Skilled Nursing

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 »

Managing challenging behaviors

If I can just find the right external device I know I can change the person's internal motivation to move, I just know it!” It seems obvious, even Read More »

Pressure ulcer litigation: Its impact on long-term care

Since OBRA 1987, there has been a steady climb in the rate of pressure ulcer litigation in the United States. Fueling the fires are policies from Read More »

Living in concert with nature

Located in Thousand Oaks, California, in scenic Ventura County, University Village Thousand Oaks (UVTO) is nestled on a 65-acre natural riparian 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 »

‘The art of discipline’

If it is possible for long-term care operators to forecast an economic storm, the management at Carol Woods Retirement Community might as well be 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 »

Pressure ulcer evaluation: Best practice for clinicians

The Wound, Ostomy and Continence Nurses (WOCN) Society recognizes and supports the fact that a pressure ulcer evaluation represents one aspect of a Read More »

Bringing the past-and Alzheimer’s residents-to life

As senior living communities look for ways to improve the quality of life for their residents, “life skill stations” offer the opportunity to engage Read More »

Withholding flu drugs from seniors a new discussion item

As governments prepare for the anticipated spread of the swine flu pandemic, a team of Italian researchers is suggesting elderly populations be last 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 »

Telemedicine for Parkinson’s

A unique and innovative telemedicine project is providing residents suffering with Parkinson's disease at the Presbyterian Home and Rehabilitation Read More »

Inspiring a culture change journey

Culture change is a topic of growing interest in long-term care, but confusion remains for many about its real meaning, especially if individuals Read More »

Nutrition therapy and pressure ulcer prevention

The National Pressure Ulcer Advisory Panel (NPUAP) and the European Pressure Ulcer Advisory Panel (EPUAP) have collaborated to develop international Read More »

Wound Care: 10-year progress report

The practice of wound care has undergone tremendous changes in the past few years-from new Centers for Medicare & Medicaid Services (CMS) guidelines Read More »

Headed for ‘homelike’

With the opening of a 15,730 square-foot, $7.2 million expansion, Granite Farms Estates has upgraded its nationally recognized WillowBrooke Court Read More »

Are clinical ladders only for nursing?

There is no doubt that the nursing department houses a large number of employees. It is, most often, the largest department and provides most of the Read More »

St. John Specialty Care Center

St. John Specialty Care Center (SJSCC) is using state-of-the-art technology initiatives to achieve its most basic goal of providing residents, no Read More »

Associations bristle over Medicare cuts; offer an alternative

Representatives for the nursing home industry have strongly criticized a new plan by the Centers for Medicare & Medicaid Services (CMS) to slash Read More »

Quality indicator meetings ‘de-stress’surveys

State surveys bring butterflies and stress to long term-care staff and administration. In order to survive these events, facilities must design 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 »

A team approach to effective wound care

Most nursing facilities will tell families they do wound care, but not all wound care programs are as effective and successful as others. There are Read More »

Nursing home wound care: The case for hyperbaric medicine

Bed sores, lesions, pressure sores, and chronic wounds are a constant source of worry, not to mention infection, and are enormously problematic for Read More »

Eliminating inappropriate medications in the elderly

When thinking of quality improvement in the long-term care setting, not many areas are more important than the threat of medication errors and their Read More »

Softening the assessment process

The culture change movement has taught us so much, causing us to think twice about what we do. We're finding, unfortunately, that many of the Read More »

Enhanced continence care

Resident incontinence represents a major challenge for the long-term care (LTC) industry. It negatively impacts residents on many levels and has a Read More »

Nursing challengessupport association

“Do we really need another nursing association?” This question is raised occasionally as the number of long-term care (LTC) nursing associations Read More »

Palm Garden of Ocala 2008 OPTIMA Award Ceremony

OPTIMA Award presentations tend to be memorable occasions, and the ceremony last fall at Palm Garden of Ocala was no exception. A sizable number of Read More »

How to keep the nursing in long-term care facilities

It's no secret that the United States has a nursing shortage, one that promises to grow to alarming proportions—particularly in this country's Read More »