May 01, 2018 - Mcknight's

Print Issue: May 01, 2018

Alternative wound scoring tool ‘effective’

An 18-month review of the Long Beach Wound Scores system showed it can be an intuitive and effective way to assess and categorize patients with diabetic foot ulcers. LBWS includes five assessments using 2-point (best) to 0-point (worst) grades based on specific findings to generate a 0- to 10-point wound score. For a study published…

John O'Connor

The Big Picture: Tough times? Adjust!

It’s hardly news that many skilled care operators are now struggling. The rehab-switcheroo windfall has apparently played itself out at many properties. Meanwhile, occupancy levels generally remain stagnant or worse, despite an uptick in supply. Two new reports further reveal the hazardous driving conditions. First, came an update from Irving Levin Associates indicating that on…

Sherrie Dornberger, RN, CDONA, FACDONA, Executive Director, NADONA

Ask the Care Expert about … LPNs and IVs

Can an LPN be asked to start IVs or use a PICC line? This question is dependent on your specific Nurse Practice Act.This website has all the nurse practice sites: https://www.ncsbn.org/npa.htm. Pick your state and see the rules and practice acts available. Also, just because your state says that an LPN may do or start…

Rep. Greg Walden (R-OR)

Lawmakers turning up the heat on SNFS

Members of Congress have ratcheted up their scrutiny of how well nursing homes are being overseen by the Centers for Medicare & Medicaid Services. Four influential Republican Congressmen demanded details from Administrator Seema Verma about her agency’s diligence. In part, their nine-page letter asks what CMS has done regarding “reports of sexual abuse and neglect”…

When staff feel supported, quality improves, reseachers say.

SNF supervisor pilot boosts culture and staff retention

Efforts to improve frontline supervision can enhance the quality of entry-level jobs in long-term care and lead to higher retention of certified nursing assistants and better patient care, according to a recent case study. The National Fund for Workforce Solutions launched a yearlong pilot study of five nursing homes in conjunction with the Massachusetts Senior…

Study lead Robert Stern: Treating neuropsychiatric symptoms key.

Depression care may reverse memory, cognitive problems

Measuring neuropsychiatric symptoms such as depression, anxiety, agitation and irritability can help predict who will develop mild cognitive impairment, and who will progress to dementia. So found researchers from the Boston University School of Medicine, who recently published a data analysis on depression and cognition in the Journal of Alzheimer’s Disease. They tracked 6,763 individuals…

IG review finds rehab overpay

A federal review of outpatient physical therapy payments found Medicare likely overpaid $367 million during a six-month period. The Department of Health and Human Services’ Office of Inspector General examined a random sample of 300 claims and found 61% did not meet medical necessity, coding or documentation requirements. The OIG issued its report in March,…

CMS forms free infection control course

A new, multi-day course is being designed by the Centers for Medicare & Medicaid Services to help nursing homes prepare for the infection preventionist requirement included in the revised final rules of participation. CMS outlined class topics in a March memo to state survey directors. All federally supported skilled nursing facilities must have a trained…

Next post in News