AI in Senior Living Sales and Marketing

Regulatory Compliance

Abbott Labs pays $1.5 billion to settle Depakote litigation

Abbott Labs reaches settlement for its marketing of the anti-seizure drug Depakote for conditions for which it had not received Food and Drug Administration approval. Read More »

Florida AL operators have few rules for evictions

When assisted living is no longer the appropriate care setting for an individual, a “move out” may be necessary. Regulations regarding resident eviction reasons and notifications vary from state to state. Read More »

Medicare Fraud Strike Force charges 107 individuals for $452 million in false billing

The coordinated takedown involved the highest amount of false Medicare billings in a single takedown in Strike Force history. Read More »

OIG targets nursing homes in 2012

Many LTC facilities and hospices across the nation will be affected by the Office of the Inspector General’s (OIG’s) work plan underway for 2012. Here’s an overview of key initiatives. Read More »

What OSHA’s new injury-reduction program means to LTC employers

OSHA’s program, a National Emphasis Program, is aimed at reducing workplace injuries specifically in long-term care, and will cover nursing homes, residential mental retardation facilities and continuing care retirement communities. Read More »

Federal court blocks labor board’s union posting rule

The National Labor Relations Board was issued an injunction delaying implementation of a rule requiring employers to post a notice in the workplace informing employees of their right to unionize. Read More »

Nursing home disaster plans are full of holes, OIG finds

In its recommendations, OIG suggested CMS add more specific emergency planning protocol to existing federal requirements for nursing home disaster preparedness. Read More »

So OSHA is at your door—now what?

When it is time for the walk-around tour, take the compliance officer where he or she needs to go and nowhere else. You may be proud of your facility and want to show it off, but that doesn’t mean they will see it in the same light as you. Read More »

OSHA targets SNFs with new safety program

For the new National Emphasis Program, OSHA will target LTC facilities with a days-away-from-work rate of 10 or higher per 100 full-time workers. Read More »

CMS reverses proposed consultant pharmacist regulation for SNFs

CMS said it backtracked on its proposal because the policy “would be highly disruptive to the industry” without reducing drug utilization, according to news reports. Read More »

Understanding your employees’ protected online activity

The government protects employees’ rights to engage in "concerted activity" for the purpose of collective bargaining or other mutual aid or protection. You might be surprised how far-reaching these protections can be, even in long-term care settings. Read More »

U.S. recaptured Medicare Advantage overpayments of $1.25 billion in 2011

More than half of the amount, $797 million, is attributed to the Medicare recovery audit contractor program. Read More »

Defending against Medicare contractor audits

SNFs are an area of focus for audits by Medicare contractors. The OIG list of potential problem areas has become known as the OIG “hit list.” In fact, expect an even higher level of attention this year than in the past. Read More »

Limit on Medicare RAC records requests increased; SNFs to provide more documentation

RACs are now allowed to request a maximum of 400 medical records in a 45-day period, while SNFs must provide documentation for Medicare beneficiaries’ entire episodes of care. Read More »

The marriage of the RAI, compliance and education

A new mandate included in the Affordable Care Act requires a compliance and ethics program for nursing home providers. To achieve quality care through this regulation, staff education on RAI processes will become necessary. Read More »

Providers warned to prepare for April changes to RAI manual

LTC educator and consultant Leah Klusch offers critical guidance in navigating upcoming revisions in the resident assessment process. Providers, take note: The definitions for many terms and items have been changed. Read More »

Report: States actively changing assisted living regulations

Thirty percent of states made changes to assisted living regulations, statutes and policies during 2011. Read More »

Life safety compliance: Keep your exits clear!

Keeping pathways to survival clear is a disaster preparation that should be addressed every day. If everything is in its place and not blocking exits, evacuation is easier and more successful. Read More »

When resident aggression turns physical

A recent series of unfortunate headlines, throughout both the United States and abroad, has shown the painful, and even deadly, results of resident aggression manifested into physical form. Read More »

CMS releases Stage 2 Meaningful Use proposed rule

The proposed rule for Stage 2 of meaningful use was being readied for publication in the Federal Register after an electronic formatting snafu had delayed its formal publication. Read More »

CMS issues Medicaid final rule for demonstration projects

The rule stipulates procedures states must follow when implementing Medicaid demonstration projects. Read More »

The turnaround to survey excellence

Survey excellence should be a professional goal of all healthcare workers. I suggest a three-step approach to encouraging complete staff involvement: the Focus Review, the Fast Track and the Survey Prime. Read More »

CMS proposed rule would force providers to report overpayments in 60 days

The CMS announcement followed a separate HHS report finding that the government had recovered nearly $4.1 billion in healthcare fraud cases during FY2011. Read More »

New Jersey partners with HCANJ in quality program for assisted living

Advanced Standing, a four-year pilot program, will expand oversight of assisted living facilities in the state and for the first time collect quality data on these facilities. Read More »

A nursing home’s ‘secret’ to making list of ‘Best Nursing Homes’

Bethany Health Care Center, Framingham, Mass., has made U.S. News & World Report's annual list of top-rated nursing homes three times. Its administrator explains the simple formula for her community's success. Read More »

LTPAC providers need revamped performance measurement to improve quality

The Measures Application Partnership is recommending a coordinated performance measurement that promotes quality improvement across the industry. Read More »

House repeals CLASS Act

The bill that the CLASS repeal was a part of now moves on to the Senate, where Democrats aren’t expected to bring it up. Read More »

The impact of ‘never events’ on post-acute care

The current Medicare payment policy for hospital “never events” has created risks for unassuming post-acute providers. Nursing homes, assisted living facilities and CCRCs need to prepare for the coming impact. Read More »

In face of fiscal meltdown, Illinois funds nursing home safety

Gov. Quinn has boosted nursing home funding by millions of dollars to help carry out safety reforms passed in 2010. This is because the state won’t have to touch its own coffers to distribute the cash. Read More »

The essential components of preparedness and compliance

Preparedness and safety are not to be ignored. They determine how successfully an adverse event may be mitigated. And in long-term care communities, disaster training and drills are required. Read More »