What is Nursing Home Culture Change?
Culture change reflects a shift from the "one-size fits-all" traditional medical model to a model that seeks to improve the quality of life for residents, while fostering an atmosphere of community within the nursing home setting for staff and residents alike.
Culture change is sought by individuals who promote the values and mission of the the Pioneer Network. The Pioneer Network is a loosely associated group of providers, regulators, advocates and elders who hold that nursing homes can serve as the starting point for changing society's vision of aging. Their work is premised on the belief that nursing homes can be good places to live and work. Pioneers seek to improve the quality of life for residents, and to foster an appreciation of the work of those who care for them, by altering the "culture", the sense of community or lack thereof , of the nursing home setting.
Are low beds & winged mattresses restraints?
"CMS nursing home requirements are resident-centered and outcome-oriented. Your compliance is determined by the appropriateness with which you comprehensively assess, plan, implement, evaluate, and communicate resident care and services."
"We can give you CMS' definition of a restraint, but only you can tell whether something is a restraint for a resident. That determination is based on your comprehensive assessment of each resident and your evaluation of each resident's outcome." - D.McElroy, CMS (4/22/04)
How do I obtain OSCAR 3 and 4 reports for a nursing home?
Requests for OSCAR 3 and 4 reports must be submitted to:
Karen Edrington
Email: Karen.Edrington@cms.hhs.gov
Centers for Medicare & Medicaid Services
7500 Security Blvd.
Baltimore, MD 21244
410-786-2166
Please submit request via email.
Do not send a fee for reports in advance.
Ms. Edrington will review each request, determine the fee amount, if any, and notify the requestor.
Health Standards no longer provides OSCAR 3 & 4 reports.
Updated 5/7/2010
Where can I get a copy of state regulations used to survey nursing homes?
Please click on this link from Health Standards Section's Licensing/Regulations/Policy/Procedures page.The Medicaid Standards for Payment are currently under revision.
Where can I get a copy of the federal regulations used to survey nursing homes?
Federal regulations used for surveying nursing homes that participate in Medicare & Medicaid programs are available from Code of Federal Regulations, see Title 42 Part 483, Subpart B or from the Centers for Medicare & Medicaid Services (CMS) website State Operations Manual select Appenix P.
Where can I get a copy of the MDS (Minimum Data Set) manual?
The Long-Term Care Resident Assessment Instrument User's Manual is available on the Centers for Medicare & Medicaid (CMS) MDS website.
Where can I obtain MDS 3.0 training in Louisiana?
As of January 6, 2010, DHH is not offering MDS 3.0 Training. Rose Helwig, MDS Program Manager, will attend CMS sponsored training in March, 2010. If a decision is made to offer training the information will be sent to nursing home administrators via FAX.
Where can I obtain the Nursing Home Blue Book or Blue Booklet?
A link to the Nursing Home Blue Book order form is found on Health Standards Nursing Home web page. http://new.dhh.louisiana.gov/index.cfm/directory/detail/734
