MDS v1.18.11 Is Here: How to Double-Check Efficiency for Long-Term Success

Now that the MDS version 1.18.11 item sets and the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual v1.18.11 are in play, there are still steps that nurse assessment coordinators can take to ensure that MDS processes are as efficient as possible under the new system. These include the …

Implement the New and Revised Resident Interviews on the MDS: How to Be Ready for Oct. 1

Most of the changes in the MDS version 1.18.11 item sets and the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual v1.18.11 are resident-driven, says Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, a curriculum development specialist with AAPACN. “More than ever, resident interviews are the primary source of MDS …

Behavioral Health Education and Training: How to Ensure Staff Can Meet Resident Needs

The guidance to surveyors in Appendix PP of the State Operations Manual addresses behavioral health education, training, and competencies under two separate F-tags: Did the facility have sufficient staff who provide direct services and implement non-pharmacological interventions to meet the behavioral health care needs of the resident, as determined by …

Need Behavioral Health Training Help? Check Out the COE-NF

The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF), which opened its online doors in December 2022 thanks to a three-year grant from the Substance Abuse and Mental Health Services Administration (SAMHSA), is a centralized hub where any Medicare- or Medicaid-certified nursing home can access trainings, tools, and …

Infusion Therapy: Solve These Clinical and Documentation Issues to Provide Better Care

Infusion therapy services are so inherently complex that the Centers for Medicare & Medicaid Services (CMS) identifies “intravenous or intramuscular injections and intravenous feeding” and “enteral feeding that comprises at least 26 percent of daily calorie requirements and provides at least 501 milliliters of fluid per day” as two of …

Who Is the Infection Preventionist? If It’s the DNS, Reconsider

Nursing homes must designate “one or more individuals as the infection preventionist (IP) who is responsible for assessing, developing, implementing, monitoring, and managing the infection prevention and control program (IPCP),” which includes the requirements at F-tags F880 (Infection Prevention and Control) and F881 (Antibiotic Stewardship Program), according to the new …

How—and Why—to Maximize Your Staff’s Communication Skills

This Oct. 24, surveyors will begin enforcing mandatory communication training requirements to ensure that direct-care staff can communicate effectively with residents under F-tag F941 (Communication Training) in Appendix PP of the State Operations Manual, according to the Centers for Medicare & Medicaid Services (CMS) Quality, Safety, and Oversight memo QSO-22-19-NH. …

Baseline Care Plan: Connecting the Dots to the Comprehensive

Unlike the baseline care plan, the comprehensive care plan is largely MDS-based and analysis-driven, points out Mary Madison, RN, RAC-CT, CDP, a long-term care and senior living clinical consultant for Briggs Healthcare in Clive, IA. “It goes beyond the minimal requirements for the baseline. As a result of these differences, some …

Staffing Data Now Posted on Care Compare (1/22)

Jan 26, 2022  As part of its commitment to improve transparency and help families and caregivers find the best quality of nursing home care for their loved ones, the Centers for Medicare & Medicaid Services (CMS) will begin posting for the first time ever, staff turnover rates and weekend staff …

Care Compare January Refresh of SNF QRP Data Available (1/22)

The January 2022 refresh of the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) data is now available on Care Compare and Provider Data Catalog (PDC). The data are based on quality assessment data submitted by SNFs to Centers for Medicare and Medicaid Services (CMS) from Quarter 3, 2020 through Quarter 1, 2021 (3 …