Providers find few silver linings, stew over minimum staffing demands
By
James M. Berklan
Sep 05, 2023
The initial jolt of the newly proposed nursing home staffing mandate has softened little over the long holiday weekend and now those tasked with making it work — providers — are coming to grips with...
Widening data pool dangerously ‘chumming the waters’ in nursing home lawsuits
By
Kimberly Marselas
Aug 23, 2023
A broader public data pool that captures practices of individual nursing homes and patterns across portfolios is being used out of context and further complicating the legal landscape for operators, experts...
Hospice improves your Quality Measures
By
Steven Littlehale
Jun 23, 2023
My father died a little over a year ago. While I usually derive tremendous comfort and support by sharing both happy and sad milestones with friends, family, and colleagues, in this instance, sharing the...
New SNF Value-Based Purchasing program: Act now!
By
Steven Littlehale
Apr 28, 2023
When I read my first SNF PPS final rule about 25 years ago, I thought that the start dates for some of its initiatives were so far in the future that they were of no concern. As a young person, my long-range...
Surprise Biden order ‘punishing’ for nursing home providers
By
Kimberly Marselas
Apr 19, 2023
An executive order signed by President Joe Biden Tuesday afternoon will trigger broad, cabinet-level activities intended to improve nursing home and other caregiving jobs and hold providers accountable...
Will you pass CMS’s new schizophrenia MDS audits?
By
Steven Littlehale
Mar 31, 2023
In 2016, the Centers for Medicare & Medicaid Services started focused on-site surveys to address the issue of erroneous coding of schizophrenia in nursing homes. More recently, the agency began conducting...
Risk mitigation strategies for supporting employees too!
By
Steven Littlehale
Mar 03, 2023
Last month I wrote about risk. I shared that risk in a nursing home originates from many places: residents and families, federal and state regulators, vendors, payers, insurance companies, referral sources...
Providers support state’s flexible, incentive-laden staffing mandate but CMS may soon make it moot
By
Jessica R. Towhey
Feb 21, 2023
Nursing home advocates and observers say Virginia’s staffing mandate adequately melds direct care hours with financial incentives for facilities and punitive flexibility by state regulators.
Beyond ‘document, document document’ — Risk mitigation strategies that work
By
Steven Littlehale
Feb 03, 2023
We encounter risk every day. Risk is present in the most innocuous actions, like crossing the street, walking into the supermarket, and even eating dinner. And as nursing home operators and providers well...
Setting up for MDS 3.0 success
By
Steven Littlehale
Jan 06, 2023
Are you a “New Year’s resolution” kind of person? I am not, but I am a strong believer in establishing goals and setting intentions. Whether you prefer to make a resolution or set a goal, January...