Critical steps to ensure adequate nutrition in the elderly cancer resident

Critical steps to ensure adequate nutrition in the elderly cancer resident

Elderly patients face many challenges during their cancer care, and one of the biggest is maintaining good nutritional status.

Comfort pays big dividends in attracting talent, too

Comfort pays big dividends in attracting talent, too

To improve communication with millennial workers, organizations have to do a better job of understanding their motivation.

Triclosan hand soaps banned in healthcare: What should LTC facilities do next?

Triclosan hand soaps banned in healthcare: What should LTC facilities do next?

With a manufacturing cut-off date quickly approaching for soaps containing triclosan, long-term care facilities currently using them may be unsure of what to do next. Here are three steps they should take.

Train your staff to cure your facility of pest problems

Train your staff to cure your facility of pest problems

In the long-term care industry, impeccable sanitation and cleanliness must not only be expected, but also enforced.

Alarming trend in LTC: Overtime up 60% in 3 Years

Alarming trend in LTC: Overtime up 60% in 3 Years

A study of 2017 activity indicates that overtime in New England long-term care facilities has increased 60% in the last three years.

Hospital discharge decisions: Why choose your facility?

Hospital discharge decisions: Why choose your facility?

Public data brings transparency like a window does, but both often need help to make sense of what they make merely visible.

Reducing variability in post-acute care

Reducing variability in post-acute care

It's surprising that the type and amount of post-acute care patients receive after discharge partly depends on which hospital provided their acute care.

Managing volunteers' liability and risk

Managing volunteers' liability and risk

Although volunteers are an incredible asset to senior care organizations, there are risks associated with having them onsite.

Caring for the bariatric resident

Navigating the tumultuous road of caring for bariatric residents is a challenge faced by many long-term care facilities today. Using the right equipment or technology on the right type of patient will help both the resident and the caregiver and affect the right clinical outcome.

How skilled nursing facilities are using virtual reality to enhance resident stays

How skilled nursing facilities are using virtual reality to enhance resident stays

The use of virtual reality can help improve the lives of seniors with mobility problems who require physical rehabilitation and for those residents who are unable to leave the facility.

Why technology — not medication — is the future of treating older adults with depression

Why technology — not medication — is the future of treating older adults with depression

With engagement technology and compassionate caregivers, older adults have an opportunity to improve their quality of care, socialize with friends and family members and mitigate the risks of depression without the use of medication.

Rethinking financing: better approaches for senior living access to capital

Rethinking financing: better approaches for senior living access to capital

The senior living and care industry is experiencing a renaissance. As baby boomers begin to retire, they are redefining the expectations of aging in America.

Decrease infection transmission risk to increase engagement

Decrease infection transmission risk to increase engagement

Long-term care facility employees have a responsibility to ensure an optimal healthcare environment to enable resident recovery, respite or relief, and environmental cleanliness is crucial to confer a sense of safety and comfort for the residents. Environmental cleanliness is also crucial to long-term care worker retention.

Truly understanding the differences between palliative care and hospice

Truly understanding the differences between palliative care and hospice

Not all long-term care professionals carry the same understanding of the issues.

Green roofs — beloved by residents and pests alike

Green roofs — beloved by residents and pests alike

From their social and emotional benefits to potential for credits toward Leadership in Energy and Environment Design (LEED) certification, green roofs remain a popular trend in healthcare buildings across the country. However, they also can increase pest pressures, which is a key concern for long-term care facilities.

How does your leadership team lead?

How does your leadership team lead?

Consider this truism: Your facility outcomes will never outperform the effectiveness of how your leadership team leads.

The benefits of proactive maintenance versus reactive maintenance

The benefits of proactive maintenance versus reactive maintenance

Knowing the difference between proactive and reactive maintenance — and doing something about it — will save you resources and energy, increase the lifespan of your facility and its capital equipment. It will also bring more efficiency, reduced downtime/inconvenience and savings.

How virtual care technology can transform long-term care facilities

How virtual care technology can transform long-term care facilities

The use of virtual care technology can help address a forecasted severe workforce gap for long-term care operators by enabling offsite providers to deliver critical care in a more convenient manner to residents.

Elders find purpose through service and community commitment

Elders find purpose through service and community commitment

Unfortunately, residents of care communities are rarely tapped to provide much-needed service. Perhaps we are too busy seeing the things that residents CANNOT do, and fail to see all that they CAN do!

