Regulatory Compliance

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 »

Bill would require Iowa’s LTC facilities to notify community of sex offender residents

Gov. Branstad said the bill would force nursing homes and other facilities to inform staff, residents, residents’ families and the community when a registered sex offender is accepted into a facility. Read More »

HHS rule on electronic funds transfers in healthcare to save $4.5 billion

New standards build upon regulations published earlier this year that set industry-wide standards for how health providers use electronic systems to determine a patient’s eligibility for health coverage and check on the status of a health claim. Read More »

Whistleblower suit alleges AseraCare Hospice defrauded Medicare

Hospice company is charged with misspending millions of tax dollars intended for Medicare recipients in need of hospice care. Read More »

Former assisted living CEO pleads guilty to tax evasion

The former CEO of a North Carolina-based chain of assisted living facilities operated by Caremerica Inc., pleaded guilty to conspiring to defraud the Internal Revenue Service out of millions in employment taxes. Read More »

NLRB final rule accelerates union elections

Providers contend final rule will shorten the time employees may learn about union membership before an election, grant the NLRB latitude to decide election issues and limit an employer’s ability to appeal initial election hearing findings. Read More »

Why LTC providers need electronic health records

There are no financial incentives in the American Recovery and Reinvestment Act for providers of long-term and post-acute care (LTPAC) to adopt. Read More »