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|

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|

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|

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|