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Category Archives: Nursing Home Administrators

New MDS Updates

Medication Classification Resources

The DRAFT RAI Manual v1.14 posted 5-11-16 and found at and S&C 16-15-NH dated 3-25-16 and found at include several websites CMS lists as resources for information on medications (including classification).

Page 881 of The Draft RAI Manual v1.14 includes the following medication resources:

Page 41 of S&C 16-15-NH includes the following medication resources:

If you have any questions about the above information, please contact Stacey Bryan, BSN, RN, State RAI Coordinator, Department of Health & Senior Services, Telephone 573-751-6308 or E-mail

CMS S & C Memo:16-29-LSC: Adoption of the 2012 edition of the National Fire Protection Association (NFPA) 101 – Life Safety Code (LSC) and 2012 edition of the NFPA 99 – Health Care Facilities Code (HCFC)

  • The Centers for Medicare & Medicaid Services (CMS) has adopted by regulation the 2012 LSC and the 2012 HCFC.  The regulation effective date is July 5, 2016.
  • CMS will begin surveying for compliance with the 2012 LSC and HCFC on November 1, 2016.
  • CMS will offer an online transitional training course for existing LSC surveyors to provide an update on the new requirements. The course will be available on September 2, 2016 via the CMS Surveyor Training Website.
  • CMS will update the ASPEN program (i.e., the information system which tracks surveys) and CMS Fire Safety Forms (2786) prior to the November 1, 2016 survey start date.

Please see the memo at for more details.

SC16-29.Adoption of the 2012 LSC

Nursing Home Quality Improvement Spotlight On…

Is Your Organization Ready for TeamSTEPPS?

Are your leadership and key personnel involved and committed to change?  TeamSTEPPs includes assessments to determine if your organization is ready to implement a teamwork initiative.  Click on the following links to learn more.

Site Assessment Profile
Assessing Organizational Readiness

Action Pact Workshop – The Benefits of Household Dining

July 21, 2016:  The Benefits of Household Dining; Maxinizing Choice and Relationships in this Pleasure of Daily Life
Location:  The Piper Assisted Living and Memory Care, Kansas City, KS
Presenter:  Linda Bump

So, does dining really matter anymore?  Have we already done as much as we can in changing dining to be more resident directed?  Why must we continue to move our systems forward in honoring resident choice in dining and in creating relationship-based dining service systems?

There are many reasons:

  • Because our residents are demanding it
  • Because our residents deserve it
  • Because CMS is advocating for increasing change
  • Because we CAN, and simply
  • Because it is the right thing to do!

Participants will explore each topic (see agenda) through lively discussion, the experiences of staff and residents pioneering work and personal exercises.  Using the guidance and challenges of the New Dining Practice Standards to guide our thought from Mazlov’s early work to creating The Kitchen as a Great Good Place in our residents’ lives, participants will leave feeling prepared to meet the challenges ahead in maximizing dining as a pleasure of their residents’ lives.

For more information including registration, please visit the Action Pact event page here.

Nursing Home Quality Improvement Spotlight On…

Managing Behaviors: TeamSTEPPS in Long-Term Care

Developed by the Agency for Healthcare Research and Quality, TeamSTEPPS is an evidence-based program centered on communication and teamwork skills that involve reviewing organizational processes and systems to ensure resident safety while delivering care.  Click on the following links to learn more.

TeamSTEPPS Overview Video
TeamSTEPPS: Long-Term Care Version

New Generations Newsletter – Spring 2016

The Section for Long-Term Care Regulation has published New Generations – Volume 14, Issue 2, Spring 2016.  This issue is now accessible on our website.

Please visit to view this publication along with a collection of previous newsletters.

Conversations with Carmen

June 17, 2016:  Reducing Unnecessary Wheelchair Use
Guest:  Leslie Jarema, LNHA, Director of Health Services, The Forest at Duke CCRC

Approximately two-thirds of nursing home residents are in wheelchairs the majority of the time.  Although not talked about much, the negative, iatrogenic consequences of overuse of wheelchairs are many: accelerated loss of muscle mass, pressure sores, significant discomfort and physical strain from operating chairs which increase risks for falling, injuries from falls, depression and pneumonia.  Older people’s health, mobility and self-image can suffer from too much time in wheelchairs.  They are treated as less able, even spoken to differently, promoting a cycle of helplessness.  The Forest at Duke is part of a movement that gives priority to the well-being of residents and their caregivers – above the functions of the nursing home or convenience of the staff.  Join us and our guest Leslie Jerema to learn how she led her community to use wheel chairs for transport only and helps residents be as active as possible.

For more information, please visit the event registration page here.