Where were YOU when CMS changed the Five-Star rating system?
By
Steven Littlehale
Mar 20, 2015
Some things will always stay etched in our mind. Where were you on February 12, when CMS publicly announced immediate changes to the Five Star Quality Rating System for Nursing Homes?
Beyond ‘document, document document’ — Risk mitigation strategies that work
By
Steven Littlehale
Feb 03, 2023
We encounter risk every day. Risk is present in the most innocuous actions, like crossing the street, walking into the supermarket, and even eating dinner. And as nursing home operators and providers well...
Portmanteau a PDPM parody
By
Steven Littlehale
Mar 15, 2019
Here’s how you use some humor to directly confront PDPM myths and nonsense, as well as suggest some authentic opportunities to provide and document better care.
Yo, I’ll tell you what I want, what I really, really want
By
Steven Littlehale
Oct 14, 2022
It’s a curious day when I lift a lyric from the Spice Girls to title an article. The Spice Girls’ first single, “Wannabe,” was released in 1996 and rocketed to the top of the British singles chart....
And he did it ‘his way’ — will you and yours?
By
Steven Littlehale
Jul 21, 2017
Packing for New Jersey to help Bernie (my father-in-law, whom I was honored to call “Dad”) navigate his transition from hospitalization to SNF, something told me to pack a suit.
Don’t drop the ball when the music ends: creating the right discharge plans
By
Steven Littlehale
Jul 02, 2014
Providing a safe handoff during discharge from a skilled nursing facility is the operator’s responsibility. Unfortunately, it’s not happening enough. SNFs without effective discharge planning...
NYT: You are as much of the problem as the Five-Star system
By
Steven Littlehale
Apr 02, 2021
A recent New York Times article about nursing homes is shameful, lazy journalism. Coupled with the need to sell advertising space, it purposefully perpetuates misunderstandings about nursing homes, caregivers...
Unraveling the impact: PDPM Medicaid case-mix index and potential Five-Star Rating challenges
By
Steven Littlehale
Mar 01, 2024
The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...
Agency staffing on the rise? Believe it — and plan for it
By
Steven Littlehale
Nov 21, 2016
The use of contract agency staff to fill nurse aide and licensed nurse vacancies is escalating. This increase is seen across many states, not to mention across the nation as a whole. Yes, we have a well-documented...
Have you met Jimmo’s stepbrother Jimmo?
By
Steven Littlehale
Apr 21, 2017
Therapy utilization will be as scrutinized as much as it ever has been, even though the “improvement standard” has once again been deemed deceased.