by Proactive LTC Consulting | Apr 26, 2023 | Blog, Compliance, Nursing, Quality, Regulatory
Advance Directive and resident’s rights related to medical decision making are addressed in the surveyor guidance under F578. Understanding how the guidance defines both advance directives and advanced care planning is critical to complying with the regulations:... by Proactive LTC Consulting | Apr 12, 2023 | Abuse, Blog, Compliance, Nursing, Quality, Regulatory
Drug diversion in a nursing home can have serious consequences and pose a risk to resident and staff health and safety. Facilities and their nursing staff are expected to be the gatekeepers of medications as a key component of ensuring quality care. Effective... by Proactive LTC Consulting | Apr 5, 2023 | Blog, MDS, Nursing, Regulatory
Deficient practices related to care planning continue to be a frequently cited issue for providers. Effective care planning can be challenging and requires an IDT approach to ensure effective systems that will lead to better resident outcomes, as well as survey... by Proactive LTC Consulting | Mar 6, 2023 | Infection Prevention, Nursing, Q&A
Q: We have a resident on Enhanced Barrier Precautions who will be staying at our facility long-term. Are there criteria for discontinuing these precautions at some point? A: It depends on why the Enhanced Barrier Precautions (EBP) were implemented. For... by Proactive LTC Consulting | Feb 21, 2023 | Nursing, Pressure Ulcers, Q&A, Reimbursement
Q: We have a patient with a stage IV pressure injury to the ankle that is being treated with a wound vac, which is changed 3x/week. Does this meet the criteria for skilled coverage under Medicare Part A in the SNF? A: The Medicare Benefit Manual Chapter 8... by Proactive LTC Consulting | Jun 15, 2022 | Blog, Nursing
Fulfilling the Director of Nursing (DON) role in a skilled nursing facility is not an easy challenge. In addition to an extensive list of formal responsibilities and job duties, those who are truly successful in the role have tremendous grit, a sense of purpose, and a...