Risk Management

In a SNF, there are a lot of moving pieces, a lot to manage, and a lot can go wrong. Mitigating the risk of adverse events is a daily task. From care systems review and root cause analysis to anticipatory management, the resources below are designed to help you do just that. Protect your staff and residents now before you have to pick up the pieces after the fact. 

  • Fiscal Year 2017 HHS OIG Work Plan UPDATED

    By CMS - July 18, 2017
    The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan for fiscal year (FY) 2017 summarizes new and ongoing reviews and activities that OIG plans to pursue with respect to HHS programs and operations during the current fiscal year and beyond. Work planning is an ongoing and evolving process, and the Work Plan is updated throughout the year.
    Read more
  • Investigation Still Finds Some Nursing Home Staff Misusing Social Media re: Residents (6/17)

    By ProPublica - June 26, 2017

    Nursing Home Workers Still Posting Nude and Vulgar Photos of Residents on Snapchat

    Federal and state officials have increased their focus on the problem, but ProPublica found 18 incidents in the last year in which employees at nursing homes and assisted living facilities posted unauthorized photos and videos of residents on social media platforms.

    Read more
  • Emergency Preparedness / Appendix Z, State Operations Manual Update (6/17)

    By CMS - June 12, 2017

    Appendix Z, Emergency Preparedness Final Rule Interpretive Guidelines and Survey Procedures: Interpretive Guidelines. The Centers for Medicare & Medicaid Services (CMS) is releasing a new Appendix Z of the State Operations Manual (SOM), which contains the interpretive guidelines and survey procedures for the Emergency Preparedness Final Rule.

    Read more
  • Arbitration Agreements: CMS Issues Proposed Rule (6/17)

    By CMS - June 05, 2017
    The Centers for Medicare & Medicaid Services (CMS) issued proposed revisions to arbitration agreement requirements for long-term care facilities.  These proposed revisions would help strengthen transparency in the arbitration process, reduce unnecessary provider burden and support residents’ rights to make informed decisions about important aspects of their health care. 
    Read more
  • Requirement to Reduce Legionella Risk in Water System: CMS S&C Memo (6/17)

    By CMS - June 05, 2017
    Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires’ Disease (LD): Facilities must develop and adhere to policies and procedures that inhibit microbial growth in building water systems that reduce the risk of growth and spread of legionella and other opportunistic pathogens in water.
    Read more
  • Q&A: What is the best way to calculate the percentage of medication errors for the month?

    By Kathy Hurst. RN GN-BC, MSN, JD, Esq. - March 07, 2017
    Read more
  • Jimmo v. Burwell: Part A Therapy Decision Update (2/17)

    By Center for Medicare Advocacy - February 24, 2017
    Judge Accepts Medicare’s Plan To Remedy Misunderstanding on Therapy Coverage
    Read more
  • Medication Errors and Their Profound Impacts on the Long-Term Care Resident

    By Sophie A. Campbell, MSN, RN, CRRN, RAC-CT, CNDLTC - February 08, 2017
    Medication errors in long-term care facilities result in needless suffering and preventable costs. American researchers have estimated that for every dollar spent on drugs in nursing facilities, $1.33 in healthcare resources is consumed in the treatment of drug-related problems. Ferrah, Lovell, and Ibrahim (2016), in their discussion of the scale of preventable harm inflicted by medication errors on nursing home residents, state that adverse drug events (ADEs) reported for nursing home residents have an estimated incidence rate of 1.2–7.3 per 100 resident months, with an estimated annual cost of $7.6 billion nationally. Residents are especially vulnerable to ADEs because of their multiple comorbidities and complex drug regimens as well as the higher potential for drug interactions due to age-related physiological changes. These age-related changes, in turn, increase the difficulty of attributing symptoms to adverse drug reactions.
    Read more
  • 2014 SNF Utilization and Payment Public Use File (SNF PUF) Released by CMS (1/17)

    By CMS - January 19, 2017

    CMS has posted the second annual release of the Skilled Nursing Facility Public Use File (Skilled Nursing Facility PUF) with data for 2014. The Skilled Nursing Facility PUF presents summarized information on services provided to Medicare beneficiaries by skilled nursing facilities. It contains information on utilization, payment (Medicare payment and Medicare standardized payment), submitted charges, and beneficiary demographic and chronic condition indicators organized by CMS Certification Number (6-digit provider identification number), Resource Utilization Group (RUG), and state of service. 


    The new 2014 PUF has information for 15,026 skilled nursing facilities, almost 2.5 million stays, and over $27 billion in Medicare payments for 2014. New in the 2014 data is the demographic and chronic condition information. CMS protects beneficiaries’ personal information in all public data releases.

    Read more
  • Winter is Here: Keep Your Residents Safe

    By Caralyn Davis, Staff Writer - January 18, 2017
    Snow, ice, freezing temperatures—winter ushers in a host of weather conditions that can impact the frail elderly. Some of the issues that directors of nursing services (DNSs) should consider during the winter months include the following:
    Read more
  • Q&A: Is anyone using photos to document the status of wounds in the medical record? If so, would you be willing to share your policy procedure?

    By Barbara Bates, RN, MSN, DNS-CT, RAC-CT, QCP - January 18, 2017
    Read more
  • Q&A: Would anyone be willing to share their facility's procedure regarding reporting and documenting medication errors?

    By Kathy P. Hurst RN, GN-BC, CHC, MSN, JD, Esq. - January 18, 2017
    Read more
  • INTERACT Hospitalization Tracking Tools for 2017 and Bridging 2016 - 2017

    By INTERACT - December 28, 2016
    The INTERACT 2017 Tracking Tool has been loaded onto the INTERACT website. 
    Read more
  • Life Safety Code Fire Safety and Fire Sprinklers: Two CMS S&C Memos (12/16)

    By CMS - December 23, 2016

    (1) Use of the Fire Safety Evaluation System (FSES), National Fire Protection Association (NFPA) 101A, Guide on Alternative Approaches to Life Safety, 2013 Edition by Health Care Occupancies and Board and Care Occupancies and (2) Clarification of Automatic Fire Sprinkler System Installation Requirements in Attic Spaces in Long-Term Care (LTC) Facilities.

    Read more
  • Want to Test Change Using a PDSA Cycle? Here's a Tool (11/16)

    By National Nursing Home Quality Improvement Campaign - November 02, 2016

    This tip sheet explains how to test change using a PDSA cycle. Tips on how to start small and collect data are also provided. 

    Read more
1 of 3 Next