Issue: March 5, 2014

Published on March 6, 2014

Articles in this issue:

OIG Report on Adverse Effects in Nursing Centers

Author: Hayden Parker

We would like to share with you some facts in case the OIG Report is discussed in your local media markets. For more information contact Cindy

Download talking points

CMS Open Door Forum Call TODAY, March 6, 2014

Author: Hayden Parker


The next CMS Skilled Nursing Facilities (SNF)/Long Term Care (LTC) Open Door Forum scheduled for:  


Date:  Thursday, March 6, 2014

Start Time:  2:00 PM Eastern Time (ET);

Please dial-in at least 15 minutes before call start time.


Conference Leaders: Jeanette Kranacs & Jill Darling


**This Agenda is Subject to Change** 


I. Opening Remarks

Chair – Jeanette Kranacs (Center for Medicare)

Moderator – Jill Darling (Office of Communications)


II. Announcements & Updates


     o   A link to the Federal Register for individuals to view the proposed regulation:


     o   A link to for individuals to submit comments on the regulation:!searchResults;rpp=25;po=0;s=cms-2013-0269;fp=true;ns=true


III. Open Q&A


**Next ODF: April 17, 2014**




Open Door Participation Instructions:

This call will be Conference Call Only.


To participate by phone:

Dial: 1-800-837-1935 & Reference Conference ID: 71246266.

Persons participating by phone do not need to RSVP. TTY Communications Relay Services are available for the Hearing Impaired.  For TTY services dial 7-1-1 or 1-800-855-2880. A Relay Communications Assistant will help.


Encore: 1-855-859-2056; Conference ID: 71246266.

Encore is an audio recording of this call that can be accessed by dialing 1-855-859-2056 and entering the Conference ID. Encores for ODFs held on Thursdays can be accessed the following Monday. The recording is available for 3 business days.


KHCA/KCAL Distinguished Elder Recognition Program- Nominate your Residents today!



Distinguished Elder Recognition Program
The format of the program has changed for 2014!!
Join us in recognizing the Distinguished Elders in your homes.

The KHCA/KCAL Education Committee invites you to submit a nomination for the KHCA/KCAL Marty Hegarty Life Time Achievement/Distinguished Elder Recognition Program.  This program is designed to highlight and reflect the elders residing in nursing and assisted living homes who have spent much of their life making a difference in the lives of others. click here for the full application.  Please note the deadline for submission of March 14, 2014

PEAK 2.0 March Newsletter


The PEAK 2.0 Newsletter for March has been released.

Download Newsletter

The Kansas Fire Marshal Releases Survey Results



Federal Foss Survey Results

KSFM recently received their results from CMS on the Foss Surveys in healthcare facilities. KSFM wanted to share with you the findings so you can use can these as helpful tips to ensure your centers are up to the highest standards in fire protection.

Zoned evacuation plans(K48) Make sure evacuation plans show not only total evacuations of the building(s) but also smoke zone evacuations.

Generator Testing- (K144) On maintenance records, make sure you are doing a monthly 30% of the nameplate rating for at least 30 minutes with an additional cool-down period.  Also, don't forget to document your evidence of maintaining a minimum exhaust temperate as recommended by the manufacture in lieu of the 30% monthly test. Do not forget the 30% annual load bank test documentation as well.

Doors Protecting Corridors- (K18) Make sure corridor doors are fitting tightly within the door frames and there is no sagging below the doorstop.

Emergency Plan and Fire Drills- (K48) If a fire drill is titled "responding to a minor fire" and the plan does not address the transmission of the alarm to the fire department and does not state the person discovering the fire should activate the fire alarm.  A "minor" fire is still a fire.  This would be considered a deficiency.

Air handling Systems – (K67) Air handling systems that supply cool air to resident rooms and office space. The systems are not designed as a balanced system with equal supply/exhaust from the resident rooms and an equal supply/exhaust from the corridors, which result in the corridor being used as a plenum.

Best way to determine this, is to find out how the heating and air conditioning work in the corridors and then in the resident rooms. When the heat or air comes from the resident rooms to heat/cool the corridor (or vice versa – the heat/air comes from the corridor to heat/cool the resident rooms) go out and look at the corridor/resident rooms and look for the supply and returns. If your facility is fully sprinklered, has a complete fire alarm system and the HVAC shuts down on activation of the fire alarm, you may be eligible to apply for a waiver.

