5-Minute Learning Modules for Frontline Staff: Emotional and Organizational Support (12/21)

These brief videos offer self-paced learning for those on the front lines of nursing home care. This includes nursing assistants, housekeeping, dietary, and maintenance staff, and others. Emotional and Organizational Support for Staff Series This series of three learning modules features strategies to help nursing home teams recognize and manage …

AHRQ Resource Helps Nursing Home Staff Fit Respirators (12/21)

Respirators, including N95s and elastomeric respirators, help protect healthcare workers from COVID-19 and other airborne viruses. Making sure these respirators fit the face properly is essential to maximizing their effectiveness. A new AHRQ guide defines respirator fit testing and explains why it’s important, how it works and how often nursing home staff …

PHQ-9 Monitoring Can Help Counter Mood/Depression Issues in Residents

Depression and other mood disorders historically have been a significant risk for nursing home residents. “In 2011 and 2012, the percentage of users of long-term care services with a diagnosis of depression was highest in nursing homes (49 percent),” says the Centers for Disease Control and Prevention (CDC) in QuickStats: …

Q&A: Is a Significant Change in Status Assessment required for a new stage 3 pressure ulcer?

Question: Is a Significant Change in Status Assessment required for a new stage 3 pressure ulcer? Answer from Janine Cortesa RN, BSN: A stage 3 pressure ulcer may signify the need for a Significant Change in Status Assessment (SCSA), but not necessarily. The RAI User’s Manual in chapter 2, states …

Q&A: When a Medicare Part A resident discharges to another SNF and will continue skilled Medicare there, what assessments are required and what is the date used in A2400C?

Question: I have a Medicare Part A resident discharging to another SNF and will continue skilled Medicare there. Would I combine the OBRA Discharge with a PPS Part A Discharge assessment?  In A2400, would I put the day she discharged as her Medicare Part A end of stay or would …

OIG: Facility-Initiated Discharges in Nursing Homes Require Further Attention (11/21)

The magnitude of facility-initiated discharges in nursing homes remains unknown. Many challenges exist to identifying and addressing inappropriate facility-initiated discharges, including that neither Administration for Community Living (ACL) nor Centers for Medicare and Medicaid Services (CMS) collect data on the number of facility-initiated discharges, and many State Ombudsmen do not …

How to Be Proactive in Approaching Part B Denials with Erin DuPrae

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, vice president of education and certification strategy for AAPACN and Erin DuPrae, OTR/L, clinical support specialist with AAPACN Diamond Partner, Synchrony Rehab, discuss how facilities can be proactive with Part B denials and how to prepare for appeals.

Q&A: Where can I find information on the new CMS COVID-19 vaccination requirements?

Question: Where can I find information on the new CMS COVID-19 vaccination requirements? Answer from Denise Winzeler, BSN, RN, LNHA, DNS-CT, QCP: CMS has developed a FAQ document regarding the Interim Final Rule that answers a lot of questions regarding the 214-page document that was released on Nov. 4. CMS …

Q&A: A resident discharged to the hospital, return anticipated, but went to a sister facility from the hospital for a few days because we did not have a bed available. Now that he is returning, is a new OBRA Admission assessment required?

Question: We have a resident who discharged to the hospital (completed an OBRA DC Return-Anticipated). When he was ready to be discharged from the hospital, we did not have a bed available, so he discharged to a sister facility for a few days. We now have a bed available, and …

TIP: New Resource to Improve Healthcare Safety

Lucian Leap just released a new book called Making Healthcare Safe. This free, downloadable book discusses ways a skilled nursing facility can implement a culture of safety by changing processes, working conditions, and communication in order to make the facility as safe as possible for both residents and staff. For …