For skilled nursing facilities, the Medicare SNF 3-day rule can make it difficult to place the right patients in the right setting at the right time. The 3-day rule requires that a Medicare beneficiary...
The physiatrist’s role in post-acute rehabilitation
By
Steve M. Gnatz, M.D.
Dec 09, 2015
In the IRF environment, it is mandated by federal regulation that the rehabilitation physician performs several key functions. It is not specified that this doctor necessarily be a physiatrist, but only...
Sorting out the antipsychotic quality measures
By
Steven Littlehale
Mar 05, 2013
While antipsychotic measurements can vary, providers must carefully and thoroughly examine all antipsychotic medication use in their facility.
Let’s talk about sex
By
Robin Dessel
Aug 07, 2013
Sexual expression should be sanctioned and rightly belongs in residential healthcare settings. Sexual rights should not be subject to change based upon age, place of residence, sexual preference or the...
The evolution of nursing homes
By
Rockland Berg
Sep 29, 2016
Most new developments with beds for acute care are being built by non-profits that are working to achieve CCRC status, and they are merely setting aside space for the required percentage of skilled nursing...
What do we do when the antipsychotics are gone?
By
Richard Juman, Psy.D
Aug 23, 2016
In an era of outcome-based care, it is imperative that facilities successfully integrate evidence-based behavioral health services.
Seven strategies for treating psychiatric patients in SNFs
By
Robert Figlerski, Ph.D.
Mar 05, 2018
As part of my early clinical training, I spent some time treating patients at a large psychiatric hospital that has long since closed.
2015: The year of innovation
By
Jon Kole
Dec 19, 2014
As we prepare to say goodbye to 2014 and hello to 2015, now is the time to make a New Year’s resolution of innovation. While each long-term care facility will chart its own course, the Hebrew Home...
Plans for preparing and responding to disasters a must for LTC
By
Meredith N. Larson
Feb 26, 2018
Based on their assessments of the risks, different facilities may prioritize different types of hazards in the planning process.
What ‘do everything’ can mean
By
Angelo E. Volandes, M.D.
Feb 04, 2015
The day I met Mrs. Bartlett at my hospital, she was an 89-year-old long-stay nursing home resident with moderate-to-severe dementia who was being transferred to my hospitalist service for shortness of...