If you have any questions or concerns, please contact KSFM.

2014 KHCA/KCAL Committees- Sign up


We want you more involved with our association! Sign up for a committee today!

2014 Committee Sign up Form

KCAL Workgroups Move Initiatives Forward

Author: Hayden Parker

KCAL Members have been busy these past few months working on initiatives with KDADS to changes the requirements for becoming and adult care home operator and designing a uniform disclosure tool that would allow consumers to compare apples to apples when it comes to what services an assisted living community provides. These work groups are meeting on an ongoing bases and any KCAL member interested is invited to join in. contact Linda MowBray for more information and the next meeting dates.

Who is your medical director? We need to know.


KHCA/KCAL needs input from you.  Please send the name and contact information of your Medical Director to us at

Mark You Calendars- 2014 Education Opportunties



Please mark your calendars for these fantastic upcoming education opportunities from KHCA/KCAL

Download List

Please contact our new Education Director, Polly Berkley, at with any questions related to education events.

2014 AHCA/NCAL Quality Initiative Recognition Program


AHCA/NCAL has opened its doors to submissions for the 2014 Quality Initiative Recognition Program.  You have until Thursday, May 1, 2014 to submit your data qualifying your center. 

Download PDF of information and details

CMS SC Emergency Preparedness Initiative: SC Emergency Perparedness Checklist Revision


On Feb. 28, CMS issued a Survey and Certification Emergency Preparedness Initiative: S&C Emergency Preparedness Checklist Revision.  The revisions were made to the recommended CMS Emergency Checklist.  According to the Survey & Certification Memorandum, the information is current policy and is in effect for all healthcare facilities.  Highlights of the changes:


The link to the S&C letter can be found here:

Regional Training Opportunity for Disaster Preparedness for Long-Term and Residential Care


An announcement from KDHE:

Don't forget to register for the "Long Term and Residential Care Disaster Preparedness: Protecting Our Most Vulnerable" seminar in Omaha, NE. April 15-16. 2014. 

Back by popular demand, this one of a kind National conference will help guide you and your organization through the most important disaster preparedness concerns in Long Term and Residential Care facilities today. Learn from those with real disaster stories from the field as well as experts that will help guide and refine your current disaster preparedness planning efforts. The conference will feature  key note speaker, Jocelyn Montgomery, RN, PHN, Director of Clinical Affairs from California Association of Health Facilities, and will  include speakers that have real disaster stories from the field and experts that will be able to help guide and refine your current planning efforts. This event will allow for expanded learning and networking for all participants.

Hot topic: Darrell Klein, JD; Assistant Agency Counsel for Nebraska DHHS, will address the new rigorous CMS regulations that will directly affect Long Term Care Facility disaster planning. These regulations are open to the public for comment and the deadline has been extended until March 31, 2014.


Administrators, Emergency Preparedness Coordinators, RN’s, and all staff responsible for the care of vulnerable populations in residential facilities. 

Register Now Online
Brochure Agenda
Registration Fee: $195


This program has been approved for AMA PRA Category 1 CreditTM.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Iowa Roy J. and Lucille A. Carver College of Medicine and The Center for Preparedness Education. The UI Carver College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.
The University of Iowa Roy J. and Lucille A. Carver College of Medicine designates this live course for a maximum of 11.75 AMA PRA
Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This conference meets the criteria of an approved continuing education program for
Nursing and Assisted Living Administrators (14.7 contact hours).

Continuing Education Credit provided by Iowa Western Community College Iowa Board of Nursing Provider #6.
Full attendance is required for full nursing credit.


Kristine Sanger

National Geriatric Emergency Preparedness Webinars


The Stanford GEC, in partnership with the Geriatric Emergency Preparedness & Response (GEPR) Collaborative, will be hosting a series of 3 webinars featuring best practices and issues in geriatric emergency preparedness. Please see attached flyer for dates, topics and speaker information.

Each webinar is an hour long and free for standard registration. A 1.0 hour CE credit is available per event attended for social workers and marriage and family therapists. For registered nurses, contact hours for continuing education credits are pending based on BRN approval.

Click here to register or go to

Download PDF