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Updated 5 Star Ratings Released with Unfrozen QMs! What You Need to Know
Updated 5 Star Ratings Released with Unfrozen QMs! What You Need to Know CMS has officially released the January 2025 Five-Star Quality Rating updates on Care Compare, and providers across the country are reviewing their new ratings. The January 2025 Care...
Ask Proactive – How does Consolidated Billing apply to dialysis services during a Skilled Nursing Facility (SNF) stay, and what is covered versus not covered?
Q: How does Consolidated Billing apply to dialysis services during a Skilled Nursing Facility (SNF) stay, and what is covered versus not covered? A: The consolidated billing requirement assigns the SNF the responsibility for billing the entire package of care...
Ask Proactive – When is a Gradual Dose Reduction (GDR) required for antipsychotic and psychotropic medications in a Skilled Nursing Facility (SNF)?
Q: When is a Gradual Dose Reduction (GDR) required for antipsychotic and psychotropic medications in a Skilled Nursing Facility (SNF)? A: For a resident who is receiving an antipsychotic, a GDR is required unless it is clinically contraindicated. An attempt to...
Conducting Thorough Incident Investigations: Key Steps for F610 Compliance
Conducting Thorough Incident Investigations: Key Steps for F610 Compliance Nursing homes must have evidence that all allegations of abuse, neglect, exploitation, or mistreatment are thoroughly investigated. A detailed and thorough investigation is essential--...
Key Focus Areas for Home Health QAPI
Key Focus Areas for Home Health QAPI Is your Home Health Agency’s QAPI program making a positive impact? QAPI can seem challenging at times, but the benefits of a robust QAPI plan can significantly improve the quality of care that your patients receive. QAPI...
Ask Proactive – Our facility tracks infection control in the computer, is it necessary to keep a facility map with locations of infections?
Q: Our facility tracks infection control in the computer, is it necessary to keep a facility map with locations of infections? A: While infection control software can provide valuable data visualization tools, maintaining an updated facility map is still...
Nursing Home Care Compare Update Delay: 5 Star Implications for Nursing Homes
Nursing Home Care Compare Update Delay: 5 Star Implications for Nursing Homes Recent developments have left nursing homes without the anticipated update on CMS’s Care Compare website. The scheduled January 29th refresh of key quality measures—including...
Family Engagement in LTC: Building Bridges for Better Care
Family Engagement in LTC: Building Bridges for Better Care Family engagement plays an important role in enhancing the quality of life for nursing home residents. While nursing homes provide essential medical care and support, the involvement of families can...
LTC Business Office Survey Prep Refresher
LTC Business Office Survey Prep Refresher The Business Office Manager (BOM) in a long-term care (LTC) facility plays a pivotal role in ensuring the seamless financial and administrative operations of the facility. While their day-to-day duties primarily revolve...
Preventing Rehospitalizations in Home Health
Preventing Rehospitalizations in Home Health A home health agency's success in helping patients stay safely in their home through high quality care is important for patients, physicians, SNFs, ALFs, ILFs and CMS. Preventing rehospitalization is a home health...
F689 Accidents – Fresh Eyes on Frequent Fallers
F689 Accidents – Fresh Eyes on Frequent Fallers Falls are a critical concern in long-term care facilities, impacting resident safety, health outcomes, and compliance with regulatory standards. Understanding fall statistics, root causes, and regulatory requirements...
Employee Retention: Building for Success
Employee Retention: Building for Success Is your agency struggling with staffing retention? You aren’t alone. It’s estimated that Home Care providers turnover rate was almost 80% with over a 12% increase in turnover in the past two years. [i] To ensure quality...
Compliance Risk Assessment Considerations for the New Year
Compliance Risk Assessment Considerations for the New Year As we enter 2025, nursing home providers face many regulatory and administrative challenges. January is a good time to conduct a compliance risk assessment that considers the updated nursing facility...
How to Be Survey Ready Every Day – An Interview with Shelly Maffia
24/7 Survey Ready How to Prepare for a Survey and Be Ready Every Day: An interview with Shelly Maffia, Director of Regulatory Services Q: Why is it important for facilities to be survey-ready every day, not just during survey windows? A: Being survey-ready every day...
Long-Term Care Litigation: Evolving Challenges and Proactive Solutions
Long-Term Care Litigation: Evolving Challenges and Proactive Solutions Long Term Care (LTC) litigation has transformed into a highly focused and increasingly intimidating process for facilities. Providers can reduce litigation risk by understanding the LTC litigation...