Surveyors

New survey process has 'learning curve for everybody,' CMS official says

New survey process has 'learning curve for everybody,' CMS official says

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NEW ORLEANS — The Centers for Medicare & Medicaid Services' new survey process for nursing homes will challenge the sector with a "learning curve," but providers can stay on top of it by utilizing the agency's training resources, one CMS official advised on Monday.

Cut the hypocrisy when it comes to flu shots for health workers

Cut the hypocrisy when it comes to flu shots for health workers

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Providers get enough pressure about vaccinating their employees. They don't need the hypocrisy dished out by surveyors too.

Any eggrolls with that, Sweetie?

Any eggrolls with that, Sweetie?

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It so happened that in the drive-thru at Panda Express recently, I had an epiphany. Let me explain.

The schizophrenia of patient-centered care

The schizophrenia of patient-centered care

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Is it me or sometimes do the wide interpretations within the State Operations Manual (the dreaded "RED book") make you want to question your entire existence? I mean, we've been working so diligently toward Culture Change and the true meaning of person-centered care. Nationally, I thought we were making headway. But nooooooo.

Why the New York Times' 'hatchet job' shows better days are coming to long-term care

Why the New York Times' 'hatchet job' shows better days are coming to long-term care

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A pall hangs over this sector at the moment, thanks to the New York Times.

Ask the care expert ... about interpretive guidance

Ask the care expert ... about interpretive guidance

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I heard there was communication to surveyors on being required to cite the regulation and not the interpretive guidance. Where can I find this?

CMS puts surveyors on alert for those 'gaming' system

CMS puts surveyors on alert for those 'gaming' system

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Federal regulators say surveyors need to prevent providers from possibly "gaming" the system when it comes to the timing of surveys and sales.

CMS issues guidance on survey timing for facilities that change ownership

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Surveyors should prevent providers from being able to game the Medicare system through well-timed facility sales and purchases, the Centers for Medicare & Medicaid Services instructed in a recent memorandum.

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.

Practice sessions can pay off during surveys, expert claims

Practice sessions can pay off during surveys, expert claims

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Directors of nursing need to lead their employees through survey practice sessions in order to achieve peak success, a long-term care expert said at the annual National Association of Directors of Nursing Administration in Long-Term Care conference.

Court tosses out citation for runny eggs, limits surveyors

Court tosses out citation for runny eggs, limits surveyors

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Slapped with an Immediate Jeopardy citation for serving undercooked eggs to residents, a nursing home took its defense to a federal appeals court — and won. The court staked out limits on how government agencies interpret vague regulations.

Surveyors should consider facilities' visitation policies for same-sex couples, CMS memo states

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Medicare- and Medicaid-certified nursing homes must extend the same spousal visitation rights to all residents regardless of sexual orientation, the Centers for Medicare & Medicaid Services clarified in a June 28 memorandum.

No timeline for official QAPI regulation, but surveyors are learning program basics, CMS official says

No timeline for official QAPI regulation, but surveyors are learning program basics, CMS official says

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The Centers for Medicare & Medicaid Services still cannot say when an official regulation will be established for the Quality Assessment and Performance Initiative, but that's not stopping the agency from moving forward with QAPI initiatives. Providers should feel confident they will be well prepared for QAPI by following the recommendations in recently posted online materials, said CMS project officer Deborah Lyons, RN.

  Practice makes perfect for state surveyor visits

Practice makes perfect for state surveyor visits

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A visit from state surveyors should be seen as a chance to "put on a show," a long-term care expert says.

Court throws out Immediate Jeopardy citation for undercooked eggs, repudiates interpretation of 'ambiguous' regulation

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A Texas nursing home recently won a legal battle challenging an Immediate Jeopardy citation for serving undercooked eggs to residents.

Scrutiny of skilled nursing facilities intensifies with Nursing Home Compare overhaul

Scrutiny of skilled nursing facilities intensifies with Nursing Home Compare overhaul

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The government's Nursing Home Compare website now includes more information about surveyor inspection findings and antipsychotic medication usage, officials announced Tuesday.

Survey expert provides insight on most common deficiencies

Survey expert provides insight on most common deficiencies

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A nursing home survey expert gave providers a cheat sheet to the most common deficiencies — and how to avoid them — in the first McKnight's Super Tuesday webcast of 2012.

Operate with an eye on quality, not the next survey cycle

Operate with an eye on quality, not the next survey cycle

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The anxiety associated with an impending survey should be offset by the fact that the nursing facility holds the secret to its own success - the knowledge of its customers.

Report details new CMS quality improvement indicator tool

Report details new CMS quality improvement indicator tool

Quality Indicator Survey inspectors are beginning to use new software that works with personal tablet computers during their nursing home visits, according to a new Government Accountability Office report.