Survey

Why the survey system may never be fixed

Why the survey system may never be fixed

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Given certain realities about skilled-nursing facility inspections, we should not be wondering why cheating has occurred. Rather, we should be amazed it hasn't been more rampant.

Surveyor 'help' leads to chaos

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An Ohio nursing home says residents became defiant after speaking with a state inspector, leading the provider to file a lawsuit.

Survey: Nurses are 'dangerously' stressed due to lack of authority, poor management

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A lack of necessary authority and struggles with management are among multiple factors contributing to nurses' high levels of stress, according to recently released survey results.

Ecolab releases cleanliness, resident care survey

Ecolab recently released a new survey that discusses impressions of a facility's cleanliness.

Penalty process explained

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A long-term care facility that has been slapped with a civil monetary penalty has 10 days to file for an independent informal dispute resolution process, according to a recent manual update from the Centers for Medicare & Medicaid Services.

Senators urge tougher LTC survey process

Senators urge tougher LTC survey process

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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.

Special surveys on dementia care, Minimum Data Set coding will launch by mid-year, CMS announces

Special surveys on dementia care, Minimum Data Set coding will launch by mid-year, CMS announces

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Surveyors will scrutinize dementia care and Minimum Data Set coding in an upcoming pilot program to test more expansive oversight of these areas, the Centers for Medicare & Medicaid Services recently announced.

CMS requests survey buildup

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

Change the nursing home survey process

Change the nursing home survey process

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If LeadingAge's latest strategy works as hoped, it would mean high-performing nursing homes wouldn't have the fire of the Centers for Medicare & Medicaid Services dragon breathing down their necks every nine to 15 months.

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.

Delirium can hurt survey results

Delirium can hurt survey results

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Delirium can be deadly if not diagnosed and treated. If that should occur, we all know that an Immediate Jeopardy citation is just around the corner. Don't let that happen to you and your residents.

The power of the MDS, and the will to rein it in

The power of the MDS, and the will to rein it in

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The Minimum Data Set helps determine how resident care is classified and reimbursed. Because it drives providers' fate, virtually from start to finish, providers cling to any nugget they can glean about it. That's why newly released study findings prove so intriguing.

A survey and regulatory review of 2013

A survey and regulatory review of 2013

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It's important to do a review that considers your region and state. Identify how complaints and care deficiencies were handled last year.

Are you prepared? 5 questions you need to know the answers to

Are you prepared? 5 questions you need to know the answers to

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With all the recent regulatory changes that have come down the line, or are about to, we developed a simple five-question survey that each provider had to ask every therapy employee. If you can develop strong policies and procedures based on these questions, you will have a good offensive game plan in place.

New bill improves on nursing home surveys and surveyor training

New bill improves on nursing home surveys and surveyor training

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A new House bill aims to improve the nursing home survey process, enhance whistleblower protections for surveyors and establish an advisory committee for CMS that would include skilled nursing facility administrators, directors of nursing and other stakeholders. Rep. Lucille Roybal-Allard (D-CA) introduced the bill on Tuesday.

How soon is soon enough?

How soon is soon enough?

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The word "immediate" in the State Operation Manual, Appendix PP - Guidance to Surveyors for Long Term Care Facilities can be interpreted in multiple ways. Determining the timing of interventions through a thoughtful risk/benefit analysis, based on the needs of residents, will surely promote better clinical and survey outcomes.

Nursing facilities rank fifth in most dangerous workplaces

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Nursing facilities are the most dangerous workplace in Maine and the fifth most dangerous workplace in the U.S., according to a new study from an insurance company.

Avoid survey deficiencies through clear communication and honesty, former surveyor says

Avoid survey deficiencies through clear communication and honesty, former surveyor says

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Long-term care providers should use surveys as an opportunity to showcase great care in their facilities, a former surveyor said in a McKnight's webcast.

