The Risky Business of Falls and Care Planning’s Role in Prevention

There are plenty of statistics documenting the hazard falls pose for the elderly. The Centers for Disease Control and Prevention (CDC) has a website sharing important facts about falls. CDC notes that: One out of four older adults fall each year in the United States, but less than half of …

The Exit of the CNA: Mandate or Me—What Now?

With the introduction of the vaccine mandate for nursing home employees, many organizational leaders fear staff, especially certified nursing assistants (CNAs), will quit rather than get the vaccine. This week, several industry experts have voiced concerns about the potential for a mass exit of CNAs, questioning how facilities can continue …

Interventions to Promote Staff Recovery After Experiencing the COVID-19 Pandemic

“Heroes work here.” It was a common theme in the early days of the pandemic. Signs were placed in front of the facility, and people would cheer and line the streets as healthcare personnel went to work. Staff felt that they were providing quality care to the most vulnerable population, …

F610 Investigations: Improving Resident Care While Avoiding Citations

The phone rings early one Saturday morning; it’s the night shift nurse calling to tell you that Mrs. Jones has a large bruise on her chest and staff does not know how it occurred. What you do next affects not only Mrs. Jones’ and other residents’ safety—it also has potential …

Capturing Resident Voice and Choice in Activity Care Plans

Constructing person-centered care plans takes time, effort, and person-specific focus on including the resident’s voice and choice. This is especially important when developing care plans from information gathered under section F, Preferences for Customary Routines and Activities. Without this information, activity professionals are only guessing at the type of activities …

F550, Resident Rights, and Five Ways to Avoid this Top Ten Citation

Surveyors arrive onsite for the annual survey and tour the facility. They overhear a nurse aide refer to a resident as “honey.” In the next room, they see a nurse completing a dressing change with the door open, exposing the resident. Both of these instances, and many others, are resident …

Top Ten Citations Part Three – Why Facilities Get Cited for F684 and F761

A few months ago, we provided members with a list of the top ten federal deficiencies since January of 2019. Since then, articles have delved deeper into the top four citations. This month, we will examine the number five and six top citations, explore common reasons that facilities struggle to …

Top Ten Citations Part Two – Deep Dive into F812 and F656

Last month, we provided members with a list of the top ten federal deficiencies since January of 2019. As a reminder, the top ten deficiencies are: F880 – Infection prevention and control F689 – Free of accidents, hazards/supervision/devices F812 – Food procurement/storage F656 – Develop/implement comprehensive care plan F684 – Quality of care F761 …

How to Avoid Citations for the Top Two Most-Cited Deficiencies

The survey process can be overwhelming. Surveyors arrive and begin evaluating whether the facility has met specific quality standards. Often, even the prospect of an impending survey leads to anxiety and fear for facility leaders and staff. Being aware of common citations and proactively putting plans in place to avoid …