CMS memo: MDS 3.0 discharge assessments not completed/submitted
The Centers for Medicare & Medicaid Services (CMS) is clarifying steps to take to address Minimum Data Set (MDS) 3.0 discharge assessments that have not been completed and/or submitted as required under 42 CFR SS483.20(g) and 42 CFR SS483.20(f)(1).
The memo explains (a) what nursing homes should do to address inactive residents remaining on their resident roster due to incomplete and/or unsubmitted discharge assessments and (b) how nursing homes can ensure compliance with discharge assessment requirements.
Attachment for CMS memo: MDS 3.0 discharge assessments not completed/submitted
Hepatitis C Information
Updated Hepatitis C Information
RAI Spotlight August 2013
Notification of Facility Closure
Any individual serving as the administrator of a skilled nursing facility (SNF), nursing facility (NF) or dually participating facility (SNF/NF) must provide written notification of an impending closure of a facility including the plan for relocation of residents at least 60 days prior to the impending closure. New regulations have been added at 42 CFR SS483.75(r) and (s) as well as amendments made to SS483.12(a)(8) and 489.52(a)(2) to reflect this requirement.
Entrance Conference Checklist, revised July 31, 2013
Posted on the Department of Health Message Board.
Access and Visitation Rights
Per latest posting from CMS on 6/28/2013
This memorandum reviews current interpretive guidelines for F-Tag 172, reiterating resident rights surrounding access and visitation.
Facility Obligations: LTC facilities must ensure that all individuals seeking to visit a resident be given full and equal visitation privileges, consistent with resident preference and within reasonable restrictions that safeguard residents.
CMS will be posting on the Five-Star Quality Rating System
CMS will be posting on the Five-Star Quality Rating System page of the CMS.gov website the results of an analysis that examined trends in the first three years of the Five-Star Quality Rating System.
The report was to be available on June 28, 2013. The report will be available under the downloads section of the web page available here:
Attachment for CMS will be posting on the Five-Star Quality Rating System
News from PADONA
This memo conveys clarification to Appendices P and PP related to nursing home residents with dementia (F309) and unnecessary drug use (F329) in the State Operations Manual.
News from PADONA
Attachment for News from PADONA
CMS is pleased to announce the rollout of introductory materials to help nursing homes establish a foundation to implement and sustain QAPI. These materials are now available to the public through the CMS QAPI website.
Provider Bulletin from DOH
View the latest Provider Bulletin from DOH on Decreasing Antipsychotic Medications
CMS Medication Errors and Pharmacy Services 11/2/12
CMS provided clarification on three specific topics related to medication errors and pharmacy services:
Medication Errors: Potential medication errors related to medication administration via feeding tube and administration timing for metered dose inhalers and proton pump inhibitors and survey implications.
Medication Administration Practices: The practice of "borrowing" medications and issues related to diversion, control, reconciliation and disposal of medications, including fentanyl patches.
Medication Regimen Reviews for Stays under 30 days and/or Changes in Condition: The need for pharmacist medication regimen reviews when a resident experiences a change in condition and/or for residents admitted for less than 30 days.