Verity insights

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…

We trace how OIG’s guidance elevates patient safety and quality from ideals to daily compliance work, and share lessons from Corporate Integrity Agreements that separate paper programs from living systems. Practical tools, clear dashboards, and a culture of “why” turn metrics into safer resident care. • OIG focus on quality and patient safety as compliance…

We unpack the OIG’s nursing facility guidance on compliance education and show how to move from generic modules to risk‑based, competency‑driven training that protects residents. We connect risk assessments, CMS alignment, and real‑world methods like Gemba rounds to build proof of learning and safer care. • annual, data‑driven risk assessment guiding training focus • tailoring…

We examine how the federal shutdown disrupts nursing home oversight, why CMS triaged surveys to emergencies, and the risks created by fewer inspectors and furloughed staff. We share steps facilities can take to protect residents, drawing lessons from the OIG’s pandemic report. • status of the shutdown and date context • CMS priorities for complaint…