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Ask Proactive – Medical marijuana is legal in our state, and a new resident has a physician’s certification for its use. Are we required to allow the resident to use medical marijuana in our facility?

by | Jul 29, 2026 | Clinical, Compliance, Medicaid, Medicare, Regulatory, Resident Rights, Safety

Q: Medical marijuana is legal in our state, and a new resident has a physician’s certification for its use. Are we required to allow the resident to use medical marijuana in our facility?   A: This is a common question long-term care providers face as more...

Ask Proactive – What should be included in the note for periodic review of restorative nursing programs?

by | Jul 22, 2026 | Clinical, Falls, MDS, Nursing, Quality, Regulatory, Reimbursement, Resident Rights, Restorative

Q: What should be included in the note for periodic review of restorative nursing programs?   A: As the nurse overseeing restorative nursing, when reviewing restorative documentation, ensure the note answers these questions: Was the restorative intervention...

Ask Proactive – One of the residents at my facility was recently put onto a fluid restriction for ESRD, what should I be concerned about for documentation and care planning?

by | Jun 17, 2026 | Care Planning, Clinical, Dietary, Documentation, Education, Nutrition, Person Centered Care, Quality, Resident Rights

Q: One of the residents at my facility was recently put onto a fluid restriction for ESRD, what should I be concerned about for documentation and care planning?   A: Fluid restrictions, and any dietary restrictions, are not uncommon, but can present some...

Ask Proactive – We recently had a resident who experienced a choking episode during lunch. Staff performed the Heimlich maneuver successfully, and a swallowing evaluation later showed they had difficulty managing regular-texture foods and thin liquids. What should be included in the care plan for a resident who has experienced a choking event or is at risk of choking?

by | May 27, 2026 | Accidents/Incidents, ADL, Care Planning, Clinical, Dietary, Nursing, Nursing Home Consultant, Safety, Survey

Q: We recently had a resident who experienced a choking episode during lunch. Staff performed the Heimlich maneuver successfully, and a swallowing evaluation later showed they had difficulty managing regular-texture foods and thin liquids. What should be included in...