Regulatory Compliance

Annual surveys from the resident’s perspective

In 15 years spent between two nursing homes, I have come to see many annual surveys. At my first facility, the aides were very nervous at survey Read More »

Overwhelmed in the aftermath of a federal survey

I searched on Google for images of the word “overwhelmed” and you can only imagine what I saw. In truth, I thought I would see a picture of a Read More »

Home health billing practices under fire from multiple flanks

Three recent developments indicate sharp scrutiny being placed on the home health industry. Stemming from Congress, the courts and the Office of Read More »

Provider associations displeased with nursing home painkiller bill

A bill introduced last month by Sen. Herb Kohl (D-Wis.), titled the “Nursing Home Resident Pain Relief Act of 2011,” requires major revisions if it Read More »

The IDT in care planning

Judah L. Ronch, PhD In a recent draft report on the work of The Food and Dining Clinical Standards Task Force, (convened by the Pioneer Network Read More »

Life safety = quality of life

Flooding, tornados, hurricanes, fires and terrorism—we live in volatile times in a volatile world. As I traveled last week to the annual National Read More »

Nursing care quality and the False Claims Act

Jason E. Bring, Esq The federal False Claims Act (FCA) permits private persons known as “relators” to file a form of civil action against private Read More »

Elder abuse: Zero tolerance

Legendary actor Mickey Rooney's testimony during a Senate hearing last winter about alleged abuse suffered at the hands of a family member triggered Read More »

Creating a compliance/QA culture

Tamar Abell Government investigations of today's 17,000 skilled nursing facilities (SNFs) are increasing and, unfortunately, as a result so are Read More »

Update: Hazardous waste risks

Pharmaceutical and hazardous wastes are ever-present management challenges for long-term care (LTC) administrators. They are regulated by several Read More »

OIG compliance guidance for nursing facilities

The importance of the long-term care (LTC) mission and this hyperintensive regulatory environment requires constant vigilance and hard work. As Read More »

Embrace the Operational Approach to MDS 3.0

Long-term care professionals are using a variety of approaches to streamline work within the MDS 3.0 assessment process implemented last October. Read More »

Feds question SNF billing and payment practices

Two reports by federal health investigators have raised questions about billing practices at skilled nursing facilities (SNFs) for therapy Read More »

OFCCP audits: Are you really covered?

The Office of Federal Contract Compliance Programs (OFCCP) enforces equal employment opportunity laws. This most prominently includes Executive Read More »

RAI/MDS process and nurse competencies in culture change

Diane Carter, RN, MSN, CS The MDS 3.0 demands that you focus on resident voice and choice. But the MDS, Care Area Assessments (CAAs), and care Read More »

Decrease survey deficiencies: An educational intervention

Failure to maintain compliance with applicable rules and regulations can be costly to skilled nursing facilities (SNFs). The Office of Inspector Read More »

OIG report on overbilling calls SNF practices ‘questionable’

I received an e-mail this morning containing a link to a New York Times blog titled, “Report Questions Nursing Home Charges,” by Paula Span, which Read More »

Mechanics of a labor investigation

As noted in the September 2010 issue of Long-Term Living (“Old law-New problem,” p. 32), the U.S. Department of Labor Wage and Hour Division has Read More »

Agents of the Prescriber

It's been 10 years since the Drug Enforcement Administration briefly mentioned in a Federal Register notice that long-term care nurses are not Read More »

Environmental audits

Just as your organization uses operational, compliance, and financial audits to understand how well you are meeting your mission and objectives, Read More »

Complying with F-tag 248

At a glance… Complying with the “Activities” F-tag is a win-win for the facility and the surrounding community. Quality of life” is a term Read More »

Two views: The quality question

At a glance… Bob Gatty highlights two reports on the state of quality in long-term care. Industry lobbyists, intent on blocking proposed Medicare Read More »

QIS: An Update

The Quality Indicator Survey (QIS)-that intriguing potential substitute for the not-much-beloved OBRA nursing home survey process-is marching right Read More »

Start Now

Editor's note: This is part one of a two-part series. This month's discussion focuses on how to keep good records to avoid a RAC audit. If you are Read More »

Transition to MDS 3.0

Long-term care providers continue in a holding pattern awaiting the anticipated transition from MDS 2.0 to MDS 3.0. While exact specifications of Read More »

Researchers study Five-Star, resident satisfaction

Mountville, Penn.-Since last year's inception of the national Five-Star rating system of nursing homes, a new question has emerged for owners: Is my Read More »

New Interpretive Guidance for quality of life, environment tags

The Center for Medicare & Medicaid Services (CMS) released new Interpretive Guidance for several quality of life and environment tags on April 10. Read More »

POC documentation benefits care, reimbursement

New technologies to document care at the point of care (POC) and to query results and schedules without leaving the resident's side to use a Read More »

New “Quality of Life” survey regs

Baltimore, Md.-Federal survey and certification regulations going into unprecedented detail and depth on resident quality of life will go into Read More »

CMS pilot attacks unnecessary rehospitalization

Noting that one in five Medicare patients are rehospitalized after discharge, and three-fourths of these cases could be avoided, the Centers for Read More »