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 12 years.

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|

NHA AIT’s must be prepared for the new NAB exam structure and mega rule after July 2017!

Don't Panic! All potential AIT''s and Nursing Home Administrator candidates must be prepared for the new NAB Exam and Mega rule after July 2017. NAB are offering more options for potential Health Care Administrators making it easier for AIT’s to choose their specialty across the United States.  One of the new options is [...]

By | 2017-04-24T16:25:51+00:00 April 9th, 2017|AIT|

AIT Positions!

How can I get a job as an AIT? This is an extremely common and/or recurring question. Like anything else in life, you have to think outside of the box. Most companies have Preceptors that work with current employees who want to complete an AIT program. If you are not already in a position as [...]

By | 2017-04-24T16:27:07+00:00 February 9th, 2017|AIT|

F441 New requirement! Infection Preventionists in charge of Infection Prevention & Control Program!

The CDC is a site that all healthcare workers should visit. Healthcare is such a big beautiful melting pot of many different cultures from all around the world. That being said, many healthcare workers travel every year outside of the US. Ideally, healthcare workers would notify the Administrator and/or DSD or Infection Preventionists of their [...]

By | 2017-04-24T16:27:38+00:00 February 9th, 2017|SNF/OBRA Regulatory Updates|

HIPPA: HHS fines $475,000 for not notifying of breach!

Well, we knew it was coming. Identity theft has been an issue for years but in the last few years  it’s been such a problem that even the Federal Register inserted verbiage that if anyone knew of a way to protect personal information, other than encryption to give them a call. HHS just fined a surgical [...]

By | 2017-04-24T16:28:29+00:00 February 8th, 2017|ePHI Breach, SNF/OBRA Regulatory Updates|

Survey Exit! No scope & Severity Allowed.

Surveyors are now being very careful to only give facts during the survey process and/or exit. They aren’t allowed to make general statements such as “overall the facility is good”. They can only state facts for example, the number of residents affected. They have the discretion to provide you the F-tag that is deficient in [...]

By | 2017-04-24T16:29:00+00:00 February 8th, 2017|SNF/OBRA Regulatory Updates|

NEW*** OBRA F319 SNF’s must provide care for mentally ill and substance abuse disorders!

The most recent OBRA updates in November were substantial. Content has been completely re-arranged in presentation, lots of new changes and even some completely new tags. We could see most all of them coming and even have already implemented P and P’s but the one that surprises me the most is F319. It states that [...]

By | 2017-04-24T16:29:22+00:00 February 8th, 2017|SNF/OBRA Regulatory Updates|