gonenutz

gonenutz

LTC/SNF

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All Content by gonenutz

  1. State audits of 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

    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

    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

    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

    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

    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

    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...
  8. EDS AUDIT

    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...
  9. MDS 3.0 Delay?

    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?

    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.

    i work as a coordinator in indiana and for the payable items on the mds i have to have supporting documentation to validate. i do monthly in-services to address these issue and the documentation will get better for a few days and then goes back to sl...
  12. Help With Supporting Documentation.

    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...
  13. Section G

    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 ...
  14. Where do you keep your care plans?

    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...
  15. chart review

    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
  16. Off Cycle Quarterly

    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...
  17. Mds Nurse And Actng Don

    the don at our facility recently put in her notice and i am currently filling the role of acting don, plus i still have all my responsibilities of being mds coordinator. i am usually very organized and do not get flustered easily. right now i feel co...
  18. Mds Nurse And Actng Don

    I am not one that takes things personally.I do have experience as an ADON, I have just never had to do the two roles together. As I said before we are a small corporation and it is not in my budget to have unit managers so that is not an option for m...
  19. MDS & OBRA Resident Calendars Needed

    Sorry, but when I try to manage attachments it tells me I can not upload attatchments:no:
  20. Mds Nurse And Actng Don

    Thanks for the advise. No there is no one else in the acility familiar with MDS.The raise is in negotiations.My managers are not strong managers, they all look to me for support in their departments.We are a small company with no corporate nurse.I ha...
  21. MDS & OBRA Resident Calendars Needed

  22. MDS & OBRA Resident Calendars Needed

    i would be glad to forward these to you, but this is going to sound silly. i am new to this site so how do i forward attachments to you?
  23. Help With Supporting Documentation.

    i have spoke with the adminrator on several occasions i have even done in-services for our corporate administrator meetings and since my cmi is realtively high and our reimbursement rate has increased drastically it doesn't seem to affect her or corp...
  24. MDS & OBRA Resident Calendars Needed

    i know it has been awhile since you posted this but i have a proram on exel and serveral other forms if you are interrested.
  25. CNA flow sheets

    I Have A Thirty Day Grid That Just Covers The Four Late Loss Adls Or I Have A Seven Day Grid If You'd Like Me To Send Them To You.