How to Implement and Sustain Changes in Practice to Comply with Appendix PP Updates

As of October 24, 2022, nursing facilities must comply with updates the Centers for Medicare & Medicaid Services (CMS) made to the surveyor guidance in Appendix PP of the State Operations Manual. Although changes to facility policies and procedures have likely been initiated, changes to practice can be very difficult …

Strengthen Care Plans to Reflect the Residents’ Needs

by Michele Mummert, RN, RAC-CT, RAC-CTA, DNS-CT, Director of Research and Development, The Compliance Store Care planning is the foundation of resident care in the long-term care setting. Everything done to care for the resident rests in the care plan. Inadequate care plans that do not appropriately address the resident’s …

CDC NHSN LTCF Weekly Healthcare Personnel (HCP) & Resident COVID-19 Vaccination Module Page UPDATED

Weekly health care personnel (HCP) & Resident COVID-19 Vaccination Weekly COVID-19 Vaccination Data Reporting Long-term care facilities can track weekly COVID-19 vaccination data for residents and healthcare personnel (HCP) through NHSN. December and November 2022 updates Event Level COVID-19 Vaccination Form Quick Reference Guide [PDF – 1 MB] –  December 2022 Quick …

CMS QSO Memo QSO-23-03-All: The Importance of Timely Use of COVID-19 Therapeutics

Note that this memo is for all healthcare providers, but there are several “nursing homes in particular” statements, including but not limited to: “Nursing homes, in particular, should review and reinforce their infection control protocols as we move into fall and winter, when respiratory infections are more commonly transmitted. In …

CMS QSEP Survey Citation Training Resources: Free of Accidents, Pressure Ulcers, Medication Errors (11/22)

There is a new Quality in Focus tab at the CMS QSEP Training site: https://qsep.cms.gov/ProvidersAndOthers/publictraining.aspx Available LTC-focused resources now available include: Quality in Focus Resources for Addressing LTC Free of Accident Citations Training for Providers This QIF provides resources that may aid LTC providers in recognizing potential free of accident …

CDC NHSN LTCF Prevention Process Measures (PPM) Module (11/22)

Hand Hygiene, Gown and Glove Use Adherence Sept. 21, 2021 update: Monthly Reporting Plan Monthly Reporting Plan for LTCF – September 2021 (57.141) pdf icon[PDF – 80 KB] Customizable form word icon[DOCX – 50 KB] Table of Instructions pdf icon[PDF – 100 KB] Prevention Process Measures – Hand Hygiene, Gown and Glove Use …

LTCSP Survey Resources: Surveyor Tools Updated Again (11/22)

This ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going into facilities, including, for example, a document detailing their principles of documentation, a document showing …

OIG: Long-Term Trends of Psychotropic Drug Use in Nursing Homes (11/22)

Long-Term Trends of Psychotropic Drug Use in Nursing Homes(OEI-07-20-00500) OIG found that from 2011 through 2019, about 80 percent of Medicare’s long-stay nursing home residents were prescribed a psychotropic drug. While the Centers for Medicare & Medicaid Services focused its efforts to reduce the use of one category of psychotropic …

CMS Takes Opioid Use Beyond §483.25 (Quality of Care) in Appendix PP Guidance

On Oct. 3. 2022, the U.S. Department of Health and Human Services (HHS) renewed the nationwide opioid public health emergency (PHE), marking the launch of the PHE’s sixth year. Some nursing homes have been slow to prioritize the crisis from a resident care perspective because residents experiencing opioid overdoses and …

Q&A: What does a facility have to do to maintain compliance if they use bedrails or grab bars?

Question: What does a facility have to do to maintain compliance if they use bedrails or grab bars? Answer from Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT: F700 in Appendix PP of the State Operations Manual has specifics for what a facility must do if bedrails, grab bars, or assist …