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Survey and Certification Memos

15-31:  Focused Dementia Care Survey Pilot (NH – 3/27/15)

Attached to this memo is a final report that outlines the basis for the Focused Dementia Care Survey Pilot, the process utilized, conclusions gathered based upon post-pilot data analysis, as well as next steps for the future.  The CMS plans to expand upon the work of the focused survey pilot and has invited States to conduct such surveys in FY2015 on a voluntary basis.  The expansion project will involve a more intensive, targeted effort to improve surveyor effectiveness in citing poor dementia care and the overutilization of antipsychotic medications, and broaden the opportunities for quality improvement among providers.  Deficient practices noted during the surveys will result in relevant citations.  In the event that additional care concerns are identified during on-site reviews, those concerns will be investigated during the survey or will be referred to the SA as a complaint for further review.  The memo is attached here and one attachment is attached here.

15-34:  Grant Award: Reinvestment of Federal Civil Money Penalty (CMP) Funds to Benefit Nursing Home Residents (NH – 4/3/15)

The Centers for Medicare & Medicaid Services (CMS) invited proposals for a grant opportunity to utilize Federal CMP Funds for the support and further expansion of the National Partnership to Improve Dementia Care in Nursing Homes.  The Eden Alternative, Inc. was deemed to be the most eligible applicant and has been awarded a grant, in the amount of $293,129.00, for their project entitled, “Creating a Culture of Person-Directed Dementia Care.”  The memo is attached here.

15-35:  Implementation of Section 6106 of the Affordable Care Act – Collection of Staffing Data for Long Term Care Facilities (NH – 4/10/15)

In this memorandum, CMS notified States of the posting of technical specifications and related information for the electronic submission of staffing information based on payroll data.  This information is posted at:  The memo is here.

CMS National Nursing Home Quality Care Collaborative (NNHQCC) Change Package v2.0 – Now Available

The Change Package developed as part of the CMS National Nursing Home Quality Care Collaborative is being used by CMS and Quality Improvement Organizations and is intended to complement evidence-based tools and resources.  A change package is a menu of strategies, change concepts and specific actionable items that any nursing home can choose from to begin testing for purposes of improving quality of care.

Please visit Advancing Excellence’s website here for more information and to download the full package.

Most Frequently Cited Deficiencies Report – 1st Quarter 2015

Please view the quarterly report from the Section for Long-Term Care Regulation here.

Lunch and Learn

May 18, 2015:  Legal Steps in Advance Care Planning: Planning for Incapacity
Speaker:  Brigid Fernandez, LCSW

This webinar will help attendees learn the tools needed to plan for incapacity, understand the Power of Attorney documents for Health Care and Finances and when to rely these documents, and also understand the different issues related to a person’s capacity.

The webinar if FREE, but registration is required.  Please see the flyer attached or click here to register.

AADD’s 25th Annual Conference

May 18-19, 2015:  Aging with Developmental Disabilities Conference
Location:  St. Charles Convention Center, St. Charles, MO
Keynote Speakers:  Joseph H. Flaherty, MD, Assistant Director Geriatric Medicine Fellowship Program, St. Louis University Division of Geriatric Medicine; Sheli Reynolds, PhD, Director, Individual Advocacy and Family Support, UMKC Institute for Human Development; and Carolyn Philpot, GNP , St. Louis University School of Medicine

Explore and understand what we need to look for to ensure the best health and wellness for people with developmental disabilities who are aging.  Sessions are designed to support caregivers and professionals in enhancing the lives of people with developmental disabilities who are aging.

Please visit the Association on Aging with Developmental Disabilities’ event page here for more information.

Person-Centered Care Tip

Tip #6:  “Me in My New Home”
Just as a “selfie” is about YOU, Person-Centered Care is all about the PERSON!  Think of yourself in an unfamiliar situation.  Finding the bathrooms and where to get a cup of coffee or a bite to eat is likely a top priority.  And by the way… who are all these people and how will I remember their names?

Please see the flyer here for more information.

Hot Topics: Culture Change in Action

May 26, 2015:  Safety vs. Autonomy for Elders:  What if Maslow was Wrong
Presenter:  Theresa (Terri) A. Harvath, Ph.D., RN, FAAN

During this webinar, we will examine case studies and generate ideas and strategies to help care providers make well-reasoned decisions when the values of autonomy and safety collide.

Please visit for more information and to register for this webinar.