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“Alive Inside” Documentary Coming to Missouri Again

The Capital City Cinema, a new independent theater downtown Jefferson City, will be showing Alive Inside: A Story of Music & Memory.

  • Friday and Saturday, December 12-13: 6:30 p.m. and 8:30 p.m.
  • Sunday, December 14: 1:00 p.m.
  • Tuesday, Wednesday, and Thursday, December 16-18: 7:00 p.m.

Thursday, December 18: following the 7:00 p.m. show, join Julie Ballard, Director or Culture Change for Health Systems, Inc. and Vice President of the board of MC5, as she leads a question and answer session regarding the film and implementation of the Music & Memory Program in central Missouri and throughout the state.

Capital City Cinema is located at 126 East High Street in Jefferson City, MO.  For more details regarding Capital City Cinema, please go to http://www.capitolcitycinema.org/.

To see the trailer for Alive Inside, please visit http://www.aliveinside.us/#trailer.

MDS Training Announced for 2015

RAI Process from Start to Finish

  • February 18-19:  Columbia
  • June 17-18:  St. Louis
  • October 6-7:  Columbia

Medicare from Start to Finish

  • April 23:  Columbia
  • August 11:  St. Louis
  • November 11:  Columbia

Please see the brochure here or visit www.mlnmonursing.org/MDS  for more details and registration information.

Alive Inside Movie is Now Available to Purchase

Alive Inside: A Story of Music & Memory is now available on Netflix, DVD and Blu-ray!  Click here for more information.

Holidays & Decorating

It is that time of year when people are decorating their homes and businesses with festive décor and anticipating upcoming holiday celebrations.  Residents and staff in your care home also look forward to festivities and enjoy holiday decorations.  It is important for residents, staff and visitors to carry on traditions and to feel a sense of joy and peace we all want this time of year.

The Section for Long-Term Care Regulation (SLCR) wants to help you and your residents have a safe holiday season by sending out the following safety tips, references and regulatory reminders.

Fires or other accidents are not something anyone wants!

Safe decorations include:

  • Artificial Christmas trees and decorations that are non-combustible or flame retardant.
  • UL approved decorative lighting (use in supervised areas and turn off when not in use).
  • UL approved outdoor lighting.
  • Holiday decorations, including evergreen wreaths, ornaments, photos, etc. can be used on resident’s doors, and in hallways, as long as they do not exceed 3 ½” in depth and they are not blocking the entrances or exits.*

*Any combustible decorations hung from doors or walls in corridors may be used with a waiver. Non-rated combustible decorations cannot exceed 20% of the wall space in an exit egress corridor.

Although the 2000 Edition National Fire Protection Association (NFPA) 101® Life Safety Code (LSC) is the official reference, the 2012 Edition contains some less restrictive requirements.  Please refer to the CMS memo regarding waivers here: CMS Memo S&C 13-58-LSC 2000 Edition National Fire Protection Association (NFPA) 101® Life Safety Code (LSC) Waivers, or visit the CMS website at www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions.html.

Prohibited decorations include displays, hangings, and other decorations that block exits, visibility of exits, or fire protection appliances.  Never hang decorations from fire sprinkler heads or pipes.

NFPA 101, Section 19.7.5.4: Combustible decorations shall be prohibited in any health care occupancy unless they are flame retardant.

NFPA 101, Section 7.1.10.1: Means of egress shall be continuously maintained free of all obstructions or impediments to full instant use in the case of fire or other emergency.

NFPA 101, Section 7.1.10.2.1: No furnishings, decorations, or other objects shall obstruct exits, access thereto, egress therefrom, or visibility thereof.

Please note, some county or city local ordinances may also require compliance with more restrictive standards, including the International Fire Code (IFC).

