Nursing home not able to admit medicare patients

[Sarah Jayne]

How bad is it for a nursing home to loose its right to admit medicare patients? Is that common? Would you as an employee stay away from a nursing home that had this happen?

[SuesquatchRN, BSN, RN]

Well, my facility was barred for a deficiency in diabetes management that did NOT result in actual harm to anyone. The bar was cleared up quickly.

[eldragon]

You really need to find out why they can't admit medicare patients. There could be many reasons.

Is the facility full of private pay residents?

[Sarah Jayne]

No. They were kinda low on census for a while and even advertised that they had open beds.

My friend and I are still trying to figure out the state survey. She can't ask questions at work because noone will give her a straight answer and everyone hushes up when the subject is raised.

It's weird.

[eldragon]

You can look at any state survey online by going to the medicare website. You can search by town or facility name and it tells you the citations of each facility per year.

Just search state nursing home surveys.

[CapeCodMermaid, RN]

Well, my facility was barred for a deficiency in diabetes management that did NOT result in actual harm to anyone. The bar was cleared up quickly.

Did you go into Immediate Jeopardy? I've known places that got G tags and weren't closed to Medicare admits.

[pielęgniarka, RN]

It might not be a life or death situation: If a facility does not correct or submit a plan of correction for the deficiencies from state before they do a follow up visit, the facility can be fined and lose their right to accept medicare pts, which is a major source of revenue. It could be a bunch of little tags or more severe tages, it just has to do with how the administrators responded to it. If the place is not motivated or organized enough to correct the deficiencies I would stay away, sounds like a mess.

[SuesquatchRN, BSN, RN]

Did you go into Immediate Jeopardy? I've known places that got G tags and weren't closed to Medicare admits.

We must have, as we were closed to Medicare admissions.

I wasn't working IN the NH at the time.

[nckdl]

Are you sure you are closed to ALL Medicare admissions? A couple months ago my facility learned that we couldn't accept certain admissions that we normally would have due to a change in Medicare reimbursement. There wasn't anything that we did wrong, just we wouldn't get paid for it anymore so we had to turn away admissions even though we were low census.

[Moogie]

I recently heard about a facility that was prohibited from admitting new Medicare residents because of severe deficiencies that had the potential or actually caused harm to the residents. It seems to be falls and lack of skin care (including repositioning and turning) that create the actual harm.

I wonder if this is what the OP meant.