Updates to Appendix Z includes clarification on emergency preparedness and home health citations

In a memo from CMS dated February 1, 2019, the agency announced updates to Appendix Z of the State Operations Manual to reflect changes to the definition of an all-hazards approach to emergency preparedness, new home health agency citations, and clarifications under alternative source power and emergency standby systems.
Updates include the following:

CMS is adding “emerging infectious diseases” to the current definition of all-hazards approach. After review, CMS determined it was critical for facilities to include …

Florida Governor warns that SNFs and ALFs have “no excuse” if caught unprepared for Hurricane Michael

Last year, Hurricane Irma knocked out power to a nursing home in Hollywood, Florida. Without a functioning generator, 14 residents died. According to CBS News, Gov. Rick Scott is warning facilities to prepare in order to avoid a similar tragedy:
“If you’re responsible for a patient, you’re responsible for the patient. Take care of them,” Scott said. “That means you need to make sure that you have back up generation power or you shouldn’t be taking …

Top 10 F-Tag citations in long-term care

According to Harmony Healthcare, the top 10 F-Tags in the January 2018 CASPER are the following. This list is based on standard surveys of nursing homes, and does not include complaint or special focus surveys. For help on survey compliance and citation avoidance, check out Survey Success for Long-Term Care: Reducing Citation Risk.
Top 10 F-Tags

 
Category
Old
F-Tag
New
F-Tag
No. of
Tags
%

1
Infection Control
F441
F880
5,918
6.73%

2
Food & Nutrition
F371
F812/F813
5,811
6.61%

3
Quality of Care
F323
F689/F700
4,169
4.74%

4
Quality of Care
F309
F675/F684/ F697/F698/F744
3,612
4.11%

5
Pharmacy Services
F431
F755/F761
3,520
4.00%

6
Quality of Care
F329
F757/F758
3,121
3.55%

7
Resident Assessment
F279
F639/F656
3,021
3.44%

8
Administration
F514
F842
2,361
2.69%

9
Resident Assessment
F278
F641/F642
2,227
2.53%

10
Quality of Life
F241
F550
2,201
2.50%

Total
35,961
40.90%

 

Could working within your umbrella organization help with emergency prep?

by: A.J. Plunkett
 
The following is an excerpt from Home Health Line.
If your agency is part of a health care system, there are many benefits to choosing to work with the umbrella organization as you attempt to comply with CMS’ new emergency preparedness requirements.
Even if your agency has a separate Medicare certification number than the overall health system, you can benefit from combining resources on everything from planning and exercises to increased communication and manpower in …