Background Checks for Nursing Homes and Assisted Living Facility Employees

Many nursing homes and assisted living facilities may be unsure whether they are required to conduct background checks for independent contractors with direct client contact (such as dieticians and medical directors). The question arises because there appears to be a conflict between the Texas Health and Safety Code and a DADS handbook. Under Texas Health and Safety Code Section 250.002, nursing [...]

New Interpretive Guidance on Quality of Life and Environment

On June 12, 2009, Appendix PP, pertaining to nursing facilities, was revised with regard to F-tags 172, 175, 241, 242, 246, 247, 252, 255, 256, 371, 461 and 463. Here is a copy of the CMS Transmittal detailing the changes: Transmittal 48 James M. Berklan, editor of McKnight’s Long-Term Care News says the following about [...]

TAHSA Hosts First Webinar Training

On Wednesday, October 1, TAHSA is hosting its first webinar training. In the comfort of your office or home, you can learn about coming trends in technology in long term care. You may register by going here.

Are You Ready for the Latest Changes to the SOM? Tags 325 and 371

On September 1, 2008, changes within Appendix PP of the State Operations Manual become effective. The changes involve deleting F326 and incorporating that tag’s guidance into F325 and deleting F370 and incorporating it into F371. However, the changes are voluminous compared to what exists now. You may find the changes here, comprising 58 pages. The [...]

The Fairness in Nursing Home Arbitration Act of 2008

Congress is considering the Fairness in Nursing Home Arbitration Act of 2008, which make pre-admission arbitration agreements invalid and unenforceable. The House Judiciary Subcommittee on Commercial Law and Administrative Law just approved the bill and refused amendments which would prevent it from being applied retroactively, among other things. Specifically, the bill: …requires that agreements to [...]

Provider Letters: National Provider Identifier and Criminal History Checks

April 27 The Texas Department of Aging and Disability Services (DADS) informed nursing facilities, community services, ICF/MR, and therapy providers about the National Provider Identifier (NPI) reporting process. An NPI is a 10-digit number used to identify health care providers. To prevent delays in billing, all providers that contract with DADS are required to report [...]

STAR+PLUS Clients Letter and Fire Authority Memo

In a letter dated April 26, the Texas Department of Aging and Disability Services informed nursing facility providers new to the STAR+PLUS program about the program’s enrollment procedures and assured them that effective January 1, 2007, the STAR+PLUS enrollment will not impact the nursing facility process. For more information, download the letter here. The Centers [...]

CMS Webcast On Improving Nursing Home Quality and Payment

On Friday, March 23, 2007, the Centers for Medicare and Medicaid Services (CMS) broadcast a two-hour presentation on improving nursing home quality and payments via satellite and the Internet. The presentation was shown on the CMS digital network channel 712. Providers interested in seeing the presentation can watch it via webcast for up to 12 [...]

DADS Letters and Memorandum: Drug Destruction Records, Etc.

In a letter dated March, 6, the Texas Department of Aging and Disability Services (DADS) reminded nursing facilities of the state requirement that medications of deceased residents, expired medications, and discontinued medications must be disposed as instructed by government laws and rules. For more information, download the letter here. DADS also issued a federal survey [...]

Provider Letters: Desk Review and NPI Collection Process

In a letter to Home and Community Support Services Agencies, the Texas Department of Aging and Disability Services (DADS) reminds these providers of the requirement to report allegations of abuse, neglect, or exploitation of clients to DADS and the Department of Family and Protective Services (DFPS). These incidents previously were investigated by on-site visits. In [...]

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