by Proactive Medical Review | May 18, 2022 | 5 Star, Falls, Q&A
Q: Let’s say I have a resident fall with injury on January 1st. How many days have to pass before it will drop off and not count against us as far as our 5-star rating? A: The fall with major injury will be included in the QM % for the quarter if it was coded on...
by Proactive Medical Review | Apr 20, 2022 | 5 Star, blog, Quality Measure
Effective with the April 2022 Five-Star refresh, CMS is now implementing the planned, regular increases to the Quality Measure (QM) rating thresholds, that were originally announced to begin in 2019 but were delayed due to the public health emergency. With the April...
by Proactive Medical Review | Dec 7, 2021 | 5 Star, blog, Infection, Quality Measure
Overview of F690 F690 indicates that an indwelling catheter should not be inserted unless clinically indicated and removal should occur as soon as possible. Providers and nursing staff should assess risks to avoid complications, such as CAUTI (Catheter Associated...
by Proactive Medical Review | Sep 13, 2021 | 5 Star, blog, Compliance, Falls, Nursing, QAPI, Quality, Regulatory, SNF, Survey
F689 Free of Accident Hazards/Supervision/Devices has been the third most frequently cited F tag so far in the 2021 fiscal year per Casper data (9/5/21). 3,466 citations have been issued nationally for the 16.6% of providers surveyed. Scope and Severity has ranged...
by Proactive Medical Review | Sep 8, 2021 | 5 Star, blog, Nursing, Quality Measure, Regulatory
The prevalence of pain in long-term care residents is estimated to range from 49% to 83%” (Fox, Raina, & Jadad, 1999). Chronic pain is the top cause of long-term disability in the US, and advanced age a key indicator of chronic pain risk (Ljubica Cvetkovska)....
by Proactive Medical Review | Aug 16, 2021 | 5 Star, blog, Nursing, Regulatory, Survey
F761 Label/Store Drugs and Biologicals is currently the 8th most frequently cited deficiency throughout the nation thus far in FY2021. Source: CASPER 08/08/2021 REGULATION The F761 regulation includes three requirements: Labeling – (1) Drugs and biologicals...
