The Top 10 Nursing Home Citations of 2024: Insights and Prevention Strategies

by | Dec 30, 2024 | 5-Star, ADL, Blog, COVID-19, Dietary, Falls, Infection Prevention, MDS, Nursing, Pressure Ulcers, Quality, RAI Manual, Regulatory, Survey

The Top 10 Nursing Home Citations of 2024: Insights and Prevention Strategies Understanding citation trends is critical to improving quality and compliance. By analyzing deficiency data, facilities can focus on priority areas of improvement to prepare for surveys and...

Ask Proactive – I have a resident that routinely receives an injection of fluphenazine decanoate every 4 weeks. The injection was not administered during the 7-day observation period, but its a long-lasting medication. Should I code it under N0415A?

by | Oct 30, 2024 | Clinical, Coding, Compliance, MDS, Nursing, RAI Manual

Q: I have a resident that routinely receives an injection of fluphenazine decanoate every 4 weeks. The injection was not administered during the 7-day observation period, but its a long-lasting medication. Should I code it under N0415A?     A: Page N-9 of...

Ask Proactive – My facility is triggering high for the Quality Measure: Prevalence of Behavior Symptoms Affecting Others, but we don’t have many behavioral issues in our population. Why is this happening?

by | Oct 9, 2024 | Coding, Documentation, MDS, Quality Measure, RAI Manual

Q: My facility is triggering high for the Quality Measure: Prevalence of Behavior Symptoms Affecting Others, but we don’t have many behavioral issues in our population. Why is this happening?     A: This measure may trigger if the most recent MDS is coded...

Ask Proactive – Our facility is triggering the UTI QM, and we have identified that many of these are the result of the hospital diagnosing a UTI that does not meet our infection criteria. Do we have to code those on the MDS if they occur during the look-back period?

by | Sep 18, 2024 | Coding, Q&A, Quality Measure, RAI Manual, Reimbursement

Q: Our facility is triggering the UTI QM, and we have identified that many of these are the result of the hospital diagnosing a UTI that does not meet our infection criteria. Do we have to code those on the MDS if they occur during the look-back period?    ...

Ask Proactive – 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?

by | 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...