Q&A with Clinical Services

Welcome Back Insiders Today we’re going to ask our EVP of Clinical Services, Renee Kinder, a few questions. We’re hoping to make this an ongoing “Q&A” series with with different people each time. If you have a question you’d like to ask someone in the company, please send it in and we’ll see what we…...

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PDPM Data Review – Nursing

Welcome Insiders Hello and welcome Insiders! This is our first blog posting for Insiders only. We’re going to try something a little different. We hope you enjoy it. There will be an opportunity to let us know what you think at the end of the posting. Today Joel & I are going to dig through…...

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Regulatory Reminder: CMS to update Quality Measure Ratings Thresholds!

On Monday, CMS issued a memo titled, “Quality Measure Rating Threshold Changes with the April 2022 Refresh”. This memo indicated that CMS plans to change the QM rating thresholds every six months. This will begin in April of 2022. This probably seems like short notice for a change of this magnitude. Back in 2019, CMS… Continue reading Regulatory Reminder: CMS to update Quality Measure Ratings Thresholds!

State Health inspection Cut Point Levels: “How” and the “Why”? – Part 2

I love springtime. It is a time of renewal ,warm days and flowers blooming and often it is a time of new discoveries. Like the fact that I have discovered, that my lawn needs to be mowed and it’s only March. Last month we blogged on state cut points and the disparities between the states.… Continue reading State Health inspection Cut Point Levels: “How” and the “Why”? – Part 2

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Georgia on my mind

I love Georgia peaches. In fact, I was lamenting that it was much too early for fresh peaches while at the GHCA winter convention a few weeks ago. (The peach cobbler was outstanding though.) The first bite of those famous southern summer peaches is a tasty treat. Recently, we have been biting into some pretty… Continue reading Georgia on my mind

The Staffing Crisis: How it Ends

Let’s talk about the Staffing Crisis. Skilled nursing is struggling to find people to do the work we’re here to do: care for people who need us. All clinical positions are in demand. Everyone in the field I speak with talks about it. How Did We Get Here? Skilled nursing isn’t like most businesses. We… Continue reading The Staffing Crisis: How it Ends

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State Health Inspection Cut Point Levels. The How and the Why?

Most days we read CMS regulation and we are not that surprised by what they print. We were given plenty of heads up related to PDPM. CMS has been mostly forthright about the COVID waivers. Generally speaking, the RAI User’s Manual is a consistent guide to completing the MDS.  The State operations manual and survey… Continue reading State Health Inspection Cut Point Levels. The How and the Why?

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Regulatory Reminder 5-Star: Update Part 2

Things are moving at a breakneck pace already and we are only just a few weeks into the new year. As we noted in our last update, CMS has decided to use Care Compare to publicly report weekend staffing hours and staff turnover. They have also indicated that these new measures will affect individual facility… Continue reading Regulatory Reminder 5-Star: Update Part 2

Regulatory Reminders!

It’s a new year and CMS is not wasting any time. Late Friday, 1/7/2022, CMS released memo QSO-22-08-NH.  In this memo CMS has laid out their intentions to begin using PBJ data inform the public related to weekend staffing and staff turnover in 3 distinct ways. Public Posting on Care Compare CMS will begin posting… Continue reading Regulatory Reminders!