Why it's important to maintain protein intake and muscle mass for your elderly oncology residents

Why it's important to maintain protein intake and muscle mass for your elderly oncology residents

It's well known that cancer patients are prone to losing weight during their treatment, but many people may not realize how weight loss that occurs prior to diagnosis can have a major impact on response to treatment.

Why elder caregivers should focus on hearing health

Why elder caregivers should focus on hearing health

Many of the challenges seniors' caregivers face are the result of communication issues since 50% of people over age 75 have some degree of hearing loss. Hearing loss makes caregiving more challenging for the caregiver, the patient, the family, and other health professionals.

Why caregivers for seniors should focus on hearing health

Many of the challenges elders' caregivers face are the result of communication issues — 50% of individuals over age 75 have some degree of hearing loss.

Positioning yourself for career advancement and growth

Positioning yourself for career advancement and growth

Is it time to take the next step up in your professional life? If so, you may have to look critically at yourself before you look at the job boards.

Therapy is key in controlling pain and curtailing opioid use

Therapy is key in controlling pain and curtailing opioid use

Fortunately, there is an alternative to opioid use, but it is not considered as often as it should be. Physical therapists see a lot people with injuries or illnesses who are experiencing pain, so we speak from experience when we talk about alternate options.

Your CRM isn't enough: How a digital admissions platform can help

Your CRM isn't enough: How a digital admissions platform can help

A customer relationship management (CRM) system is an integral part of the sales process in a successful senior living community. While it has a number of capabilities essential to managing the resident relationship, what happens to residents after the sale has been made?

Does your facility's customer service pass or fail? 5 ways to enhance your brand and reputation

Does your facility's customer service pass or fail? 5 ways to enhance your brand and reputation

If your staff fails at customer service and are not helpful or knowledgeable or are unpleasant, your brand and reputation could be badly damaged. Never has this been more true than in our current Facebook, Twitter and social media universe, where viral shaming is a very commonplace and all too real occurrence.

Why should I work for you?

Why should I work for you?

Be prepared to answer the question in the headline in an employee-driven market.

Are you part of the 18%?

Are you part of the 18%?

Only 18% of skilled nursing facilities have taken the next step to integrate their electronic health records with a regional or state health information exchange.

The real cost of a fall: Falling in America — myth vs. reality

The real cost of a fall: Falling in America — myth vs. reality

With an aging population on the rise in the United States, a great deal of attention is appropriately given to fall-related injuries, fall prevention and fall protection.

How to make the resident move-in process as easy as possible

How to make the resident move-in process as easy as possible

Moving is not fun. It's stressful and exhausting, and when everything is finally into your new place, you're left with a world of cardboard, furniture placement that needs adjusting, and an endless to-do list to make the place habitable, much less comfortable.

Workplace engagement crushers: 5 Easy Ways to undermine employee engagement

Workplace engagement crushers: 5 Easy Ways to undermine employee engagement

Without even knowing it, you could be indulging in one of the most common barriers to creating a culture that feels engaging to employees.

Top 7 takeaways from the AHCA Quality Summit

Top 7 takeaways from the AHCA Quality Summit

I just returned from the AHCA Quality Summit in New Orleans with remnants of powdered sugar in my hair from Café Du Monde — and a revived energy for my role in developing software for post-acute care providers.

Understanding the superbug problem

Understanding the superbug problem

Although studies by the CDC have confirmed that the majority of superbug cases occur within the general community, unfortunately, an increased number of diagnosed superbug cases do occur in skilled nursing facilities and hospitals.

Being mindful of light bulbs in your community can produce noticeable savings

Being mindful of light bulbs in your community can produce noticeable savings

There are several ways that operators are driving down costs, but one avenue they're taking is to replace aging components with new technologies. And one simple and effective change is swapping out old light bulbs.

Why bother with bundled payments?

Why bother with bundled payments?

Provider organizations may be tempted to take the recent cue from Washington to retreat from bundled payments and value-based models more broadly, returning more squarely to the traditional fee-for-service model. That would be a mistake.

Skilled nursing facility 'haves' and 'have nots' — a financial journey

Skilled nursing facility 'haves' and 'have nots' — a financial journey

As a result of changing referral patterns, increasing regulations and myriad of other factors, the current financial environment poses a great threat to some skilled nursing facilities while creating opportunities for others.

The importance of zinc, especially for the elderly

The importance of zinc, especially for the elderly

One to three million serious infections occur every year in nursing home facilities. Infections include urinary tract infections, diarrheal diseases, antibiotic-resistant staph infections and many more.

