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Category Archives: Long Term Care Blog

CMS Memo S&C 14-46-LSC: Categorical Waiver for Power Strips Use in Patient Care Areas

Memo Summary:

  • Categorical Waiver:  CMS has determined that the 2000 edition of the National Fire Protection Association (NFPA) 101® Life Safety Code (LSC) contains provisions on the use of power strips in health care facilities that may result in unreasonable hardship for providers or suppliers.  Further, an adequate alternative level of protection may be achieved by compliance with the 2012 edition of the LSC, which has extended allowances on the use of power strips in patient care areas.

 

  • CMS is permitting a categorical waiver to allow for the use of power strips in existing and new health care facility patient care areas, if the provider/supplier is in compliance with all applicable 2012 LSC power strip requirements and with all other 2000 LSC electrical system and equipment provisions.

 

  •  Resident rooms in long-term care or other residential care facilities that do not use line-operated electrical appliances for diagnostic, therapeutic, or monitoring purposes are not subject to the more restrictive NFPA 99 requirements regarding the use of power strips in patient care areas/rooms.  Resident rooms using line-operated patient-care-related electrical equipment in the patient care vicinity must comply with the NFPA 99 power strip requirement and may elect to utilize this categorical waiver.

 

  • Individual waiver applications are not required:  Providers and suppliers are expected to have written documentation that they have elected to use the waiver.  A provider or supplier must notify the LSC survey team at the entrance conference that it has elected the use the waiver permitted under this guidance and that it meets the applicable waiver requirements. The survey team will review the information and confirm the facility meets the conditions for the waiver.

Please see the complete memo here or visit www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-14-46.html?DLPage=1&DLFilter=14-46&DLSort=3&DLSortDir=ascending.

Revised RAI Manual

The complete set of RAI Manual v.1.12 pages and change tables and the Replacement Pages file, both in the Downloads section below, now contain revised versions of Chapter 2; pages A-8, A-10, and A-13 (Chapter 3 Section A); pages E-2 through E-8 (Chapter 3 Section E); page 6-12 (Chapter 6); the Appendix B, F, and H cover pages; and Appendix G. Files affected by this revision contain an R in the version number (“1.12R”) and pages affected include an “(R)” in the page footer.

This most recent version can be located at the following link: www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/MDS30RAIManual.html.
The complete manual can be found in the box labeled “downloads” at the bottom
of that page.

QIPMO Newsletter – Volume 2, Issue 1

The Quality Improvement Program for Missouri (QIPMO) has published MDS Tips and Clinical Pearls – Volume 2, Issue 1.  Please visit www.nursinghomehelp.org/qipmo.html.

Most Frequently Cited Deficiencies Report – Third Quarter 2014

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

“STOP-FYRE” Fire Extinguishers

There is a company by the name of AKE with dealers in some states bordering Missouri selling unlisted fire extinguishers to businesses.  If you get calls or questions about these “STOP-FYRE” fire extinguishers, or find them during an inspection, explain to the facility that 1998 NFPA 10, paragraph 1-4.3 require fire extinguishers to have a UL listing, or listing from another recognized testing laboratory such as ANSI, indicating they have been tested, and meet or exceed the performance standards for fire extinguishers.  The website is www.AKE.com.

Unlocking The Life Within: The Key to Elder Wellness

December 4, 2014:  Unlocking The Life Within:  The Key to Elder Wellness – Accentuating the Positive
Location:  Cider Hill Family Orchard’s Event Barn, Kansas City, KS

Please see the attached flyer or visit http://events.r20.constantcontact.com/register/event?oeidk=a07e9tgd8fg64ae9199&llr=aievf5bab for more information and to register for this one-day workshop.

National Partnership Announces New Goal

The National Partnership to Improve Dementia Care announced a new national goal of reducing the use of antipsychotic medications in long-stay nursing home residents by 25 percent by the end of 2015, and 30 percent by the end of 2016 through a media press call.  Below you will find links to a Press Release and Fact Sheet released in conjunction with this announcement.