Facility management

Need technology? Take the trauma out of your IT initiatives

Technology projects planned with the input of all departments have the best staff buy-in and training engagement, says a panel of long-term care project managers who have tackled the IT challenges in their own organizations. Avoid “tech trauma” by learning their tips on IT project strategy. Read More »

The laundry room: Room for savings?

A facility laundry incurs many expenses--labor, equipment, energy and more--that factor into the costs of operation. Investing in new equipment and attention to detail can pay off. Read More »

LeadingAge to LTC providers: Demand change in healthcare delivery system

The overriding message from LeadingAge thought leaders at the group's annual meeting is that providers must step up to the plate and demand a say in the future of the country’s bloated and broken healthcare delivery system. Read More »

How do you spell nurse retention? R-e-s-p-e-c-t

The challenge of retaining quality nursing staff and reducing turnover rates can be eased through a few crucial changes in management strategy, say session leaders at this week’s LeadingAge annual meeting. Read More »

Crisis? Don’t cringe; be prepared

Crisis communications doesn’t have to make you cringe. If you plan accordingly and understand how to protect your reputation in a crisis, you can successfully navigate the situation and avoid the potentially negative impact an unexpected event could have on your long-term care organization. Read More »

5 things you should say for successful cold calls

One of the challenges that we face in sales and marketing is making that initial contact with a prospective referral source that we have never met before. Cold calling, whether conducted over the phone or in-person is nerve racking and rarely successful--unless you have a plan! Read More »

Senior housing providers branch into at-home care models

With more Americans considering staying at home in their elder years instead of moving to a retirement community, many senior living providers are experimenting with alternative service models, including innovative programming and service partnerships. Read More »

LTC trends report: Reimbursement #1 challenge, technology #1 game changer

Amid the cuts in payments and struggles with occupancy rates, the current long-term care business environment has opportunities for innovation in cost models, care delivery models and technology-driven value, notes the 28th annual Licensed Nursing Facility Cost Comparison. Read More »

Managing risk in volunteer programs

Volunteers are key components to the success of many organizations, especially LTC organizations. However, without a good risk management plan, volunteer programs can expose your organization to additional risks of a loss, damage to your reputation or even imperil operations. Read More »

Managing assessment and documentation for a successful incontinence program

Incontinence management is a critical issue in skilled nursing facilities, especially as it relates to increased regulatory oversight, budgetary considerations, rehospitalization rates and quality of life for residents. The proper documentation of incontinence is essential in the clinical record and in the MDS database. Read More »

RICO suit filed against nursing home workers unions

HealthBridge files a RICO lawsuit against nursing home workers unions as the strike begun in July continues. Read More »

Business continuity planning starts with safety at home

Planning for an emergency at your LTC facility must start at home so your organization can help protect one of its most valuable resources--employees and their families. Read More »

To centralize or decentralize the MDS department: That is the question

The centralized MDS department and decentralized MDS department each has its pros and each structure can put organizations at risk for survey deficiencies, lost revenue and poor satisfaction among residents and staff. Read More »

One-year look-back: Assessing 2012’s Final Rule and its impact on providers

The Centers for Medicare & Medicaid Services’ (CMS’) skilled nursing facility 2012 Final Rule has had a huge impact on SNFs that were still adjusting to the transition to MDS 3.0 the previous year. Read More »

AHCA/NCAL: Future of LTC relies on leadership and resilience

A few raindrops didn't dampen the spirits of more than 2,000 attendees and 350+ vendors who celebrated the resilience and discussed the challenges of long-term care on today's opening day of the AHCA/NCAL Conference and Expo in Tampa, Fla. Read More »

The Q word dominates long-term care

October looms as a month of major change for the skilled nursing industry with the Hospital Readmissions Reduction Program slated to launch next Monday. With hospitals facing stiff penalties for patient readmissions, SNFs are poised to play a key role in efforts to reduce readmissions with quality issues taking center stage. Read More »

Tackling the troubled LTC facility

Joining an organization with problems can “make or break” a new administrator or DON. This could be an opportunity to become a hero, not only to the organization but to the residents as well. Read More »

Disaster Recovery Requires Pre-Planning

Planning for the unexpected means forming a clear plan of action and knowing who to call when disaster strikes. Read More »

5 measurable quality initiatives form core of CMS Action Plan

As nursing homes compete in the post-reform environment for new direct patient admissions and more hospital discharges, several data driven tools—from Five Star rankings to hospital readmission benchmarks—that form the core of CMS’ focus on quality will be critical to nursing homes’ success. Read More »

Incident reports, surveys and privilege: Protecting QA material from enforcement action

Skilled nursing facilities should carefully consider what constitutes legitimate quality assurance or otherwise privileged documents and how best to protect those documents. Read More »

2012 OPTIMA Award winner: St. Leonard Franciscan Living Community, Centerville, Ohio

Since 1996, Long-Term Living has honored long-term care communities that are proactive with programs that go “above and beyond” routine care for their residents with our prestigious OPTIMA Award. It is conferred by a jury of LTC peers from submitted entries. This year’s winner is St. Leonard Franciscan Living Community of Centerville, Ohio. Congratulations! Read More »

Floor cleaning day Part 2

I was concerned about my floor being stripped and waxed because it upsets my routine. Since I wanted things to run smoothly, I had my driver, Debra, come at 8 a.m. on Thursday to help the maintenance guys move things. That way I knew I would have some idea where things were put. Read More »

IOM report: Healthcare must behave more like a business, reward quality and learn from data

In a milestone report released today, the Institute of Medicine (IOM) analyzes why the U.S. healthcare system needs a new business-based attitude, and why it struggles to learn from its own data. Read More »

5 tips to prepare for QAPI

Mandating that nursing home providers institute both a formal, facility-wide compliance and quality assurance and performance improvement (QAPI) program while enhancing nurse aide training across their facilities, the Affordable Care Act (ACA) aims to elevate the quality of care in America’s nursing homes over the next few years. Read More »

Evangelical Lutheran tops annual nonprofit operators list

Following the Evangelical Lutheran Good Samaritan Society in the top five list of operators are the National Senior Campuses in Maryland, the ACTS Retirement Life Communities, Inc. in Pennsylvania, Presbyterian Homes and Services in Minnesota and Covenant Retirement Communities in Illinois. Read More »

Offering continuing education benefits LTC communities

Developing relationships with potential referral sources is one of the most important duties of a senior living executive. One provider found that offering CE courses helped acquaint referral sources with its community while providing these professionals with valuable content. Read More »

LTC facilities should prepare now for Social Security payment changeover, Feds say

In March 2013, the majority of nursing home residents will experience a radical change—no more government checks in the mail. Long-term care facilities should start now to educate their staffers and their residents on the new electronic direct deposit system. Read More »

National nursing home quality measures: 34 and counting

Knowing that the quality measures (QMs) are used by surveyors and the public to evaluate your facility’s care outcomes should convince you to give high priority to understanding the details of the QMs. Read More »

LTC providers speak out on Five-Star Quality Rating System

Last month I blogged about the Centers for Medicare & Medicaid Services’ controversial Five-Star Quality Rating System in light of news of its revamped Nursing Home Compare website. I invited readers to share their thoughts on the rating system and the website, knowing that this was one issue certain to generate some commentary. And it sure did. Read More »

The cultural diversity challenge

To address cultural differences, many organizations make an effort to learn about the cultural practices of the different groups represented in the community. But sharing our cultural norms isn’t enough. What is most important to addressing the challenges of difference is to create a culture of respect, where each person feels valued and accepted. Read More »