Effective October 1, 2019, CMS will replace the prospective payment system for skilled nursing facilities, Resource Utilization Group (RUG-IV), with a new prospective payment system called the Patient-Driven Payment Model (PDPM).[1] In all … [Read more...] about Final Rules for New Medicare Reimbursement System for Skilled Nursing Facilities: Goodbye Therapy
Skilled Nursing Facility
Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
The Centers for Medicare & Medicaid Services (CMS) identifies some of the most poorly performing nursing facilities in the country as Special Focus Facilities (SFFs). In this Second Report on SFFs, the Center for Medicare Advocacy looks at … [Read more...] about Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
The Centers for Medicare & Medicaid Services (CMS) identifies some of the worst performing nursing facilities in the country as Special Focus Facilities (SFFs). This Report looks at one of the four categories of SFFs – those that … [Read more...] about Special Focus Nursing Facilities that “Have Not Improved:” Poor Care for Residents, Overall Ratings Artificially Boosted by 5-Star Ratings in Self-Reported Quality Measures
Medical Loss Ratios for Nursing Homes: Protecting Residents and Public Funds
A joint Statement from the Center for Medicare Advocacy and the Long Term Care Community CoalitionBackground. Substandard care and insufficient staffing are longstanding problems in too many nursing homes across … [Read more...] about Medical Loss Ratios for Nursing Homes: Protecting Residents and Public Funds
Nursing Facilities’ “Quality Measures” Do Not Reflect Actual Quality of Care Provided to Residents
The Center for Medicare Advocacy wanted to determine whether nursing facilities that had one-star in their health survey ratings on Nursing Home Compare were able to boost their overall ratings from one star to two stars through the designation of … [Read more...] about Nursing Facilities’ “Quality Measures” Do Not Reflect Actual Quality of Care Provided to Residents
Center for Medicare Advocacy Co-Authors Case Study Journal Article on Nurse Staffing Litigation in Arkansas
Charlene Harrington, professor emerita at the University of California San Francisco, and Center for Medicare Advocacy Senior Policy Attorney Toby S. Edelman have written an analysis of the class action lawsuit against twelve Golden Living nursing … [Read more...] about Center for Medicare Advocacy Co-Authors Case Study Journal Article on Nurse Staffing Litigation in Arkansas
Special Report – Special Focus Facilities: Poor Care for Residents, Limited Consequences for Providers
The Center for Medicare Advocacy issues this Special Report to shine a light on nursing homes throughout the country that have been identified as providing the poorest quality care to residents – while facing limited, if any, enforcement action … [Read more...] about Special Report – Special Focus Facilities: Poor Care for Residents, Limited Consequences for Providers
Special Focus Facilities: Poor Care for Residents, Limited Enforcement Consequences for Facilities
Nursing facilities that are identified as among those providing the poorest quality care to their residents face limited, if any, enforcement actions. This Report looks at these nursing facilities.BackgroundIn cooperation with states, … [Read more...] about Special Focus Facilities: Poor Care for Residents, Limited Enforcement Consequences for Facilities
Nursing Home “In-House” Managed Care Plans May Harm Residents
An emerging issue of concern for advocates is nursing facilities’ increased marketing of “in-house” managed care plans – specifically, Institutional Special Needs Plans, or I-SNPs – to their residents.[1] These … [Read more...] about Nursing Home “In-House” Managed Care Plans May Harm Residents
The New York Times Shows Nursing Homes Are Not Meeting Staffing Requirements
______________The front page of The New York Times last Sunday—July 8, 2018—featured an article on nursing home staffing. “’It’s Almost Like a Ghost Town.’ Most Nursing Homes … [Read more...] about The New York Times Shows Nursing Homes Are Not Meeting Staffing Requirements