Long-term care is one of the most regulated settings in this country. The interpretive guidance in Appendix PP of the State Operations Manual, which surveyors apply during an onsite survey, is 856 pages long—and that is just a small fraction of the regulatory mandates that apply to long-term care facilities. …
Nurse assessment coordinators (NACs) new to the job often receive guidance from a mentor during their first two weeks in the role. That mentor might lead the new NAC step by step through all the functions necessary to manage the resident assessment instrument (RAI) process. Ideally, the NAC would continue …
The RAI User’s Manual states that “A previous fall, especially a recent fall, recurrent falls, and falls with significant injury are the most important predictors of risk for future falls and injurious falls” (CMS, 2019, p. J-27). However, there are many more items that must be considered when assessing a …
Ah, the great mysteries of life. Which came first, the chicken or the egg? Is there intelligent life on other planets? Where do all the missing socks go? And of course, the enduring mystery: what is the interrupted stay policy? Interrupted stays may not happen often, and every skilled nursing …
Editor’s note: This is the fifth and final article in a series on the Patient Driven Payment Model (PDPM) categories for the nursing component, covering various missteps to avoid in PDPM calculation, as well as essential coding tips. Part one focused on Extensive Services; part two focused on Special Care …
Editor’s note: This is the fourth article in a series on the PDPM categories for the nursing component, covering various missteps to avoid in PDPM calculation, as well as essential coding tips. Part one focused on Extensive Services, part two focused on Special Care High, and part three, Special Care …
Editor’s note: This is the second article in a series on the PDPM categories for the nursing component, covering various missteps to avoid in PDPM calculation, as well as essential coding tips. Part one focused on Extensive services. Future articles will address the additional nursing categories of Special Care Low, …
Editor’s note: This is the first article in a series on the PDPM categories for the nursing component, covering missteps to avoid in PDPM calculation, as well as essential coding tips. Future articles will address the additional nursing categories of Special Care High, Special Care Low, Clinically Complex, Behavior and …
Editor’s note: this article was reviewed and revised December 2, 2021. Without a full understanding of how the SLP component of the Patient-Driven Payment Model (PDPM) is calculated, it can seem complicated. The SLP methodology is detailed in the PDPM Calculation Worksheet for SNFs in chapter 6 of the Long-Term …
