Yolanda

Lessons from Yolanda

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Long-term care has far too many professionals with a depth and range of skill and training that the public almost never gets to see.

What's more frightening than the nursing shortage? What's driving it

What's more frightening than the nursing shortage? What's driving it

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To better appreciate this sector's alarming nurse-staffing nightmare, it's helpful to recall the warden's famous line in Cool Hand Luke: "What we've got here is failure to communicate.

Great associates are sought from the top down

Great associates are sought from the top down

A prosperous community environment beginning with the top leadership is something that many organizations tout, but here at La Posada, a community in Palm Beach Gardens, FL, it's something that we truly live by.

Officials: More additions and rebasings of nursing home ratings to come

Officials: More additions and rebasings of nursing home ratings to come

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Nearly one-third of the nation's skilled nursing facilities lost a rating star due purely to administrative changes Friday, when regulators also emphasized that more quality measures will be added next year — when another round of Five Star scores rebasing also could take place.

Dangerous work with low pay, and we wonder why they leave?

Dangerous work with low pay, and we wonder why they leave?

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Researchers have concluded that workers are leaving the field in droves. The two main culprits: poor wages and dangerous work conditions.

Taking a look at where we look for LTC talent

Taking a look at where we look for LTC talent

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It would appear that long-term care executives are shooting themselves in the foot when it comes to hiring.

Getting the right staff: Drug screening in focus

A webinar focusing on employment screening — and drug screening in particular — will take place at 1 p.m. Thursday. The hour-long session will discuss the law in this area, as well as cautions, concerns and steps how to implement an effective and appropriate testing program.

NM uses unique tactics to sue nursing home chain over care, staffing issues

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Providers nationwide will be anxiously watching to see if there is traction in a lawsuit filed by the New Mexico attorney general alleging insufficient staffing made proper care impossible. Outgoing Attorney General Gary King sued seven nursing homes operated by Preferred Care Partners Management Group on Friday.

Expanded surveys will focus on staffing, MDS coding

Expanded surveys will focus on staffing, MDS coding

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Special surveys to determine Minimum Data Set coding accuracy and nursing home staffing levels will occur nationwide in 2015, the Centers for Medicare & Medicaid Services announced in an Oct. 31 memorandum. A five-state pilot of the focused surveys concluded in August, and there were deficiencies reported on 24 out of 25, according to CMS.

Increasing staff-to-patient ratios improves nurse safety, researchers find

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A law setting mandatory nurse-to-patient staffing ratios has reduced the number of workplace injuries for registered nurses and licensed practical nurses in California, according to recently published findings.

The fault in our (5) stars

The fault in our (5) stars

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So, let me start off by saying that I am sure a lot of us have our own rating systems. For example, my sisters and I have a tissue-box rating system for tearjerker books and movies. The book the "Fault in Our Stars" (excellent in my opinion) was a 5-tissue-box book. The movie "Terms of Endearment" a 5-tissue-box movie, for sure.

CMS needs to get nursing home staffing information directly from payroll systems, Congressional leaders say

CMS needs to get nursing home staffing information directly from payroll systems, Congressional leaders say

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Federal regulators should start collecting nursing home staffing information directly from payroll systems as soon as possible, members of the Congressional Seniors Task Force said in a letter to a top healthcare official Tuesday.

Mandatory staff hours, better high-acuity care could improve quality of life in nursing homes, researchers suggest

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A nursing home's staffing patterns and admissions trends are among the most important factors driving residents' quality of life over time, according to recently published research findings.

Staffing for the 'new' LTC/post-acute care the focus of Aug. 19 webcast

Staffing for the 'new' LTC/post-acute care the focus of Aug. 19 webcast

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Attendees at a free McKnight's webcast Aug. 19 will hear how frontline execs have found success battling new caregiving challenges in long-term and post-acute care. The event will feature, among other topics, best labor and personnel strategies from Dan Leamon, vice president with Altercare of Ohio, and Diane Geis, Altercare's chief personnel officer.

Ahhh, it's summer... (Run for your life!)

