Administration

AHCA to CMS: Change rule on observation stays, Medicare A-to-B billing

The Centers for Medicare & Medicaid Services' rule on hospital "observation stays" has generated much controversy. The American Health Care Association strikes back with a long list of changes that should be made--and why. 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 »

Study questions performance measures regarding stroke mortality rates

When it comes to performance based on 30-day mortality rates, care facilities may be getting skewed performance ratings for ischemic strokes, a new study says. Read More »

No mandatory overtime for nurses in 17 states

In early August, Massachusetts became the 17th state to protect registered nurses from mandatory overtime. Massachusetts Gov. Deval Patrick signed a healthcare law that identifies restrictions. In California and Missouri, regulations contain provisions for mandatory overtime. Read More »

Certain surgeries have far higher 30-day readmission risks, study shows

Residents who are recovering from surgery need special transitions of care and monitoring to prevent post-operative complications and hospital readmissions. Read More »

Too little standardization in how states verify Medicaid applicants, GAO report says

When it comes to getting Medicaid assistance for long-term care costs, too many rule variations among the states have created a chaotic system, a GAO report concludes. 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 »

Nursing home residents at risk as flood waters surge above levees in one New Orleans parish

A nursing home in one New Orleans parish chose to ride out Hurricane Isaac, but the facility is now flagged for evacuation as storm surge exceeds the nearby levees, flooding the neighborhood. 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 »

New flu shot designed for seniors debuts this fall

We’re still enjoying the vestiges of summer, but it’s never too early to begin educating elderly residents about influenza risks and the importance of vaccinations. 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 »

New Orleans nursing homes evacuate in advance of Isaac

Tropical Storm Isaac is predicted to change its name to Hurricane Isaac later today as it continues on its path to New Orleans and other coastal points. Read More »

Nursing homes, hospitals brace for Isaac

Here comes Isaac: Gulf Coast facilities prepare for the storm with lessons learned from Hurricane Katrina Read More »

Experimental treatment shows promise for Parkinson’s

People with Parkinson’s have to take pills many times a day to control their symptoms. A new medication technique developed at the Cleveland Clinic uses a gell-based medication to curb the “fall off” effects that pills often have. Read More »

Environmental Services’ role in infection control

A facility’s infection control program should start from the bottom, the top and sides. Housekeeping and maintenance departments are key players in infection control. Read More »

CMS announces final rule delaying ICD-10 to October 2014

The Centers for Medicare & Medicare Services on Friday published a final rule pushing back the compliance deadline for converting to the ICD-10 system of diagnostic and procedural coding to October 1, 2014 from October 1, 2013. Read More »

The carrot or the stick? Paying for nursing home quality

Ohio is the latest state to launch a pay-for-quality program for skilled nursing reimbursement. But with 10 percent of reimbursement riding on passing the quality program, is the test tough enough? Read More »

Health Care REIT to buy Sunrise Senior Living

Health Care REIT announces its intent to buy Sunrise Senior Living, in the third major senior housing real estate deal this week. Read More »

One-on-one with … Lynne Katzmann

Long-Term Living talks with Lynne Katzmann, president and CEO of Juniper Communities, on how benchmarking combined with a “double bottom line” philosophy have resulted in increased census and recognition as one of the top 25 women-owned businesses by Crain’s New York Business. Read More »

Happy National Senior Citizens Day!

You can express appreciation and thanks for seniors 365 days a year--but today it's official! Read More »

How to motivate staff to optimize the LTC dining experience

I believe it is the role of senior care administrators to generate motivation in their employees. This goal can be accomplished with a clear mission that is supported and reinforced on an ongoing basis, particularly through hands-on actions. Read More »

Obesity can contribute to cognitive decline, study says

One more reason to consider shedding those extra pounds: A neurology study suggests that obesity can contribute to reduced cognition in later life. Read More »

5 reasons to educate residents about their illnesses

Residents often enter long-term care with surprisingly little knowledge about their conditions, whether they have a recent diagnosis or have been living with an illness for many years. Here are five reasons why we should teach our residents about the illnesses they live with. Read More »

Kindred buys IntegraCare; doubles its hospice and home care foothold in Texas

Kindred Healthcare invests deeply in the heart of Texas, announcing its agreement to purchase IntergraCare's Texas-based home care and hospice operations. Read More »

Aetna buys Coventry Health Care in latest deal to divvy up Medicare/Medicaid expansion market

As Medicare and Medicaid programs grow, the insurance market is spending billions to get a larger slice of the government-backed healthcare markets. Read More »

Giving with one hand, taking away with the other

The SNF Medicare increase is approved, but unless Congress acts it will be gone. Election season is a good time to do something about it. Read More »

Hospices collaborate for safe medication disposal

Should unused drugs be flushed? Tossed in the trash? The nation’s top hospice organizations partner to create better training on the safe disposal of unused medication. Read More »

5 powerful tools to reach prospects online

Online marketing has skyrocketed in recent years and if you, long-term care provider, have yet to dip your toes into the Web waters, now’s the time if you hope to get a leg up on your local competition. Read More »

AHCA/NCAL announces the 2012 award winners

The American Health Care Association/National Center for Assisted Living (AHCA/NCAL)awards are here: This year 458 skilled nursing and assisted living facilities were recognized, but only two took home the gold. Read More »