Tough conversations on gender equity, from dinner tables to boardrooms
By
Steven Littlehale
Apr 29, 2022
To solve our staffing shortage, we must address the issue of gender parity in leadership. And to do that, we must embrace our fear, speak up, and act; we must start the tough conversations.
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.
The Five Star Report, once again, in the SNF spotlight
By
Steven Littlehale
Sep 24, 2014
The Five Star Quality Rating System takes the spotlight on the front page of the New York Times and the top of the news cycle, kicking off other publicity and political pressure. Regardless of any of the...
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?
CMS sneaks a trick in with its treats
By
Steven Littlehale
Oct 21, 2015
With so many regulatory changes kicking in on Oct. 1, it’s no wonder providers were likely too distracted to notice the latest “trick” by the Centers for Medicare & Medicaid Services.
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...
Nursing Home Compare revisions deserve only 2 stars
By
Steven Littlehale
May 13, 2019
Recent changes to the Nursing Home Compare website leave a lot to be desired. I give them two out of a possible four stars.
Back to before census
By
Steven Littlehale
Dec 10, 2021
One of my favorite lyrics from the musical “Ragtime” is “We can never go back to before.” The character Mother sings about no longer being a slave to societal expectations; she is confident, moving...
Do the new QMs have you seeing stars?
By
Steven Littlehale
Mar 18, 2016
Actions providers take now will make or break their Five-Star Quality Rating experience in July. That’s because the Centers for Medicare & Medicaid Services has changed quality measures in a way...
Who else is using Five-Star? (Who isn’t?)
By
Steven Littlehale
Apr 14, 2016
I continue to be struck by how deep Five-Star has worked its way into the countless nooks and crannies of our industry. It’s far beyond what the Centers for Medicare & Medicaid Services intended...