Award fuels expansion of telemedicine

Award fuels expansion of telemedicine

The project's goals were significant: to reduce hospitalizations by 16% and emergency department visits by 28%, resulting in an 8.25% reduction in total cost of care. Official results on these specific goals will be available at a later date.

The secret sauce for innovative thinking: Engaged employees

The secret sauce for innovative thinking: Engaged employees

Yes, the fundamental secret sauce for success is incredibly engaged employees who feel an emotional connection and commitment to their work and to their organization

Best laundry practices to help prevent bed bugs and other pests

Best laundry practices to help prevent bed bugs and other pests

There are many areas within long-term care facilities that are at risk for pest infestation. In fact, many of the amenities and services offered to make patients and residents more comfortable are also havens for pests.

Taking the telemedicine leap

Taking the telemedicine leap

What skilled nursing facilities should consider as they search for telemedicine solutions

Improving our industry, one project at a time

Improving our industry, one project at a time

The senior living industry is hungry for modernization and improvement. Creativity, innovation and relationships are the key to bringing down some hard-to-tackle issues innate to the present backdrop of senior living.

How to care for Vietnam veterans with unique needs

How to care for Vietnam veterans with unique needs

By identifying the unique needs of veterans coping with life-limiting illness, caregivers and administrators can guide these men and women toward a more peaceful ending.

Injury prevention is crucial to employee retention

Injury prevention is crucial to employee retention

Everyone in the senior living industry has heard it before: Medical advancements are leading to residents living longer now than ever before.

QAPI leads to lasting change

QAPI leads to lasting change

The good news is that QAPI isn't entirely new, even though the emphasis from CMS and the surveyors is different.

'HELP' is what end-of-life care needs

'HELP' is what end-of-life care needs

Hospice care and palliative care are two beneficial options that all patients have for end-of-life care. When a patient is best suited for end-of-life care, the first step is having a conversation with the dying patient, a sensitive act that can be very difficult for the patient and their families.

From MBA to CNA: The universal caregiver model

From MBA to CNA: The universal caregiver model

Imagine that you're working full time, and in the middle of a 24-month MBA program that requires monthly out-of-state travel, your CEO challenges you to join him in becoming a certified nurse assistant as well.

Getting real: Ego-free leadership

Getting real: Ego-free leadership

Leaders have an incredible opportunity to influence and strengthen employee engagement.

The importance of monitoring black box prescription drug use

The importance of monitoring black box prescription drug use

Whether you're a nurse or the owner of a LTC center, you're certainly aware of the impact of prescription drugs on your clients.

How to develop a water management program

How to develop a water management program

Since legionellosis is almost exclusively contracted via inhalation of the bacteria in droplets of water, fixtures that aerosolize water pose the highest risk.

Why your resident engagement metrics aren't working

Why your resident engagement metrics aren't working

A community cannot simply use a non-drug intervention and anticipate immediate results and a person-centered status.

An easy and inexpensive way to create a home environment

An easy and inexpensive way to create a home environment

The decision to transition a family member into long-term care is never an easy one. It should be no surprise that one of the most important considerations is whether or not the residence matches the comforts and standards of living that the loved one is accustomed to.

Preventing Legionnaires' disease in LTC

Preventing Legionnaires' disease in LTC

It is not often that we think of Legionnaires' disease, the form of pneumonia brought on by inhaling aerosolized water containing L pneumophila bacteria. But when the illness rears its ugly head, the results can be disastrous for those exposed.

How training revitalized our aquatics program

How training revitalized our aquatics program

When a facility invests in a high-end modality, on-going training and programming around this equipment is vital.

The demands of a rapidly growing senior population will drive 2018 industry changes

The demands of a rapidly growing senior population will drive 2018 industry changes

In addition to the significant financial and regulatory changes expected to affect senior living in 2018, Health Dimensions Group anticipates major shifts in the industry as operators meet the demands of a growing senior population.

C. difficile infection in long-term care facilities: A diagnostic challenge

C. difficile infection in long-term care facilities: A diagnostic challenge

Clostridium difficile infection is the leading cause of gastroenteritis-associated death and has become the most common cause of health care-associated infections in US hospitals.

Boosting morale through intergenerational engagement

Boosting morale through intergenerational engagement

A University of California San Francisco study found that 43 percent of older adults reported feeling lonely. The same study found that those adults had a greater risk of health decline or death, highlighting the critical link between loneliness and health.

2018 will bring significant financial and regulatory changes

2018 will bring significant financial and regulatory changes

There is no crystal ball to show what challenges and changes 2018 will bring to the post-care and senior care industry.

