Skilled Nursing

One-on-one with… Dianne Timmering

Long-Term Living talks with Dianne Timmering, vice president of spirituality at Signature HealthCARE, about how Signature has revamped its corporate culture and employee retention strategy while providing spiritual support for its residents. Read More »

LTC has new tools to monitor and prevent healthcare-acquired infections

CDC and the Society for Healthcare Epidemiology of America (SHEA) have recently released new tools and information to track and prevent healthcare-acquired infections (HAIs). Read More »

Disaster Recovery Requires Pre-Planning

Planning for the unexpected means forming a clear plan of action and knowing who to call when disaster strikes. Read More »

Congress introduces Medicare transitions of care legislation

A bipartisan Congressional group introduces the Medicare Transitional Care Act of 2012, moving ahead to formalize reimbursement for care transitions. Read More »

LTC industry launches campaign to fight budget cuts

The long-term care industry has launched a campaign to oppose "devastating" sequestration cuts. An AHCA ad campaign came less than a week after the Office of Management and Budget (OMB) issued a report detailing how federal agencies would implement the $110 billion in mandatory, across-the-board budget cuts for 2013. Read More »

OMB: Medicare providers could see $11 billion in reduced payments in 2013

Medicare providers could be facing a $11 billion reduction in reimbursements if the government's sequestration process goes forward, according to an OMB report released today. Read More »

How LGBT-friendly is your LTC community?

As the baby boomer generation ages, long-term care is seeing an emergence of care facilities and policies that are designed to bring care equity to residents who are lesbian, gay, bisexual or transgender. How have you taken proactive steps to make sure your caregivers are educated in cultural acceptance? Read More »

Largest ACO model project sees significant savings among dual-eligibles

Five years of data from Center for Medicare & Medicaid’s largest experiment in performance-based reimbursement are mixed, but physician groups succeeded in slashing the costs for dual-eligibles. Read More »

Seniors with hearing loss have higher dementia rates

Want to help reduce your chance of developing Alzheimer’s? Get your ears checked, researchers say. Read More »

Incident reports, surveys and privilege: Protecting QA material from enforcement action

Skilled nursing facilities should carefully consider what constitutes legitimate quality assurance or otherwise privileged documents and how best to protect those documents. Read More »

2012 OPTIMA Award winner: St. Leonard Franciscan Living Community, Centerville, Ohio

Since 1996, Long-Term Living has honored long-term care communities that are proactive with programs that go “above and beyond” routine care for their residents with our prestigious OPTIMA Award. It is conferred by a jury of LTC peers from submitted entries. This year’s winner is St. Leonard Franciscan Living Community of Centerville, Ohio. Congratulations! Read More »

UTI payment study reveals big holes in datasets used for performance measures

What started out as a comparative analysis on reimbursement rates related to catheter-based urinary tract infections (CAUTIs) has opened a huge can of worms concerning hospital datasets and their reliability as performance measurements. Read More »

Dementia denial: The secretive obstacle to intervention

Dementia treatments and memory care regimens have come a long way—if we can first get past the biggest initial obstacle: Patient-centric denial. Read More »

California passes bill restricting emergency room charges for out-of-network patients

California legislature has passed a bill limiting what emergency departments can charge out-of-network payers. Will other states follow? Read More »

Care during last five years of life could cost $38-66k or more, study says

The last five years of life can cost a bundle, even with Medicare coverage, reveals a new study published in the Journal of General Internal Medicine. Read More »

Art Modell leaves hospice legacy in Cleveland

The late Art Modell, longtime NFL franchise owner, may still stir up feelings in the Cleveland sports scene, but the hospice legacy he leaves behind is one of serenity amid nontraditional end-of-life care. Read More »

Longitudinal care and the LTPAC world

The healthcare system has taken three large steps toward longitudinal care—and toward embracing long-term/post-acute care’s role in that picture. Progress on the Meaningful Use stages and templates for the new Continuity of Care Document were among the highlights. Read More »

IOM report: Healthcare must behave more like a business, reward quality and learn from data

In a milestone report released today, the Institute of Medicine (IOM) analyzes why the U.S. healthcare system needs a new business-based attitude, and why it struggles to learn from its own data. Read More »

5 tips to prepare for QAPI

Mandating that nursing home providers institute both a formal, facility-wide compliance and quality assurance and performance improvement (QAPI) program while enhancing nurse aide training across their facilities, the Affordable Care Act (ACA) aims to elevate the quality of care in America’s nursing homes over the next few years. Read More »

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 »

LTC, home care prime for technology that reduces doctor visits, report says

The best way to reduce the cost of trips to the ER and doctor’s office is to stay home. One study finds that remote health monitoring technology is ripe for home care and non-hospital care locations like assisted living. Read More »

When resident room floors are cleaned

In over 16 years living in nursing homes I have spent many tense days waiting while my room’s floor was cleaned. For the last few weeks maintenance has been doing resident room floors. I have made my way around the furniture in the hallway, while maintenance men dashed between rooms stripping and buffing the floors. 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 »

Seniors housing outlook: Road to recovery

Seniors housing has staged a recovery from the dark days of 2006. Today, lenders have money to deploy and developers and owners have plans on the drawing board to make senior living and attractive and quality option for the new generation of older Americans. 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 »

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 »

AHCA adds predictive data analytics to national quality initiative

The American Health Care Association has added a new technology tool for long-term care facilities to analyze their quality performance and to help reduce 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 »

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 »