Verity insights

We focus on how nursing facilities can reduce avoidable emergency room transfers and hospital readmissions by finding clinical changes sooner and acting on them consistently. We connect resident safety, family decision-making, and CMS quality measures to practical systems like dashboards, structured assessments, and ongoing education. • proactive care planning as the foundation for fewer ER…

We break down why nursing home residents are sent to the emergency room and admitted to hospitals, and why regulators pay close attention to whether those transfers are preventable. We explain how a simple dashboard and better trending can reveal root causes, improve early detection, and strengthen quality reporting.

We break down what a systems-based approach really means in nursing home quality and compliance and why a solid process beats relying on individual effort. We share a practical meeting and worksheet example, plus how to adapt when real-world disruptions threaten consistency.

We build on fall prevention and root cause analysis by asking compliance committees to take a deeper look at resident falls through targeted audits. We share two practical tools to guide record reviews, surface contributing factors, and strengthen a culture of safety and readiness across the whole facility. • Building on prior fall prevention conversation…

A troubling statistic sits at the center of today’s conversation: 43% of nursing home falls with major injury and hospitalization went unreported through the MDS. We dig into what that means for resident safety, survey outcomes, quality measures, and reimbursement—and how to fix it fast. Joining me is Janeen Earwood, a physical therapist with four…

Numbers can light the way or lead us astray. We break down how to build dashboards in long-term care that leaders can actually trust, from defining a “fall with major injury” to validating every step between an incident report and a board-ready chart. As a registered nurse and healthcare analyst, I share a practical blueprint…

https://www.cms.gov/files/document/qso-23-05-nh-adjusting-quality-measure-ratings-based-erroneous-schizophrenia-coding-and-posting.pdf

“OIG recommendations, which aim to prevent fraud and promote efficiency in federal programs, should be treated like rules, according to Alicia Cantinieri, managing director of clinical reimbursement and regulatory compliance at Zimmet Healthcare. She outlined features of a more airtight compliance program for nursing homes that meets CMS requirements while incorporating OIG guidance during a…