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Category Archives: Long Term Care Blog

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.

Antipsychotic Drug use in Nursing Homes Trend Update

On October 22, 2014, CMS released recent data related to the National Partnership to Improve Dementia Care in Nursing Homes.  Please see the State-specific data here for more information.

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.