'We have to do better' on infection prevention, CMS official tells LTC nurse managers during new survey updateJune 29, 2018
Nursing homes's new survey routine seems to be going smoothly, about half a year in, but infection prevention problems continue to plague the field.
As a leader in the nursing home setting, I see the accountability game played out quite often. Mostly, it's a facility has failed to meet a certain standard of care and a state surveyor, during a detailed review of a glut of required documentation has unearthed that issue.
How should our facility prepare for the new survey process?
How do we evaluate whether our pressure injury program is ready for the new survey process?
The announced delay of full enforcement of new survey requirements is indeed good news for nursing home operators and all of their compliance officers. Their blood pressure should now lower a few millimeters. If only for a while.
The Centers for Medicare & Medicaid Services recently reminded state survey agency directors that it no longer will accept appeals through the U.S. mail from providers that disagree with actions imposed on their facilities.
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.
An Ohio nursing home says residents became defiant after speaking with a state inspector, leading the provider to file a lawsuit.
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 recently released a new survey that discusses impressions of a facility's cleanliness.
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.
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.
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.
The Centers for Medicare & Medicaid Services is asking for $49 million more in its next budget, largely to expand long-term care inspection programs.
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.
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 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 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.
It's important to do a review that considers your region and state. Identify how complaints and care deficiencies were handled last year.
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.
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.
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 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.
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.
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.
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 reportingMay 20, 2013
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.
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.
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.
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.