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...
The new world of compliance under COVID-19
By
Steven Littlehale
Jul 19, 2020
With so many “cooks in the kitchen,” trying to direct pandemic response actions, by whose authority should we be taking action and direction?
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...
Who cares about Five-Star during a pandemic?
By
Steven Littlehale
Jun 15, 2020
Just as the sun continues to rise, the need to objectively monitor and evaluate care in nursing homes has not ceased, nor has the need for providers to continuously work on quality improvement initiatives.
Shining some light on the new Five Star system
By
Steven Littlehale
Sep 05, 2012
The Five Star overall score is comprised of three domains: Survey, Staffing and Quality Measures. This month, look a little deeper into the overall Five Star Scores.
New staffing rules redux
By
Steven Littlehale
Jun 05, 2015
The Centers for Medicare & Medicaid Services’ proposed rule for skilled nursing facilities in fiscal 2016 contains some “must read” information about new staff reporting requirements.
Does caring for specialty populations hurt your public profile?
By
Steven Littlehale
Jun 20, 2016
Many skilled nursing facilities are de facto specialty care centers with a disproportionately large number of certain types of residents. This scenario, unfortunately, can translate into a liability in...
2019 predictions From a cockeyed optimist
By
Steven Littlehale
Jan 11, 2019
I did an informal survey around the office to get a broad set of the top 13 predictions for 2019 and I’d like to share them with you. There is some cheek in these predictions, but all grounded in solid...
Monet embraced change, have you?
By
Steven Littlehale
Apr 12, 2019
It’s a wild time in long-term care — and a good time to embrace change.
How consistent CNA assignments will help residents
By
Steven Littlehale
Feb 07, 2013
Consistent assignments for CNAs are discussed and implemented more frequently than they used to be. For the most part, research studies speak to the positive attributes of this model of care. From improved...