DADS News Alerts: Recovery Audit Program

--  On February 18, 2014, CMS posted important information on the transition process in preparation for the next round of Recovery Audit Program contracts and will continue to update the site with more information as it becomes available. --  CMS posted two updated reference documents to provide technical information relevant to the Nursing Home Compare web site for certified NFs and the Five Star Quality Rating System under the Downloads section. --  DADS will present the proposed draft of … [Read more...]

IL/News Alerts: 1/23 Call, Conference Reminder

DADS released one information letter: CCAD, RC, CBA, AL, and PC3 services providers: HHSC approved rate changes for the CCAD RC program, CBA AL services and CBA PC3 services. (Letter) --  CMS will hold a conference call for software developers and vendors related to the upcoming October 2014 updates to MDS 3.0. on Thursday, January 23, 2014. From the news alert page: A portion of this call will include a question and answer session specific to the October 2014 release. If you wish your … [Read more...]

Common Nursing Facility Survey Deficiencies

McKnights Long Term Care News offers a free webinar entitled "2012 Survey Update: The Least You Need to Know" on common nursing facility deficiencies. Linda Elizaitis, president of CMS Compliance Group and one of the speakers, stated the most common nursing home citations have to do with kitchen sanitation, infection control, management of resident care plans and medication dispensing procedures. Elizaitis noted that state surveyors have also honed in on matters of resident dignity, and … [Read more...]

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 the changes: Uncle Sam has put in his order for a heaping dose of resident choice and flexibility. Here's hoping you have your order pad and pencil at the ready, … [Read more...]

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 old sections are here and here. The changes concern nutrition, therapeutic diets, approved food sources and food sanitation. Be ready. … [Read more...]

Provider Letters: Workload Prioritization of Initial Certification Surveys, OASIS-B1

The Texas Department of Aging and Disability Services (DADS) issued a provider letter to Nursing Facilities and Hospitals Seeking Medicare Certification for a Skilled Nursing Care Unit to inform them about new policy documents issued by the Centers for Medicare and Medicaid Services (CMS) regarding workload prioritization on initial certification surveys. Attached to the two-page letter is a two-page Q&A memo. Download the letter and attachment here for more information. CMS published … [Read more...]

Cooperation Key to Nursing Home Quality Improvements

Mary Ousley, past chair of the American Health Care Association, which represents long term care providers, testified before a congressional committee last week about the long term care profession’s experience with the Omnibus Budget Reconciliation Act of 1987 (OBRA ‘87). OBRA '87 is considered landmark legislation because it established many nursing home oversight rules in place today. Ousley said that in order to improve nursing facilities, providers, regulators, and consumers must … [Read more...]

Texas Register Updates for March 9 and 16

March 9 The Texas Health and Human Services Commission (HHSC) announced on behalf of the Texas Department of Aging and Disability Services (DADS) that it has adopted the repeal of §§7.301 - 7.311 and §§7.313 - 7.316 in Chapter 7. The repeal is intended to facilitate the consolidation of rules dealing with volunteer programs and donations to DADS by striking obsolete rules. For more information, see the relevant section in the March 9 Texas Register. Additionally, HHSC will submit an … [Read more...]

Federal and State Survey Letters

There have been several survey and certification letters posted on the Texas Department of Aging and Disability Services web site since January. Please click on the titles to download letters in PDF format. Federal Multiple Providers -- Medical Gas Storage and Usage Considerations (1/12/07) Publication of the Hospital CoPs: Requirements for H and P; Authentication of Verbal Orders; etc. (1/26/07) Electronic Signature Guidance in Inpatient Rehabilitation Facilities (IRFs) … [Read more...]

Provider Letter: Joint Training Survey Announcement

In a new provider letter, the Texas Department of Aging and Disability Services (DADS) has asked assisted living facilities to complete a survey about their needs and preferences for future joint training courses. DADS offers courses to assisted living providers “related to common deficiencies and violations” and other topics of interest. To participate in the survey, follow this link. You may view the course offerings here and download the provider letter here. … [Read more...]