Ask Proactive – There is a resident in our facility that has frequent falls, and we are out of ideas for interventions. How can we update the care plan if we do not know what new interventions to add?

Q: There is a resident in our facility that has frequent falls, and we are out of ideas for interventions. How can we update the care plan if we do not know what new interventions to add?   A: The first step to take after a fall occurs is completion of a thorough...

Ask Proactive – Let’s say I have a resident fall with injury on January 1st. How many days have to pass before it will drop off and not count against us as far as our 5-star rating?

Q: Let’s say I have a resident fall with injury on January 1st. How many days have to pass before it will drop off and not count against us as far as our 5-star rating? A: The fall with major injury will be included in the QM % for the quarter if it was coded on...

Ask Proactive – Can you please clarify if we can skill our patient returning to the facility following a 3 day qualifying stay at a psychiatric hospital? We have a new RAI Nurse who is hesitant to skill.

Q: Can you please clarify if we can skill our patient returning to the facility following a 3-day qualifying stay at a psychiatric hospital? We have a new RAI Nurse who is hesitant to skill. A: CMS speaks to skilled days following a psych stay in Chapter 8 of the...

Ask Proactive – A nursing home resident rose out of his wheelchair, walked 2 steps, and stated “I am too weak to move any further” as staff noticed his knees beginning to buckle. Two aides assisted him onto his roommate’s bed. Is this considered a fall?

Q: A nursing home resident rose out of his wheelchair, walked 2 steps, and stated “I am too weak to move any further” as staff noticed his knees beginning to buckle. Two aides assisted him onto his roommate’s bed. Is this considered a fall? A: Yes, this is an...