Archived Posts

Understanding the Latest LTC Regulatory and Survey Changes
Posted by LTCS on October 16, 2017

In the latest updates published by CMS the big changes are the Entrance Conference Form, Matrix for Providers, and guidelines on how long term care facilities should provide trauma-informed care. The survey pathways simply list the surveyor guidance in a checklist form.

Reform of Requirements for Long-Term Care Facilities

LTCS Federal and State Regulations Guide

MDS Item Changes for October 2017
Posted by LTCS on September 28, 2017

The CMS Draft Version 1.15.x proposes new items for the MDS 3.0. Opioid use will be addressed in section N. An antipsychotic medication review will ask for information on the last attempted gradual dose reduction, and if no reduction was attempted, whether the resident’s physician has documented that dose reduction is contraindicated.

Coding Section N Medications

Section P will change its item sets on restraints to include alarms, including electronic devices, bed and chair alarms, floor mat alarms, and motion sensor alarms.

Coding Section P Restraints and Alarms

Proposed Revisions to PPS and MDS
Posted by LTCS on September 22, 2017

Case mix methodology will be changed and the MDS form streamlined next year, according to proposed changes recently announced by CMS.

RUGs would be replaced with the Resident Classification System, RCS-1 which would adjust for therapies, nursing services, and non-therapy ancillaries for a more resident centered allocation of resources.

Therapies would be assessed by resident characteristics rather than therapy time.

All PPS assessments would be eliminated except for the 5 Day and Significant Change of Status MDS.