gonenutz

gonenutz specializes in LTC/SNF.

Latest Activity

1. State audits of MDS

   gonenutz replied to Ruas61's topic in MDS

   We get a call the night before asking for a list of MI residents, traumatic brain injuries, stage 3 or 4 wound ( none thank godness) and a resident roster. No list of which MDS though. that would be nice.

2. LPN nurse manager in LTC

   gonenutz replied to RubyRN,CHPN's topic in LTC Directors

   I am not own to take constructive critisms to heart, I take it as a learning experience. Like I said it must vary from state to state. And I am supervised by my nurse consultant. As for nursing assessments and care plans LPN do thm in my state. they...

3. state reportables

   gonenutz replied to travel50's topic in LTC Directors

   Ours have to come out on any complanits or reportables. The have a complaint survory for each region that takes care of the complaints. we get a lot of digruntled employee complaints.

4. state reportables

   gonenutz replied to travel50's topic in LTC Directors

   I am jealous of all. Any compliant or reportable to the state where i am from the state has to come in and do a facility visit. thus the complaint/reportable is deamed substanciated or not and we have to proceed from there. It doesn't matter what you...

5. LPN nurse manager in LTC

   gonenutz replied to RubyRN,CHPN's topic in LTC Directors

   I agree it depends on the state and the size of the facility. I am a LPN and worked as an Acting DON for almost three years. I feel that it is base on the state laws and ultimately the LPN's expierence. Some states allow you to apply for waivers wher...

6. State audits of MDS

   gonenutz replied to Ruas61's topic in MDS

   In Indiana it is usually once a year but they have a 15 month window from your last audit to come in. If for some reason your CMI increases drastically or the notice anything odd in the patterns of your MDS submissions they can come in at anytime. Wo...

7. EDS AUDIT

   gonenutz replied to gonenutz's topic in MDS

   In Indiana EDS is a contract company that comes in and audits the mds' in the payable sections. we have supporting documentation guidelines we have to follow to goalong with the payable items. In a nut shell they come in every year to audit theMDS to...

8. EDS AUDIT

   gonenutz posted a topic in MDS

   I am from Indiana and I have a couple of builings in their window for their audits. Does anyone have any tips on what EDS' targets are this month? They tend to get on their tangents. I had one building that they couldn't find any issues so they tried...

9. MDS 3.0 Delay?

   gonenutz replied to lisalake's topic in MDS

   I am also in Indiana and have spoke with the state mds coordinator and a few of my other consultant contacts and the impression that I have got is there is a few things that CMS wants to tweak before they train the trainer. Most of the coordinators c...

10. What do you wear?

    gonenutz replied to catnip3's topic in MDS

    Scrubs all the way! What happens if you get pulled to the floor to work? I don't know about anyone else but I know I don't want to be doing patient care in business or even business casual wear, especially a dress. As for whites that is fine but in m...

11. Help With Supporting Documentation.

    gonenutz replied to gonenutz's topic in MDS

    I can't code if the documentation isn't there and in this last wuarter my CMI has dropped signifignantly. the DON and administrator has chalked it up to we have lost a few of our long termers with higher rugs and no we have a lot of walky talkies. Tr...

12. Section G

    gonenutz replied to toicole's topic in MDS

    I was taught to code independent ambulatory residents on or off the unit as 0/1 because they are ambulating indepedently but if you or your staff observe them while ambulating at least once during that shift you can code as supervision. Just be sure ...

13. Where do you keep your care plans?

    gonenutz replied to BEDPAN76's topic in MDS

    We keep our care plans in a binder along with the quarterly assessments and MDS. Each resident has their own binder. It works out well everything r/t the MDS is in the binder and are kept at the nurses station in a cabinet designed just for these bin...

14. chart review

    gonenutz replied to littlebit1's topic in LTC Directors

    I am currently in my survey and would greatly appreciate if you could send me a copy of your form also, i know it is not going to help now but will with plan of correction.:bowingpur

15. Off Cycle Quarterly

    gonenutz replied to miccay's topic in MDS

    In my experiences and references from the RAI, you can do a quarterly assessment at any time during your 92 day cycle to capture what ever it may be that is going to increase your rug score and it does reset the 92 cycle from that r2b date. This also...