Putting pharmacists and primary care physicians on care teams can improve outcomes for long-stay residents in skilled nursing, according to a recent review of research from around the world. Read More »
If it’s been a while since you’ve been in an English class, here’s a brief reminder on why what you call a person has significance, especially in long-term care. Read More »
The RAI User's Manual received section revisions and clarifications on dental status (section L), skin conditions (section M) and other items in the May update release. Read More »
AANAC's Judi Kulus explains the Centers for Medicare & Medicaid Services attempt to iron out the confusing rules for coding activities of daily living (ADLs) under the RAI User's Manual. Read More »
While quality and satisfaction scores have improved, skilled nursing facilities need to continue to improve and adapt to government policy and reimbursement cuts to survive. Read More »
Every country in the world--from Argentina to Zimbabwe--is confronted with the problem of caring for its elderly and paying for that care. Here's a firsthand look at how senior care is provided at a facility in France. Read More »
Some of the newer medications for diabetes put the resident at increased risk for acute or chronic pancreatitis, notes a recent JAMA study. Read More »
Most nursing home providers understand the importance of auditing the MDS against the medical record to ensure that the chart supports the coding decisions represented on the MDS. But analyzing MDS responses in the context of quality seems to be a missed opportunity for many providers. Read More »
How many of your residents have some sort of incontinence? More than you think. Improper assessment and MDS 3.0 coding of incontinence can result in inadequate treatment for residents, costly overuse of incontinence products and payment issues for caregivers. Read More »
Skilled nursing or hospice? Medicare policy prevents residents from seeking both types of care simultaneously, which can result in unwanted levels of treatment at the end of life, especially for residents with dementia. Read More »
One law firm has created a website to educate consumers about nursing home neglect—and to give them easy access to lawyers who specialize in eldercare neglect cases. Will other states follow suit? Read More »
Need new service revenue? Two executives from the Francis E. Parker Memorial Home, Highland Park, N.J., share how offering adult day programs can open up opportunities to provide well-needed services while building new bridges to skilled nursing services. Read More »
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 »
Several recent studies show varying levels of success for infection-reduction programs, including efforts to curb MRSA, CLABSI and CAUTI rates. But the jury is still out on whether healthcare-associated infection (HAI) programs are making progress because of Medicare's new policies—or in spite of them. Read More »
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 »
Residents who are recovering from surgery need special transitions of care and monitoring to prevent post-operative complications and hospital readmissions. Read More »
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 »
The new version of CMS' Nursing Home Compare website now includes data on readmission rates, nursing home inspections and antipsychotic drug use. Read More »
Nursing facilities with higher CNA staff levels can offset the lack of confidence that newly admitted residents exhibit in trying to safely navigate unfamiliar surroundings. The availablity of CNAs to assist residents has helped to lower the rate of falls, study says. Read More »
Determining what is “less institutional” may not be a foregone conclusion. Making assumptions about residents’ preferences is dangerous business, and when we simply ask residents what they want, they surprise us more often than not. Read More »
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 »
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 »