  •  F323:  Electrical Safety – Any electrical device, whether or not it needs to be plugged into an electric outlet, can become hazardous to the residents through improper use or improper maintenance.  Electrical equipment such as electrical cords can become tripping hazards.  Halogen lamps or heat lamps can cause burns or fires if not properly installed away from combustibles in the resident environment.  The Life Safety Code prohibits the use of portable electrical space heaters in resident areas.
  • Extension cords may be used on a TEMPORARY basis.  For information regarding the use of extension cords, please visit the SLCR website at http://health.mo.gov/safety/ltcqa/questionsandanswers.php#no13.
  •  Can candles be used in nursing homes under supervision, in sprinklered facilities?

CMS Memo S&C-07-07: Nursing Home Culture Change Regulatory Compliance Questions and Answers

Answer:  Regarding the request to use candles in sprinklered facilities under staff supervision, National Fire Protection Association data shows candles to be the number one cause of fires in dwellings.  Candles cannot be used in resident rooms, but may be used in other locations where they are placed in a substantial candle holder and supervised at all times while they are lighted.  Lighted candles are not to be handled by residents due to the risk of fire and burns.

This holiday season consider using battery-operated flameless candles.  They look and smell real!

We wish you a wonderful and safe holiday season.  If you have any questions regarding the Life Safety Code, please contact SLCR at 573-526-8610.

Person Centered Care Tip

Selfie Tip #2:  My Life! My Choice!!

As we take a “selfie” and examine ourselves, we see the things that are important and unique to us.  We have a favorite color, a hairstyle we prefer, and favorite foods we love to eat.  We make many choices each day that make us satisfied or happy.

Please see the tip here for more information.

Care and Conquer Education Series

The Alzheimer’s Association, St. Louis Chapter announces the fourth annual Care & Conquer Education Series.  This is the region’s premier resource for the latest information on research and early detection of Alzheimer’s disease.
November 6, 2014: Cape Girardeau, Mo.
November 8, 2014: St. Charles, Mo.
November 11, 2014: Fairview Heights, Mo.
November 13, 2014: St. Louis, Mo.
November 15, 2014: North St. Louis
November 18, 2014: Rolla, Mo.
Please visit www.alz.org/stl/in_my_community_56765.asp for more information and registration.

Long Term Care Facility Application for Medicare and Medicaid

Certified nursing facilities must complete the Long Term Care Facility Application for Medicare and Medicaid (CMS-671) at every annual resurvey.  At the time of the annual resurvey, the survey team leader provides the administrator with the application and instructions for its completion.  The application and instructions are also accessible at http://www.cms.hhs.gov/cmsforms/downloads/CMS671.pdf.

To avoid common errors when completing the application:

  • Fill out the form completely and answer every question. Print all numbers and other information legibly.
  • Facility staffing hours should only be reported for care provided in certified beds.  If a facility is distinct part (not fully certified), then staffing hours for the non-certified beds should not be reported.
  • Ensure all three boxes in each staffing category are completed under Column A, Services Provided. Enter a Y for Yes, or N for No.
    • Do not enter any information in the gray boxes.
    • If there are no staffing hours to report under Columns B, C and D leave the box blank – do not enter zeros in every blank box.
    • Enter all hours in whole numbers. Do not use decimals or fractions.
    • Staffing hours provided by hospice staff or private duty staff (not hired and paid for by the facility) should NOT be included.
    • Report actual hours worked (reference timesheets, electronic time records or calendar notes).
    • Salaried employees should report the actual hours they work.
    • The form must be signed.

It is very important to report data accurately on the application.  The Centers for Medicare & Medicaid Services (CMS) uses this data for calculation of staffing hours on Nursing Home Compare and the star ratings.  This information is available on line, http://www.medicare.gov/nursinghomecompare/search.html.

This coming year, CMS will require Missouri to conduct Minimum Data Set (MDS) Focused Surveys that will be sampled to verify the staffing data self-reported by a nursing home during the most recent recertification survey.

If you have any questions regarding completing the Long Term Care Facility Application for Medicare and Medicaid (CMS-671), please speak to the survey team leader during the survey, or contact Tracy Niekamp in the Licensure and Certification Unit at tracy.niekamp@health.mo.gov or 573-526-8522.