Special Focus Facility program Update

March 5, 2017

Refer to below link for CMS memo dated 3/2/2017 re Special Focus Facility program Updates :

Total SFF slots and candidates for each State: The number of designated slots and candidates for FY 2017 (see Appendix A) will not change from those effective since May 1, 2014.

Initial selection notice: The State Survey Agency (SA) must notify the provider in writing of their SFF selection and conduct a meeting (either onsite or via telephone) with the nursing home's accountable parties, and the Centers for Medicare & Medicaid Services (CMS) Regional Office (RO), if the RO wants to be included.

Graduation from the SFF program: Once an SFF has completed two consecutive standard surveys with no deficiencies cited at a scope and severity of "F" or greater (or "G" or greater for Life Safety Code (LSC) deficiencies), and has had no complaint surveys with deficiencies at "F" or greater (or "G" or greater for Life Safety Code (LSC) deficiencies) in between those two standard surveys, the facility will graduate from the SFF program. However, if the only deficiency preventing graduation is an "F" level deficiency for food safety requirements (42 CFR SS483.60(i) Tag F371), the RO has discretion to allow the facility to graduate from the SFF program. F371 deficiencies at a "G" level or greater will prevent the facility from graduating from the SFF program.

Authority for termination: Consistent with longstanding authority, the CMS ROs may use discretionary termination for SFFs (or any facility) if necessary to protect resident health and safety.

Special Focus Facility program Update

Please see attached a brochure on an opportunity from Quality Insights

February 23, 2017

Cyber Security

February 2, 2017

Recommendations for Providers and Suppliers for Cyber Security: The Centers for Medicare & Medicaid Services (CMS) is reminding providers and suppliers to keep current with best practices regarding mitigation of cyber security attacks. We have outlined resources to assist facilities in their reviews of their cyber security and IT programs.

The link is CMS memo of 1/13/2017

Cyber Security

Discharge Notice Clarification

January 18, 2017

A Discharge Notice Clarification was posted to the Message Board yesterday that included the following message:

" CFR 483.15 (c)(3) Notice before transfer, was included in the updates to the Federal Regulations that were effective November 28, 2016. This requirement related to the notification of transfer or discharge, now includes an additional requirement for the facility to send a copy of the notice to a representative of the Office of the State Long-Term Care Ombudsman.

Additionally, CFR 483.15 (c)(5) Contents of the notice continues to require that the notice contain the name, address (mailing and email) and telephone number of the Office of the State Long-Term Care Ombudsman (this is not new).

In collaboration with the office of the State Long Term Care Ombudsman, the Department of Health will review this requirement to ensure that the discharge notices contain all components outlined in the regulation including the contact information for the local and State ombudsman program, but, the notices are mailed, emailed, or faxed to the State Office, not to the local programs.

Attached is some helpful information put together by the PA Office of the Long-Term Care Ombudsman to assist facilities with compliance with this regulatory requirement."

The attachment is the information by the PA Office of the Long-Term Care Ombudsman titled, "NH Regs-Clarification on Discharge Notices."

Discharge Notice Clarification

Aging Institute

January 17, 2017

The Aging Institute offers various educational programs to health professionals. See attached brochure for additional information.


Aging Institute

Staffing Data Submission Reminder

January 10, 2017

Staffing Data Submission Reminder: As of July 1, 2016, electronic submission of staffing data through the Payroll-Based Journal (PBJ) is mandatory for all Long Term Care Facilities. You have up to 45 days after the end of the quarter to submit data for Federal Fiscal Quarter 1 (October 1, 2016-December 31, 2016.) The final submission file for this quarter is due on February 14, 2017. We encourage facilities to submit early to avoid system delays.

Please note that an updated policy manual and FAQ are now posted on the PBJ website.

For questions related to software or technical requirements, please emailNursingHomePBJTechIssues@cms.hhs.gov

For questions related to PBJ policies, please email NHstaffing@cms.hhs.gov

PBJ website link: https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ.html

2017 International Pressure Ulcer Prevalence

January 3, 2017

This is a free prevalence that gives nursing homes the opportunity to assess the prevalence of pressure ulcers in their facility and benchmark against other similar facilities. It is free until January 13.

PADONA is not endorsing the company or the program, but are making this opportunity available to you.