Home for the holidays

Home for the holidays

The holiday season is a festive time when we gather with family and friends to celebrate life, enjoy each other's company, and take stock of the year that's ending while looking ahead with optimism and anticipation to the year that's about to begin.

Software can make QAPI compliance a snap

Software can make QAPI compliance a snap

Like so many other advances, the Quality Assurance and Performance Improvement mandate from the Centers for Medicare & Medicaid Services is both a blessing and a curse for nursing homes.

Are we asking ourselves the right questions about resident engagement?

Are we asking ourselves the right questions about resident engagement?

As the CMS Rules of Participation continue to roll out, providers are required to promote resident agency in making their own daily decisions and to understand their unique so that a more person-centered perspective can be realized.

How can leaders engage employees? Lessons from "Field of Dreams"

How can leaders engage employees? Lessons from "Field of Dreams"

Do you remember the movie Field of Dreams? I loved that movie! It had charm, mystery, sentimentality, and a real feel-good ending.

Palliative care improves outcomes for those with COPD

Palliative care improves outcomes for those with COPD

Almost 15.7 million Americans are diagnosed with chronic obstructive pulmonary disease (COPD), a chronic respiratory illness with multiple disabling symptoms that impact quality of life.

Understanding tinnitus in residents

Understanding tinnitus in residents

Roughly 20 million people struggle with chronic tinnitus, while 2 million have extreme and debilitating cases.

How an operational assessment can change your organization

How an operational assessment can change your organization

A well-executed financial and operational assessment can change the culture of a facility from one of blame to one of cooperation, improve system and process efficiency, increase occupancy and reimbursements, decrease costs, and turn a surviving organization into a growing and thriving one.

Should I be looking for a new position in senior care?

Should I be looking for a new position in senior care?

You have been in your senior care executive director position in a well respected senior care company for a year or two.

Ensuring indoor therapy pools are a favorite destination

Ensuring indoor therapy pools are a favorite destination

There are no substitutes for an indoor therapy pool's benefits of relaxing buoyant freedom of movement, soothing warmth and hydrostatic pressure pain relief. However, some therapy pool environments fall short.

3 simple steps to safe motorized wheelchair and scooter use

3 simple steps to safe motorized wheelchair and scooter use

Most organizations recognize that access to motorized devices will improve the mobility of many of their residents, prolong their independence in some cases, and in general, improve their access to services and activities.

How to prepare for LTC's mobile future

How to prepare for LTC's mobile future

Occupancy in skilled nursing facilities has been experiencing a downward trend as of late. According to a report by the National Investment Center for Senior Housing & Care, it might not just be a seasonal shift.

Control rehospitalizations using engagement to drive business

Control rehospitalizations using engagement to drive business

Hospital readmissions have become one of the top business metrics in senior care. An area often overlooked is the correlation between person-centered care and the reduction of rehospitalizations for older adults

Beware of the bubble: Are you in touch with your employees?

Beware of the bubble: Are you in touch with your employees?

Your employees talk about you. They talk to their colleagues, friends and family about your leadership and what it's like to work in your organization.

Using vitals integration tech for readmission prevention

Using vitals integration tech for readmission prevention

We all know the importance of having vitals measurements automatically downloaded to an EMR system.

How to kick rodents to the curb in LTC

How to kick rodents to the curb in LTC

The weather is cooling down, and that means rodents are looking for their own long-term care facilities. Across the country, rats and mice are searching for warm places to spend the winter, and your long-term care facility potentially has everything they need to live to a ripe old age.

Celebrating America's veterans

Celebrating America's veterans

Coining the "Call for Heroes" campaign, Geri-Care is honoring one veteran a month with an event to commemorate their heroic actions.

I know QA, but what Is QAPI?

I know QA, but what Is QAPI?

Nobody likes change. If we all had a dollar every time we heard someone in our workplace say "but this is the way we've always done it" we'd all be independently wealthy.

A quantum leap for iN2L

A quantum leap for iN2L

I've been amazed at the dedication and passion of so many in senior living.

Operating at the next level: What makes a seniors housing deal rise to the top

Operating at the next level: What makes a seniors housing deal rise to the top

As the seniors housing market continues to grow and attract record levels of new investment, lenders are taking an ever-closer look of the deals they finance — and the partners and operators they work with.

4 ways your admissions process is failing your residents and staff

4 ways your admissions process is failing your residents and staff

Digitization can save your facility time, money, and valuable resident opinions.

How therapy providers can start preparing for RCS-1

How therapy providers can start preparing for RCS-1

RCS-1 is a complete rewrite of therapy reimbursement rules, and will require therapy providers to make significant operational changes in order to maintain healthy businesses.

