Multidrug-resistant organisms (MDROs) are a red flag for a nursing home’s infection prevention and control program that either contact precautions or enhanced barrier precautions may need to be initiated, points out Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC, director of education for Hansen Hunter LLC in Vancouver, WA. …
The Non-Therapy Ancillary (NTA) component of the Patient-Driven Payment Model (PDPM) accounts for the medical complexity and resource-intensive services provided to residents in nursing facilities. This component is calculated using a combination of clinical diagnoses, active conditions, and specialized treatments or services documented in the Minimum Data Set (MDS) and, …
In long-term and post-acute care, communication is everything. Most days, conversations with residents, families, and staff flow smoothly. But every so often, a chat takes a sharp turn, voices rise, tempers flare, or emotions spill over. These moments can be stressful, yet they are also an opportunity to build trust …
Hospital readmissions remain one of the most persistent challenges for long-term post-acute care (LTPAC) facilities. National data shows that roughly 13% to 14% of all hospitalized patients are readmitted within 30 days (Burke et al., 2022). But the rate among nursing home residents can climb significantly to 20% to 25% …
F656, Comprehensive Care Plans, is one of the most commonly cited F-tags during survey in nursing homes; however, with intentional processes in place, these citations are largely preventable. A proactive approach to care planning ensures that each resident’s plan is accurate, up to date, and reflective of their individual needs …
An assessor does not need perfect eyesight to see that vision plays a significant role in the quality of life of residents in long-term care. Accurately evaluating vision, and how it is coded at B1000, helps all staff understand how visual impairments may impact the resident’s daily life, mood, and …
Written by Brenda Schumacher, Staff Writer, AAPACN When a resident discharges before the Admission assessment is complete, nurse assessment coordinators (NACs) must make decisions that directly affect compliance, survey readiness, and resident care planning. Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, explains that the first …
MDS section L (Oral/Dental Status) is one of the most frequently undervalued areas of the MDS, says Eleisha Wilkes, RN, GERO-BC, RAC-CT, RAC-CTA, DNS-CT, QCP, a senior consultant with Proactive LTC Consulting in Evansville, IN. “Generally, it is perceived as a minor section because it doesn’t directly affect payment in …
The nursing component of the Patient-Driven Payment Model (PDPM) may appear straightforward: calculate a section GG Nursing Function Score and assign the resident to one of six nursing categories. But accuracy relies on a detailed understanding of coding rules, observation periods, and documentation requirements that determine both compliance and reimbursement …
The beginning of a new school year has a particular energy—fresh notebooks, sharpened pencils, and a renewed focus on learning the essentials. In the long-term and post-acute care (LTPAC) world, we can take a cue from that “back to school” spirit. No matter how long we have been in the …
