When the rules change, not everyone wins: Counting IC deficiencies in Five-Star
By
Steven Littlehale
Feb 05, 2021
Do you remember how, as you were growing up, there was always another kid who would change the rules mid-game to ensure that he won? I do, and it would always make my blood boil. The Centers for Medicare...
Waiver or not, here I come!
By
Steven Littlehale
Mar 28, 2020
The immediate relief I felt when the Centers for Medicare & Medicaid Services issued a blanket waiver 1135 on March 13 was soon replaced with confusion and anxiety.
Compliance with confidence
By
Steven Littlehale
Feb 16, 2012
Undergoing the annual survey and certification process and demonstrating compliance with federal and requirements are a critical – and sometimes daunting – obligation of any nursing home operator...
Ready for a little late summer seasoning? (PEPPER to be exact!)
By
Steven Littlehale
Aug 30, 2013
The SNF PEPPER or “Program for Evaluating Payment Patterns Electronic Report” summarizes Medicare claims data to identify risk for abuse or improper payment. PEPPER compares a SNF’s claims...
A survey and regulatory review of 2013
By
Steven Littlehale
Feb 24, 2014
It’s important to do a review that considers your region and state. Identify how complaints and care deficiencies were handled last year.
A tisket, a tasket … No LPNs in the RN basket
By
Steven Littlehale
Jul 20, 2015
Reporting direct care hours is nothing new, but the Affordable Care Act takes it to the next level with mandatory quarterly electronic submission of staffing and census data. This focus on staffing ratios...
New models predict SNF hospital readmission rates
By
Steven Littlehale
Jan 21, 2015
If a skilled nursing facility were an overall Five Star performer, you would think that it would provide the best care and have the fewest rehospitalizations, right?
Asking for the medical record
By
Steven Littlehale
Jan 29, 2014
Millions of dollars have been paid by nursing homes who unsuccessfully defended themselves against incomplete or absent documentation. There are not as many legal guidelines regarding medical records maintenance...
The three “Rs” of nursing home care
By
Steven Littlehale
Aug 17, 2012
By utilizing benchmarks and data analytics preparation, time is reduced, priorities established and efforts measured. By knowing a facility’s prior survey deficiencies and having insight into the...
Cracking the code to seven years of Five-Star ratings success
By
Steven Littlehale
Sep 19, 2016
Since the inception of the Five-Star Quality Rating program in December 2008, there have been 113 Skilled Nursing Facilities (SNFs) that have earned and maintained an overall 5-star score. Who are these...