The Academy of Senior
Health Sciences, Inc.
17 South High Street, Suite 770
Columbus, OH 43215
Fax: 614.461.7168

The Academy of Senior Health Sciences, Inc: Reference Library

  "Excellent Ideas" for the Advancing Excellence Campaign

  Electronic Resources from CMS

  Top 10 Deficiencies, 2012

Nursing Homes — LSC

  • K209 Hazardous areas 246
  • K062 Automatic sprinkler systems are operable 243
  • K018 Corridor doors 225
  • K050 Fire drills 200
  • K144 Inspecting, testing and maintenance of generators 118
  • K038 Exit access is so arranged that exits are readily accessible at all times 207
  • K147 Management of electrical equipment 183
  • K052 Fire alarm system 140
  • K012 Building construction 132
  • K056 Does automatic sprinkler system exist and is it installed properly 130
Nursing Homes — Health Deficiencies
  • F232 Accidents & supervision 287
  • F441 Infection control 279
  • F309 Quality of care 266
  • F329 Unnecessary drugs 248
  • F279 Develop comprehensive care plans 224
  • F371 Sanitary conditions, food prep & service 199
  • F514 Resident records, complete, accurate & accessible 166
  • F225 Investigate/report allegations 165
  • F431 Drug records label/store drugs & biological 144
  • F226 Develop/implement abuse & neglect policies 143
ICF/IID — Health Deficiencies
  • W249 Program implementation 58
  • W120 Services provided with outside sources 56
  • W369 Drug administration 52
  • W149 Staff treatment of clients 39
  • W331 Nursing services 38
  • W436 Space and equipment 31
  • W153 Staff treatment of clients 31
  • W247 Individual program plan 29
  • W154 Staff treatment of clients 28
  • W192 Staff training program 28
RCF — Health Deficiencies
  • R0277 Building, plumbing & fire safety requirements 80
  • R0233 Dietary services; supervision of special diets 60
  • R0255 Changes in resident health status; incident 40
  • R0146 Qualifications and health of personnel 33
  • R0234 Dietary services, supervision of special diets 31
  • R0197 Personal care services 27
  • R0332 Building maintenance, equipment and supplies 25
  • R0177 Resident health assessment 23
  • R0309 Space requirements 21
  • R0151 Qualifications and health of personnel 21

  MDS 3.0 Update

  Five Star Quality Rating

CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily and to help identify areas about which you may want to ask questions.

The Nursing Home Compare Web site now features a quality rating system that gives each nursing home a rating of between 1 and 5 stars. Nursing homes with 5 stars are considered to have much above average quality and nursing homes with 1 star are considered to have quality much below average. There is one Overall 5-star rating for each nursing home, and a separate rating for each of the following three sources of information:

  • Health Inspections – The health inspection rating contains information from the last 3 years of onsite inspections, including both standard surveys and any complaint surveys. This information is gathered by individuals who go onsite to the nursing home and follow a specific process to determine the extent to which a nursing home has met Medicare’s minimum quality requirements. The most recent survey findings are weighted more than the prior two years. More than 200,000 onsite reviews are used in the health inspection scoring nationally.

  • Staffing – The staffing rating has information about the number of hours of care on average provided to each resident each day by nursing staff. This rating considers differences in the level of need of care of residents in different nursing homes. For example, a nursing home with residents who had more severe needs would be expected to have more nursing staff than a nursing home where the resident needs were not as high.

  • Quality Measures (QMs) – The quality measure rating has information on 10 different physical and clinical measures for nursing home residents - for example, the prevalence of pressure sores or changes to resident’s mobility. This information is collected by the nursing home for all residents. The QMs offer information about how well nursing homes are caring for their residents’ physical and clinical needs. More than 12 million assessments of the conditions of nursing home residents are used in the Five-Star rating system.

Academy members can find more information by visiting CMS's Five-Star Quality Rating website or contacting our office.

  ODJFS MDS Section Q Training Materials

  2012 Medicare Therapy Fee Schedule

  Federal Payment Rate Calculations

  New RCF Rules (Effective April 1, 2007) — Five Year Review

The following documents are now available in PDF format:

Summary of RCF Rule Changes
17-50: Definitions
17-51: General Provisions & Prohibitions
17-52: Licensure
17-53: Inspections & Investigations
17-54: Personnel Requirements
17-55: Qualifications & Health of Personnel
17-57: Resident Agreement
17-58: Resident Health Assessments
17-59.1: Personal Care Services
17-59.1: Part-Time Skilled Nursing Care
17-60: Dietary Services
17-61: Laundry Services
17-63: Building, Plumbing, & Fire Safety
17-64: Space Requirements
17-65: Building Maintenance
17-67: Records & Reports

  Featured Article

  The Academy Weekly

  The Academy Advocate