Avoiding traps at survey time the topic of Super Tuesday webcast

Four universal challenges at survey time will be the focal points of the next McKnight's Super Tuesday webcast. The one-hour live webcast will offer practical strategies providers can use concerning falls, incontinence, pressure ulcers and unintended weight loss. The lead presenter will be Leah Klusch, executive director of the Alliance Training Center, and no-cost CE credit will be available.

Avoiding traps at survey time is the topic of our July 16 Super Tuesday webcast

Avoiding traps at survey time is the topic of our July 16 Super Tuesday webcast

Even at the nation's best nursing facilities, residents are susceptible to four universal challenges: falls, incontinence, pressure ulcers and unintended weight loss. This McKnight's one-hour live webcast on July 16 will examine why this fearsome foursome is especially challenging, and offer practical strategies providers can use. The lead presenter will be Leah Klusch, executive director of the Alliance Training Center, and no-cost CE credit will be available.

CMS issues more in-depth survey guidelines to reduce readmissions; invites comments on assistant reporting

CMS issues more in-depth survey guidelines to reduce readmissions; invites comments on assistant reporting

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The Centers for Medicare & Medicaid Services has revised the provider certification manual for hospitals, giving more in-depth guidelines around discharge planning. The goal is for hospitals to reduce readmissions by partnering with post-acute providers.

Sequester cuts are bringing changes to survey process

Sequester cuts are bringing changes to survey process

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The Centers for Medicare & Medicaid Services will change some nursing home survey procedures in response to budget cuts from sequestration, according to memos released April 9. The CMS Survey & Certification budget has been reduced 5% from 2012, the agency announced.

CMS revises survey guidelines for some long-term care providers with Immediate Jeopardy citations

CMS revises survey guidelines for some long-term care providers with Immediate Jeopardy citations

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Regional authorities will decide whether to conduct full surveys of deemed long-term care providers that are cited for Immediate Jeopardy, according to recently revised guidelines from the Centers for Medicare & Medicaid Services.

The truth can set you free — or put your long-term care facility out of business

The truth can set you free — or put your long-term care facility out of business

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Journalists generally get all warm and tingly when previously guarded information becomes available. It must be in our DNA. So I should probably be cheering ProPublica's announcement that the government is now releasing unredacted write-ups of problems found during nursing home inspections.

Don't get burned! Regulatory updates you need to know

Don't get burned! Regulatory updates you need to know

As leaders in post-acute care, we need to stay abreast of the regulatory changes and its impact on our operations. In healthcare the one thing that remains consistent is change! Effective December 1, 2012, there are a series of Survey and Certification Memorandums from CMS that affect clinical provision of care as well as survey process changes.

Survey and certification: Level that playing field!

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As you engage in quality improvement efforts, put together data-driven marketing materials, complete a HUD refinance application, or talk with families and other community members take care to make sure you're using an appropriate comparative benchmark.

AHCA: Americans want to avoid cuts to nursing homes in 'fiscal cliff' negotiations

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While Congressional lawmakers continue to negotiate avoiding the looming so-called fiscal cliff, a long-term care provider group reports Americans oppose cutting Medicare payments to nursing homes.

The three "Rs" of nursing home care

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By utilizing benchmarks and data analytics preparation, time is reduced, priorities established and efforts measured. By knowing a facility's prior survey deficiencies and having insight into the areas of emphasis of the local surveyors in your survey district allows for priorities to be set and resources focused where it matters most.

The star treatment is here to stay

The star treatment is here to stay

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The Centers for Medicare & Medicaid Services has just rolled out its latest version of Nursing Home Compare. If your facility garnered five stars, you probably love it. If you received one star, you surely hate it.

QI Survey's further incursion into dining activities to be featured focus at audio conference

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An audio conference will take place Tuesday morning in an effort to help long-term care providers create more efficient interdisciplinary approaches with their dining regimens. Under new QI Survey points of emphasis, providers could leave themselves vulnerable to citations in an array of areas, experts point out. Registration is online only and must be completed by Monday. Attendees (ideally anyone from CEO level down through nursing and dietary staff) will learn nuances of what the QIS expects and how it will critically observe kitchen-to-dining routines. CE credit will be available from this LeadingAge affiliated event.

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