Month: November 2012

Piercing the corporate veil: Strategies to reduce corporate negligence claims in LTC lawsuits

Nursing home and assisted living operators are seeing a marked increase in “piercing the corporate veil” theories and corporate negligence claims in malpractice litigation. The good news is facilities can and should employ strategies that can help insulate them from these claims. Read More »

Nursing care occupancy performance stable overall, but varies by market

The stability in nursing care market fundamentals continues, as occupancy remains essentially flat. In the third quarter of 2012, nursing care occupancy was 88.0 percent, an increase of 10 basis points from the prior quarter and a 30 basis point decline during the past year. Read More »

2012 LTC rate report: Nursing homes reach $90k, market ripe for adult day services

Skilled nursing facility private room rates rose by 3.8 percent compared to last year, reaching a national average of $90,520 per year. But two sectors of long-term care had no cost increases at all, according to the annual survey from MetLife Mature Market. Read More »

One-on-one with… Eileen Malo

Eileen Malo, CEO of Schervier Nursing Care Center in Riverdale, N.Y., shares her insights on continuing to provide efficient and compassionate care to the growing numbers of seniors whether they reside in an LTC facility or in the community. Read More »

High-tech, high-touch connectivity

While attending the LeadingAge Conference in Denver last month, I had the opportunity to converse with Conrad, a well-spoken 80-year-old who was representing his CCRC board at this conference. What impacted me most about my chat with Conrad was his desire to be connected and to be heard. Read More »

SNFs: Be nimble, resourceful and ready to fight

The clarion call to action grows ever louder: In addition to lobbying their local lawmakers, long-term care providers must best position their organizations to serve a rapidly changing healthcare system or face demise. Read More »

HHS submits rules for state insurance exchange benefits

The Department of Health and Human Services has submitted another rulemaking piece on state health insurance exchanges to the Office of Management and Budget—the last step before publication. Read More »

AHCA launches Ad firestorm at Congress: No Medicare/Medicaid cuts

Long-term care organizations are using an aggressive advertising campaign to tell Congress to end the deep cuts to Medicare and Medicaid reimbursements. Read More »

A long-term care life without mirrors

Life without mirrors does not seem strange until I go to a store where there are many. Then, without trying I get an occasional glance of my hair or skin to see how my face is aging. Sometimes I am aghast thinking I look tired. Other times I look quickly and just keep moving. Read More »

Providers get $8.36 billion in Meaningful Use payouts for EHR goals

Under the Centers for Medicare & Medicaid Meaningful Use incentive program for the use of electronic health records, eligible providers have received more than $8 billion in incentive payouts since the program began in early 2011, according to this week's report. Read More »

Post-acute care market awaits Allscripts’ fate

Just as documentation requirements begin to heat up, healthcare technology circles are abuzz as executives confirm that electronic medical record system vendor Allscripts Healthcare Solutions may be up for sale. Read More »

Recovering from disaster in long-term care

A good percentage of disaster management is “getting your ducks in a row.” Most of this involves establishing appropriate relationships that may be premised on contacts, formalized agreements and memorandums of understanding with vendors of essential services and other facilities that may be needed to provide evacuation and relocation assistance during the disaster recovery phase. Read More »

Dementia-friendly bathing

Bathing a person with Alzheimer's or other dementias can be a challenge and a frustration for the individual and the caregiver. Cindy Keith, RN, BS, is a certified dementia practitioner, lecturer and trainer. Her practical advice can ensure that frayed nerves, tempers, and emotions will not "bubble" up to ruin what should be a pleasurable experience. Read More »

What President Obama’s re-election means for the future of long-term care

The votes are in: The Obama Administration now has four more years to further the healthcare initiatives begun under the 2010 Affordable Care Act. So, what happens next? Long-term care leaders, providers and industry experts weigh in on the implications of President Obama's reelection for the U.S. healthcare system and, specifically, the LTC industry. Read More »

2012 Elections: President Obama wins, balance of Congress retained

Voters returned President Obama to the White House, overcoming a resistance to his agenda by Congressional Republicans, an anemic economic recovery and a divided nation. Watch for Long-Term Living's continuing coverage and analysis of the presidential election. Read More »

Prescriptions for disaster

During health emergencies and disasters, two resources can play important roles in keeping seniors and their medications connected. Read More »

Blanket waivers issued for New York and New Jersey in Hurricane Sandy’s wake

The Centers for Medicare & Medicaid Services has granted blanket waivers for New York and New Jersey after Hurricane Sandy, easing the regulations required of long-term care and other health providers. Read More »

Incontinence: Documentation risks and payment issues

How many of your residents have some sort of incontinence? More than you think. Improper assessment and MDS 3.0 coding of incontinence can result in inadequate treatment for residents, costly overuse of incontinence products and payment issues for caregivers. Read More »

What are your employees’ most expensive health risk factors?

A recent study links almost one-quarter of employer/employee health spending to a list of just 10 health risks. What’s the No. 1 health risk? Surprise: It’s not smoking. Read More »

Voting in a nursing home

When I first went to a nursing home in 1996, I did not know how voting was handled. When I learned I would be voting in a group with a person from the board of elections assisting, I was uncomfortable. Read More »

ACA health benefits: Some employers rethink their workforce to avoid paying

The new employee benefits rules created under the Affordable Care Act (ACA) don’t go into effect until Jan. 1, 2014, but some employers are making changes to their workforce structures already, hoping to avoid the the coverage changes and penalties. Read More »

Medicare rule is a barrier to hospice, study finds

Skilled nursing or hospice? Medicare policy prevents residents from seeking both types of care simultaneously, which can result in unwanted levels of treatment at the end of life, especially for residents with dementia. Read More »

CMS: Waiver status issued for New York state in Sandy’s wake

An emergency response meeting held by the Centers for Medicare & Medicaid Services answers some questions on coping with the aftermath of Hurricane Sandy in New York, but many issues remain for long-term and acute care facilities in other states. Read More »

How to help new residents adapt to nursing home life

The Savvy Resident’s Guide, a book written by psychologist and Long-Term Living contributing writer Eleanor Feldman Barbera, covers just about every concern a new nursing resident might have, explaining how nursing homes work and how people can make the most of their stays. I encourage LTC providers to consider providing this book to residents and their families upon admission. Read More »

HHS waives Medicare, Medicaid requirements for NYC facilities affected by hurricane

Health and Human Services (HHS) Secretary Kathleen Sebelius today declared a public health emergency for New York City. This declaration allows HHS to waive or modify certain Medicare, Medicaid and Children’s Health Insurance Program requirements. Read More »

Study shows drug costs for normal aging conditions surpass costs of treating most chronic diseases

Prescription drug treatment regimens for conditions that are a normal part of aging are now costing the nation more than many serious and potentially life-threatening diseases, according to a new study. Read More »