CMS emergency preparedness rule: What to know

CMS emergency preparedness rule: What to know

A solution should have strong reporting and records retention within its platform to ensure compliant contact management over time.

The unspoken cost of restraint

The unspoken cost of restraint

Thankfully, the practice of using physical restraints for older adults living with dementia has largely been relegated to the past.

Antibiotic stewardship - Will you be ready by November 28th?

Antibiotic stewardship - Will you be ready by November 28th?

In my previous blog post, I covered the regulatory requirements for Antibiotic Stewardship Programs set forth by the Centers for Medicare and Medicaid Services and briefly discussed in the Centers for Disease Control and Prevention's Core Elements for Antibiotic Stewardship in the Nursing Home.

Questions you shouldn't ask in a first interview

Questions you shouldn't ask in a first interview

Job interviews are tricky things. You want to come across as confident without being arrogant, humble without being timid, and capable without being perceived as overqualified.

Data proves to be the right prescription for a healthier bottom line

Data proves to be the right prescription for a healthier bottom line

This is a pivotal moment for the entire sector. With reforms pending, decision makers at skilled nursing facilities specifically, are faced with trying to understand how to address and prepare for upcoming changes in a way that empowers them, enables them, and helps them to remain profitable - without compromises to care or to quality.

Occupancy initiative could impact life experiences

Occupancy initiative could impact life experiences

Outcomes and projected trends in the senior living space historically have been shaped by opinion based on years of experience and what has proven successful.

Recruiting and retaining: What is your employer brand?

Recruiting and retaining: What is your employer brand?

The goal of this exercise is to ensure that your espoused employer brand accurately reflects your culture and values.

A tale of compassion — and the true meaning of voice to text

A tale of compassion — and the true meaning of voice to text

As he spoke, his words miraculously showed up on the screen for all to see. You had to strain to pick up his words with your ears, but it was easy to see the words showing up accurately for the 500+ folks in the crowd.

How PAC facilities can maximize advanced BPCI participation

How PAC facilities can maximize advanced BPCI participation

Bundled payments represent one of the biggest opportunities to reform the healthcare system.

Keeping residents safe, one inspection at a time

Keeping residents safe, one inspection at a time

No matter what other issues you may be dealing with on any given day, nothing is more important than the safety and wellbeing of residents living in senior facilities.

Long-term care mandates top-tier tech

Long-term care mandates top-tier tech

As technology services improve in mainstream society, it's critical that long-term care providers ensure their residents aren't left behind.

Can gloves do more harm than good?

Can gloves do more harm than good?

An observational study in a LTC facility examined the degree of inappropriate glove use among certified nursing assistants (CNA) when helping residents with bathing or toileting activities.

Driving change in LTC —A discussion

Driving change in LTC —A discussion

In order to better understand how this evolution is impacting operators, and talk about the role that we play as lenders, I recently had a discussion with one of our long-term clients, Naveed Hakim, CFO of Plum Healthcare.

5 tips to bring back the joy of eating

5 tips to bring back the joy of eating

It is no secret that cancer treatments—or even the cancer itself—can have a negative effect on patients' appetites, often making mealtime an everyday struggle.

Leveraging technology for quality improvement for small to mid-sized organizations

Leveraging technology for quality improvement for small to mid-sized organizations

This spring, Relias Learning embarked on one of its most ambitious undertakings in putting together the second edition of its State of Staff Development and Training report.

A day in the digitized future

A day in the digitized future

The activities department in senior care communities plays an essential role in the well-being of older adults. It is often the only source of engagement, providing basic socialization opportunities, that can protect against the negative impact of loneliness and isolation on physical and mental well-being.

Leadership skills: Know yourself, know your employees, know your job

Leadership skills: Know yourself, know your employees, know your job

In the simplest sense, a successful leader is one that gets other people to do things, to do those things well, and to enjoy doing them.

RCS-1 is a complete rewrite of therapy reimbursement rules

RCS-1 is a complete rewrite of therapy reimbursement rules

With Resident Classification System, Version I (RCS-1), the Centers for Medicare & Medicaid Services is considering significant changes to the reimbursement model for therapy.

Are you ACA 1557 compliant?

Are you ACA 1557 compliant?

Navigating complex compliance laws can be time consuming and it is often confusing.

Advance directives are vital documents for personal care goals

Advance directives are vital documents for personal care goals

When completing an AD, the patient should consider what is most important, asking such questions as "Who can make medical decisions with the physician if I am unable?