2017 International Pressure Ulcer Prevalence

Influenza Resources for Long Term Care Facilities

December 31, 2016

From the PA DOH Message Board:

Please see attached information titled, "Influenza Outbreaks in Long-Term Care Facilities: Toolkit for Facilities" and a Flu poster provided by the Department of Health, Bureau of Epidemiology.

Influenza Poster

Influenza Tool Kit

SNF-QRP Requirements for FY 18

December 31, 2016

CMS- updated PBJ Manual December 2016

December 31, 2016

Updated guidance- Federal Requirements for Providing Services to Justice Involved Individuals

December 27, 2016

CMS memo dated 12/23/2016: Revised to remove the requirements for, and all references to, hospital specialty units to ensure that hospitals are able to meet the unique security needs for justice involved individuals receiving treatment
*** Surveyor Guidance: The Centers for Medicare & Medicaid Services (CMS) are clarifying requirements for providing services to justice involved individuals in skilled nursing facilities (SNFs), nursing facilities (NFs), hospitals, psychiatric hospitals, critical access hospitals (CAHs), and intermediate care facilities for individuals with intellectual disabilities (ICFs/IID).
Specifically, this guidance seeks to assure high quality care that is consistent with essential patient rights and safety for all individuals. (This policy memorandum replaces memo published 5/3/2016)

Updated guidance- Federal Requirements for Providing Services to Justice Involved Individuals

FSES update

December 22, 2016

Per CMS memo dated 12/16/2016

The Centers for Medicare & Medicaid Services (CMS) has adopted the 2012 Life Safety Code (LSC) and the 2012 Health Care Facilities Code (HCFC) through regulation (see 81 FR 26872, 5/4/16), effective July 5, 2016.
FSES Edition to be Used To Meet Fire Safety Requirements: If the FSES is being used to demonstrate compliance with the fire safety requirements, the version of the FSES for Health Care Occupancies and Board and Care Occupancies found in the 2013 edition of the Guide on Alternative Approaches to Life Safety, NFPA 101A must be used. A facility that achieves a passing score on the 2013 edition of the FSES will be considered to meet the fire safety requirements for certification and recertification with the Medicare and Medicaid programs.

Survey Start Date: CMS began surveying for compliance with the 2012 LSC and HCFC on November 1, 2016. Facilities may now use the 2013 edition of the FSES. * Time Limited Waiver for Corrective Action: Long Term Care (LTC) facilities using the FSES may be granted a time limited waiver to correct certain deficiencies.

FSES update

Clarification Auto Fire Sprinkler Sys Installation Requirements

December 22, 2016

Per CMS memo dated 12/15/2016

Sprinkler Requirement for Long Term Care Facilities:
On May 4, 2016, the Centers for Medicare & Medicaid Services (CMS) published the final rule Medicare and Medicaid Programs: Fire Safety Requirements for Certain Health Care Facilities (81 FR 26872). This regulation adopted the 2012 Life Safety Code (LSC), and the 2012 Health Care Facilities Code (HCFC). The 2012 LSC requires all existing and newly constructed health care facilities including long term care facilities to be equipped with a supervised automatic sprinkler system. This regulation requires compliance with the 2010 edition of National Fire Protection Association (NFPA) 13, Installation of Sprinkler Systems.

Sprinkler Installation Requirements for Attics containing Fire Retardant Treated Wood (FRTW): The use of FRTW is allowed to be installed in a facility in concealed or attic space without the installation of an automatic sprinkler system, provided that it meets certain conditions related to access, construction type, storage and fuel fired equipment. This is a change, because FRTW was not discussed clearly with regards to concealed spaces in the 2000 edition of the LSC or the 1999 edition of NFPA 13.

Clarification Auto Fire Sprinkler Sys Installation Requirements

Information Regarding State Civil Penalties

December 20, 2016

CMS Memo Dated 12/9/2016

December 12, 2016

The Centers for Medicare & Medicaid Services (CMS) will not enforce the new rule prohibiting skilled nursing facilities, nursing facilities and dually-certified facilities from using pre-dispute binding arbitration agreements while there is a court-ordered injunction in place prohibiting enforcement of this provision.

CMS Memo Dated 12/9/2016

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