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Trump’s proposed budget is an attack on Medicare

In March 2015, President Donald Trump, on Twitter, stated, “I was the first & only potential GOP candidate to state there will be no cuts to Social Security, Medicare & Medicaid.  Huckabee copied me.”  Looking for New Hampshire votes at the time, canvassing a state with the second-oldest population, Trump went on to win the Granite State’s…
Steven Littlehale

Portmanteau a PDPM parody

Here’s how you use some humor to directly confront PDPM myths and nonsense, as well as suggest some authentic opportunities to provide and document better care.

Time for a new path forward for LTC

We believe it is time to forge a new path forward: One of close collaboration between providers, policymakers, regulators and consumers that will better help providers to deliver the type of care older adults need.

Time to bet on SNF providers

It is high time that we reshuffle the deck of cards, aiming for a fairer hand for SNF providers, otherwise I can safely predict that improving quality of care will continue to be nothing more than a fancy illusion.

2020 race could focus on LTC

We have come a long way from when a Democratic president, in signing Medicare and Medicaid into law, stated: “There are those alone in suffering who will now hear the sound of some approaching footsteps coming to help.”
Leslie Mahoney, RN, BSN, CEO, SAVVY on the SOM

Understanding ‘psychotropic’ drugs

When the Centers for Medicare & Medicaid Services issued the current version of the State Operation Manual, Appendix PP, effective November 28, 2017, I was impressed by the depth of the work which had been done and the revisions to the formatting of the regulations. I do, however, take umbrage when CMS uses a term…

A tectonic shift in nursing homes

Those lacking this type of training and experience are at a distinct disadvantage, which is why I am a fierce advocate for having geriatricians hold accountable positions of authority in organizations that are responsible for the health and wellbeing of frail older adults and other seriously and chronically ill patients.
Matthew Gallardo

Caregiver absenteeism and its economic burden

“There are only four kinds of people in the world: those who have been caregivers, those who are currently caregivers, those who will be caregivers, and those who will need caregivers.” – Former First Lady Rosalynn Carter The Family Caregiver Alliance® defines a caregiver as, “an unpaid individual (for example, a spouse, partner, family member, friend,…

Rehab services need to refocus

Rehabilitative care is the answer for many patients who show a change in mobility or performance in daily tasks, pain, and speech- and swallow-related challenges. When properly delivered, therapy intervention can improve quality of life in countless ways.

Therapy documentation: What to know

Did you know that some of the earliest “medical records” date all the way back to around 1600 BC? Those of us who have either been around long enough or know our history recognize that healthcare providers have always maintained healthcare records to one degree or another. With the upcoming new Medicare Patient-Driven Payment Model…

Finding hope in a letter

As a licensed nursing home administrator since 1985, I have had many peaks and valleys in my career! I am happy to report that the majority of my work in the facilities I have had the privilege of overseeing in California, Hawaii, Massachusetts and now Florida has been rewarding and fulfilling. I received the following letter last month that reminded me of why we do our jobs.
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