CMS Survey Process Notice: Testing Risk-Based Survey Approach

Update: April, 2024 CMS consistently strives to improve the effectiveness and efficiency of our nursing home oversight and compliance programs to protect residents’ health and safety. In 2017, CMS implemented a new nursing home survey process across all states, in conjunction with the implementation of revised Requirements for Participation for …

OIG Takes a Close Look at Facility-Initiated Discharges With Two Reports

Report 1: Concerns Remain About Safeguards To Protect Residents During Facility-Initiated Discharges From Nursing Homes Issued on 03/29/2024 | Posted on 04/03/2024 | Report number: OEI-01-18-00251 Report Materials Why OIG Did This Review Facility-initiated discharges that do not follow Federal regulations can be unsafe and traumatic, leading to resident harm. CMS and State Long-Term Care Ombudsmen …

HIPAA Alert: NJ Nursing Home Hit With $100,000 CMP for Not Providing Timely Access to Patient Records

Essex Residential Care, LLC, to pay $100,000 after failing to comply with HIPAA Right of Access The U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR), announced a $100,000 civil monetary penalty against Essex Residential Care, LLC, doing business as Hackensack Meridian Health, West Caldwell Care …

AAPACN 2024 Conference: What to Expect and What’s New

It’s that time of year again! The AAPACN 2024 Conference will be held this year in Hollywood, FL, on April 10 – 13. AAPACN is excited to gather to celebrate outstanding post-acute care professionals, meet face-to-face with AAPACN members, and host exceptional learning opportunities with highly anticipated speakers and solution …

OIG Plans to Publish Nursing Home Compliance Program Guidance in 2024

update existing compliance program guidance documents (CPGs) and deliver new CPGs. OIG intends to publish industry segment-specific CPGs (ICPGs) focused on Medicare Advantage and nursing facilities in 2024. After addressing these segments, OIG anticipates publishing updated ICPGs for hospitals and clinical laboratories.  If you would like to provide feedback related to any …

NHSN HCP Flu Vaccination Module Announcement and Feb – April Webinars

Announcements This is a friendly reminder to log into NHSN and make sure your facility has an active Facility Administrator. Please note that only the Facility Administrator can enroll a facility in a one or more components in NHSN, reassign the role of Facility Administrator, and manage/negotiate locations that are …

CDC NHSN HCP & Resident Vaccination Module

Long-term care facilities can track weekly vaccination data for residents and healthcare personnel (HCP) through NHSN. February 2024 Updates Resources January 2024 Updates Training Data Collection Forms and Instructions COVID-19 Vaccination Data Collections Forms Note: All data collection forms are print-only. Weekly Vaccination Summary Data – CSV Data Import Instructions …

HHS Final Rule to Enhance Integrated Care and Confidentiality for Patients with Substance Use Conditions

On Feb. 8, 2024, the U.S. Department of Health and Human Services, through its Office for Civil Rights (OCR) and the Substance Abuse and Mental Health Services Administration (SAMHSA), finalized modifications to the Confidentiality of Substance Use Disorder (SUD) Patient Records regulations at 42 CFR part 2 (“Part 2”), which …