About Lesley Powell

Lesley Powell is a 5 Star LNHA, NHAP & NAB/NCERS Approved CEU Provider assisting AIT's to pass the CA State and NAB Exams across the U.S. for over 9 years.

Lesley Powell CEUS! California NHAP & NAB/NCERS Approved CE Provider!

Lesley Powell CEUS! California NHAP & NAB/NCERS Approved CE Provider! California LNHA's must complete at least 10 CE "P" credit hours on aging! What is a "P" credit? California Nursing Home Administrators are required to successfully complete 40 credit hours of continuing education every two years in order to keep your California Nursing [...]

By | 2018-07-02T22:30:39+00:00 July 2nd, 2018|AIT, continuing education, NAB|

AIT’s preparing for Long Term Care Survey Process (LTCSP)!

You can do this! How did the Long Term Care Survey Process (LTCSP) get here and why? Long Term Care Survey Process (LTCSP) has been a long time coming. The QIS survey has been implemented in pilot programs over the last several years. The thought at the time, was that it would eventually [...]

By | 2018-03-15T00:56:02+00:00 March 15th, 2018|AIT, CMS, Legal, LTCSP, NAB, SNF/OBRA Regulatory Updates|

New SOM/OBRA Regulations! November 28th, 2017 Phase 2 Effective!

Phase II Effective November 28th, 2017! Are you ready? New SOM/OBRA Regulations with new tag numbers from 540-949 to be implemented by November 28th, 2017, Phase 2. We’ve been in the throes of final rule CMS regulatory changes that started in November 2016 and will continue through not just Phase 2, but also [...]

By | 2017-11-13T02:29:51+00:00 November 13th, 2017|AIT|

More changes to State Medicare Operations Manual/SOM/OBRA!

AIT without Lesley Powell's Administrator In Training! CMS are working very hard to make the most recent changes to the SOM. Content from the old regulations has been re-arranged, revised and some completely new. The intention is to have the new tags in print by November 28, 2017 which is the implementation date [...]

By | 2017-07-31T02:53:03+00:00 July 31st, 2017|AIT, mega-rule, NAB, SNF/OBRA Regulatory Updates|

ABC News: Wake up call for the American Healthcare system!

The Black Hole that hackers hate - but firewalls love. According to ABC News, Healthcare is the number one most targeted industry by cyber-attacks. Wanna Cry is the ransom ware of yesterday but did shut down 65 hospitals in the U.K. and was a global attack. Petya is the ransom ware of today. [...]

By | 2017-07-05T19:22:36+00:00 July 5th, 2017|AIT, ePHI Breach, NAB, SNF/OBRA Regulatory Updates|

F490 Administration revisions in Medicare State Operations Manual (SOM) / OBRA.

A leader is one who knows the way, goes the way, and shows the way. -John Maxwell Revisions to Administration F490 SOM / OBRA. In November 2016 much articulation was given to F490 Administration. The additions explain what it means to meet the need of each resident. It’s not that the concept is [...]

By | 2017-06-19T17:56:38+00:00 June 19th, 2017|AIT, SNF/OBRA Regulatory Updates|

Mega-rule updates for AIT’s taking the NAB exam!

  The mega-rule updates for AIT’s taking the NAB exam starting in July 2017  is causing much stress to many individuals. The regulations have been reorganized, revised and new laws added. You got this! I've read articles that say that there haven't been any substantial changes to the Federal Regulations since 1991. That's not [...]

By | 2017-06-05T14:04:47+00:00 June 5th, 2017|AIT, NAB, SNF/OBRA Regulatory Updates|

ePHI Electronic Personal Health Record Information Breach!

CMS Emergency Preparedness against cyber attacks with Titan new black hole technology! ePHI Electronic Personal Health Record Information Breach is one of the most re-occurring news stories today. The most recent story on the news was about hacking organizations from different countries combining their efforts in large ransom attacks holding ePHI (electronic personal [...]

By | 2017-05-22T15:07:58+00:00 May 21st, 2017|ePHI Breach, SNF/OBRA Regulatory Updates|

Copy of transfer/discharge notices to the Ombudsman!

Thank you Social Services for all that you do! A copy of the transfer or discharge notice given to the resident must also be sent to a representative of the Office of the State Long Term Care Ombudsman which was to be implemented in November 2016 per F203 of the Federal Regulations / [...]

By | 2017-04-24T16:31:42+00:00 April 23rd, 2017|SNF/OBRA Regulatory Updates|