Revamping CMS survey data integration amid regulatory lag in nursing home oversight
By
Steven Littlehale
Dec 08, 2023
The report titled “Uninspected and Neglected” by the majority staff of the US Senate Special Committee on Aging brings attention to a pressing issue: the severe understaffing of inspection agencies...
Setting up for MDS 3.0 success
By
Steven Littlehale
Jan 06, 2023
Are you a “New Year’s resolution” kind of person? I am not, but I am a strong believer in establishing goals and setting intentions. Whether you prefer to make a resolution or set a goal, January...
A love letter to baby boomers
By
Steven Littlehale
Dec 14, 2022
Dear baby boomers, Thank you, thank you, thank you! You made my ugly-as-sin, chunky, deep-cut, orthopedic “sneakers” acceptable to wear with my fancy tailored business suit. I don’t have to...
Staffing challenges: A time to look inward
By
Steven Littlehale
Sep 16, 2022
As the Biden administration marches toward some type of minimum staffing requirement for nursing homes, it’s easy for providers to feel like helpless, angry victims. Even as a proponent of acuity-based...
Is ‘location, location, location’ still driving your Five-Star success? Yes!
By
Steven Littlehale
Apr 01, 2022
Tying reimbursement to investments in quality is a good idea, but it won’t work with the current Five-Star system.
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...
Carnac the Magnificent psychically divines your most despised quality Measure
By
Steven Littlehale
Oct 16, 2020
Busy yourselves with the excellent suggestions provided by other top-performing SNFs around the country.
Resolving that tension between clinical and financial leadership
By
Steven Littlehale
Jan 27, 2020
It’s time to give purchasing agents more room to operate in long-term care. Here’s why, and now here’s a group that can help their efforts.
Prepare for a visit from the ghosts of reimbursement past, present and future!
By
Steven Littlehale
Dec 20, 2019
“If I could work my will, every idiot who goes about with ‘Reimbursement Reform’ on their lips would be boiled in their own pudding and buried with a stake of holly through their heart!” Ebenezer...
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...