Ahhh, it's summer... (Run for your life!)

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The birds are singing, everything is green, people are planning vacations and you are shaking in your boots. Because you know, unlike the rest of the world, that with your job, you're gonna have more patients to take care of than you can shake a stick at!

Dual eligibles more likely to go from hospitals to lower quality nursing homes, referral process might need reform, researchers say

Dual eligibles more likely to go from hospitals to lower quality nursing homes, referral process might need reform, researchers say

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People eligible both for Medicare and Medicaid go to lower-quality nursing homes after being hospitalized at a rate higher than Medicare-only patients, according to researchers from Brown and Harvard universities.

Staffing strategies that lead to quality care featured in June 11 webcast

Staffing strategies that lead to quality care featured in June 11 webcast

Long-term care providers can learn about balanced approaches to staffing that both answer increasing acuity needs and stay within budget at a McKnight's webinar June 11. "Staffing strategies built for quality care" kicks off at 1 p.m. Eastern. The free webinar features Irene Fleshner, RN, NHA, FACHE, senior vice president for strategic nursing initiatives for Genesis Healthcare.

CNAs and National Nursing Home Week: Much to celebrate

CNAs and National Nursing Home Week: Much to celebrate

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This week, nearly 1 million certified nursing assistants across the nation have been celebrating National Nursing Home Week as they render their special care services to nearly 1.5 million residents living in skilled nursing centers.

A jolt to long-term care best practices, amid the Ivy

A jolt to long-term care best practices, amid the Ivy

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This is going to sound terribly wrong on the face of it. There's no way around it. It appears that the nation's largest association of nursing home operators has just bought itself a whole lot of credibility.

Cost of doing business about to rise for many providers

Cost of doing business about to rise for many providers

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It's not quite in the dirty-little-secret category, but here it is: The nation's recent economic downturn was good for the bottom line at many urban long-term care facilities. Change appears to be on the way.

Skilled nursing operator to pay $1 million over claims it failed to pay overtime, allow breaks

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Compass Health has agreed to a $1.1 million settlement in a class action lawsuit alleging that the skilled nursing provider did not pay overtime or allow workers to take needed breaks.

March 6 webcast: Getting quality staffing right in 2014

March 6 webcast: Getting quality staffing right in 2014

What does quality staffing look like in 2014? A free McKnight's webcast March 6 will sort through facts and myths to help providers better understand what they should be doing to keep themselves at the quality forefront.

The keys to reducing turnover in long-term care

The keys to reducing turnover in long-term care

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The turnover rate in long-term care is a very significant problem, so I dug into the research about it. Some of the findings were shocking. Others were simply very disappointing. Here's what I found, and what can be done to improve conditions.

A better way to manage your most important assets?

A better way to manage your most important assets?

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What is it that truly sets your community apart?

No way to fix staffing

No way to fix staffing

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It's no secret that our nation's long-term care facilities need additional caregivers. More than 43,000 direct care staff positions remain unfilled, according to figures from the American Health Care Association.

Good Samaritan faces charges over resident death linked to 50 falls

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An Iowa skilled nursing facility has been charged with wrongful death for allegedly allowing a resident to fall dozens of times prior to her death, which was brought on by a fall.

High staff turnover would lead to re-vote on union membership under proposed labor reform law

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Nursing home workers would have to recertify their union representation after any major changes in staffing, if a newly proposed bill becomes law.

SNFs progressing toward Quality Initiative goals, AHCA reports

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More than 6,000 skilled nursing facilities achieved notable gains in the first year of the American Health Care Association's Quality Initiative, the provider association announced yesterday.

Game theory in long-term care

Game theory in long-term care

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As many of you know, this is long-term care conference season, which means having a quality smartphone is essentially a must. Since my old phone could best be described as "temperamental," before I headed to AHCA/NCAL I picked up the new Motorola Moto X Android. This phone is so amazing I keep waiting for it to do my laundry. But in the meantime, it makes it tons easier to shoot off emails, use Twitter, shoot video and edit stories. Most importantly, the new phone has Tetris.

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