by Proactive LTC Consulting | Jul 17, 2024 | 5-Star, MDS, Nursing, Pressure Ulcers, Q&A, Quality, Quality Measure, RAI Manual
Q: Patient was admitted with a stage IV pressure ulcer that healed (fully epithelialized) and several months later reopened at the same site. How should this pressure ulcer be staged when it reopens? A: According to the RAI Manual guidance for pressure... by Proactive LTC Consulting | Jul 10, 2024 | 5-Star, MDS, Nursing, Pressure Ulcers, Quality, Quality Measure
Pressure injuries, also known as pressure ulcers and bedsores, are a significant concern in nursing facilities, particularly among residents with limited mobility. The development of pressure injuries can be a reflection of the quality of care a resident receives,... by Proactive LTC Consulting | Jul 10, 2024 | Compliance, Infection Prevention, Nursing, Q&A, Restorative, Therapy
Q: We have a resident on Enhanced Barrier Precautions (EBP) due to an indwelling catheter that has completed therapy and is transferring to RNP. Staff will be providing partial/moderate assistance, which will involve extended high contact, during restorative... by Proactive LTC Consulting | Jul 1, 2024 | Abuse, Compliance, F-Tag, Nursing, Regulatory
Reporting alleged violations promptly is crucial for maintaining safety and compliance in long-term care facilities. Among the most frequently cited issues at the Immediate Jeopardy (IJ) level are those related to Abuse and Neglect. This article focuses on F609, one... by Proactive LTC Consulting | Jun 18, 2024 | Compliance, Infection Prevention, Nursing, PDPM, Quality
The Centers for Medicare & Medicaid Services (CMS) released QSO-24-08-NH in March 2024, the Memorandum pertaining to Enhanced Barrier Precautions (EBP) in Nursing Homes. While many facilities already had these precautions in place in some form based on CDC... by Proactive LTC Consulting | Jun 18, 2024 | Documentation, MDS, Nursing, PDPM, Q&A, Reimbursement
Q: We have a resident who has a progress note documenting that resident requested HOB to be elevated because when lying down flat he can’t “catch his breath.” He doesn’t have COPD but he does have pulmonary fibrosis which is listed on his hospital H&P and receives...