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Author: John E. Dicken
Publisher: DIANE Publishing
Keywords: nursing, homes, tended, performing, affiliated, profit, poorly, chain, methodology, cms, special, focus, facility, target
Number of Pages: 57
Published: 2010-04
ISBN-10: 1437923143
ISBN-13: 9781437923148

In 1998, the Centers for Medicare and Medicaid Services (CMS) established the Special Focus Facility (SFF) Program to address poor performance by nursing homes. The SFF methodology assigns points to deficiencies cited on standard surveys and complaint investigations, and to revisits conducted to ensure that deficiencies have been corrected. In 2008, CMS introduced a Five-Star Quality Rating System that draws on the SFF methodology to rank homes. This report applied SFF methodology on a nationwide basis. This report determined: (1) the number of most poorly performing homes nationwide; (2) how

Author: John E. Dicken
Publisher: DIANE Publishing
Keywords: cms, improving, program, could, strengthened, facilities, focus, performing, nursing, homes, special, poorly
Number of Pages: 66
Published: 2010-08
ISBN-10: 1437932509
ISBN-13: 9781437932508

The Centers for Medicare and Medicaid Serv. (CMS) established the Special Focus Facility (SFF) Program to help address poor nursing home performance. States select a subset of homes as SFFs from a list of the 15 poorest performing homes in each state. States survey SFFs twice as frequently as other homes and there are more robust enforcement, including termination, for SFFs that fail to improve within about 18 months. This report: (1) determined the factors states consider in selecting SFFs and how SFFs differed from other nursing homes; (2) evaluated CMS regional office and state adherence to

Author: William J. Scanlon
Publisher: DIANE Publishing
Keywords: homes, performing, merit, poorly, enhance, proposal, nursing, oversight
Number of Pages: 70
Published: 1999-02
ISBN-10: 0788188178
ISBN-13: 9780788188176

The Health Care Financing Admin. (HCFA), the federal agency responsible for overseeing the quality of nursing home care, has announced initiatives intended to strengthen enforcement for homes that are found to have repeatedly harmed residents. This report examines whether deficiencies reporting actual harm to residents represent serious problems & the implications of HCFA's proposed action. A random sample of 107 homes' annual & complaint surveys were reviewed that included deficiencies of actual harm to one or more residents. These 107 surveys contained a total of 201 isolated actual harm def

Author: Daniel R. Levinson
Publisher: DIANE Publishing
Keywords: complaints, deficiencies, home, nursing, trends
Number of Pages: 14
Published: 2009-11
ISBN-10: 1437916023
ISBN-13: 9781437916027

Describes the nature and extent of nursing home deficiencies and complaints in 2007 and identifies trends from 2005 to 2007. In each of the past 3 years, over 91% of nursing homes surveyed were cited for deficiencies and a greater percentage of for-profit nursing homes were cited for deficiencies than not-for-profit and government nursing homes. During those same years, the most common deficiency categories cited were quality of care, resident assessment, and quality of life. Additionally, 17% of nursing homes surveyed in 2007 were cited for actual harm or immediate jeopardy deficiencies, and

Author: John E. Dicken
Publisher: DIANE Publishing
Keywords: temporary, management, sanction, facilitate, exist, homes, opportunities, nursing
Number of Pages: 30
Published: 2010-10
ISBN-10: 1437927386
ISBN-13: 9781437927382

The fed. govżt. sets quality requirements that nursing homes must meet to participate in the Medicare and Medicaid programs and contracts with states to conduct routine inspections and complaint invest. Congress has authorized certain enforcement actions, known as sanctions. One sanction -- temporarily replacing a home's mgmt. -- has been used infrequently. Federal temporary management (FTM) may be used instead of termination in cases where nursing homes place residents at risk of death or serious injury. This report focused on: (1) CMS and states' experience with the use of FTM and its effec

Author: Kathryn G. Allen
Publisher: DIANE Publishing
Keywords: homes, repeatedly, harming, residents, deterred, federal, efforts, strengthen, nursing, enforcement
Number of Pages: 100
Published: 2007-08-01
ISBN-10: 1422317226
ISBN-13: 9781422317228

Previous reports on nursing homes (NH) concluded that enforce. actions, known as sanctions, were ineffective in encouraging NH to maintain compliance with fed. quality require.; & sanctions were often rescinded before being implemented because NH had a grace period to correct deficiencies. In response, the Centers for Medicare & Medicaid (CMS) Serv. began requiring immediate sanctions for NH that repeatedly harmed residents. Using enforcement & deficiency data, this report: analyzed fed. sanctions from FY 2000 through 2005 against 63 NH previously reviewed; & assessed CMSżs overall mgmt. of e

Author: Robin M. Nazzaro
Publisher: DIANE Publishing
Keywords: wild, land, fires, communications, improving, assessment, protecting, structures, technology
Number of Pages: 124
Published: 2005-09
ISBN-10: 1422300560
ISBN-13: 9781422300565

Since 1984, wildland fires have burned 850+ homes each year & the number of homes at risk is growing. The primary responsibility for ensuring that preventive steps are taken to protect homes lies with homeowners & state & local gov'ts., not the fed. gov't. The ability to communicate among all parties fighting a fire -- known as interoperability -- is essential, but is hampered because different public safety agencies operate on different radio frequencies or use incompatible communications equip. This report assesses: measures that can help protect structures from wildland fires, factors affec
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