Issue: July 14, 2014

Published on July 14, 2014

Articles in this issue:

Let's Get Congress To Your Buildings!


We need to get ongress out to your buildings.  KHCA/KCAL is looking for hosts to visit with your Representative. 

AHCA President Mark Parkinson wants us to invite every Member of Congress to tour a facility this year and with Congress out from August 5 – Sept 5, we have a prime opportunity, not to mention the fall when they’ll be in the district.

We would like to identify some centers/administrators/owners for your Congressional delegation to schedule the tours.

Congressman Tim Huelskamp- District 1

Congressman Mike Pompeo- District 4

Congressman Kevin Yoder- District 3

Congresswoman Lynn Jenkins- District 2


Please let Cindy know if this is something you would like to be a part of. You can reach Cindy at or 785-267-6003.

June Survey Review and Findings from Linda Farrar/ Facility Standards Call, July 18, 11am


Linda Farrar, LNHA, RN, has released her survey results and findings for the month of June.  Review the provided information, and plan on being on the Facility Standards Call  is tomorrow, Friday, July 18 at 11am.  The Nursing Advisory Committee phone call will occur immediately at 10:30am. 

View Linda's Detailed Survey Analysis

June Findings

June Survey Review

Call in information:



KHCA/KCAL Needs Your 2567


Beginning July 1, 2014 KDADS is no longer providing KHCA/KCAL with facility 2567s. This data has been so important to our facility standards committee because of Linda Farrar’s outstanding analysis of the survey results. We want to continue this timely reporting but can only do this with your help. Please email your 2567 to when you receive it. We recognize that there may be future revisions to the data but the analysis of the initial findings is key to educating our members on survey trends and ways to avoid deficient practice. For questions, contact Cindy Luxem at 785-267-6003. Thank you for helping us provide the best quality information to all of you.

HCBS Final Rule


KDADS officials have been hosting meetings across the state this week seeking public comments on the Home and Community Based Services (HCBS) Final Rule and Transition Plan. States participating the in the HCBS program must submit and plan to CMS that details their efforts to allow participants in the Medicaid waiver programs to live in settings of their choice in the lest restrictive manor possible. Of special interest to KCAL is the Frail Elderly waiver which addresses consumers 65 years and older.

KDADS in cooperation with Wichita State University is conducting a survey of current HCBS providers. The information isgathered is designed to help the department design the transition plan and give providers a first step in proving that they meet HCBS appropriate standards as outlined in the final rule. Although the survey listed a deadline for completion as May 30, 2014, KDADS is encouraging providers to complete the survey if they have not done so. Commissioner Joe Ewert said, “Please encourage your members to complete them.  It is looking more likely that we will use the results of those surveys to identify which facilities need on site visits.  Will likely have to visit all facilities that don't provide us a survey with information that allows us to weed them out of the heightened scrutiny category.”

Click here to complete the survey.

Click here for a look at the AHCA/NCAL analysis of the Final Rule and here for NCAL’s report

Click here for comments from KHCA/KCAL’s general Council Harvey Tettlebaum from HuschBlackwell.

Let KHCA/KCAL Get To Know You


KHCA/KCAL wants to celebrate YOU!  We’d like to know about the happenings in your facilities and communities.  Please, add us to your newsletter mailing list.  Recognizing your successes is important to us.  Our mailing address is 1100 SW Gage, Topeka, KS 66604.  If you have an electronic version, please add to your list.

KHCA/KCAL Annual Convention and Trade Show Registration Open! Register Now!


Passport to Quality!

Embark on a journey around the world as we seek the highest quality care!

Registration for the 2014 KHCA/KCAL Annual Convention and Trade Show in Wichita, Kansas, October 22-24, now open!


Convention pricing is as follows:

For ONE TRANSACTION per member facility: $300 for the first attendee, $150 for every subsequent attendee

$50 for unlicensed direct care staff (does not include administrative corporate staff)



Register Online Today!!


Click here to secure your hotel room!

If you need additional assistance from the Hyatt Regency, please call 1-888-421-1442

2014 KHCA/KCAL Awards Nomination Packets Now Available



64th Annual Convention & Trade Show

2014 Awards Nomination Packet are now available.

Winners will be honored in Wichita, KS on Thursday, October 23, 2014.

The 2014 Award and Recognition Program will be one of our best yet!  Our yearly awards ceremony is just a small way of honoring some of the great men and women that we work with throughout the year.  Please take the time from your busy schedules to nominate folks from your home.

Thank you,

Fred Benjamin, KHCA Chairmen

Shelley Gromer, KCAL Chair

Have an employee you want to nominate?  Click here to download the nomination packet with details!

McKnights Interviews KSU Center of Aging Director Gayle Doll


Kansas State University professor, and expert in the field of Gerontology, Gayle Doll, was recently interviewed by McKnights Magazine. View the full article by clicking here. 

DCF Kansas City Region Medicaid 101 Seminar


A short message from DCF regarding their upcoming Medicaid 101 Seminar:

Hello To All!

We have finalized our next Kansas City Region DCF Medicaid 101 Seminar for July 22, 2014 from 9-12 pm at Lakeview Village!  We have arranged for presenters from KDHE, SSA, Medicare(SHICK), PMDT, and VA.  As you know when working with your patients, DCF may require them to engage with one or more of these agencies.  For example if the patient is a Veteran or spouse of a Veteran, we require proof of application for VA benefits, or perhaps a case folks need to apply for SSD and SI where DCF is requiring proof of application, presumptive medical disability determination(PMDT) may be utilized in that process as well.  Medicare(SHICK) will be quite informative as so many of our Seniors with limited resources have questions regarding Medicare and health insurance.  Russell Nittler with KDHE will provide a landscape for this discussion and will serve a policy/process resource for this time together.

We would like to thank the Administration and staff at Lakeview Village for opening their facility to us once again.  Their hospitality is very appreciated!  Please RSVP to Lesa Campbell as soon as you can so that we can provide Lakeview Village with an accurate anticipated number of attendees.  Please feel free to reach out to Lesa or myself with any questions or additional needs. 

RSVP: (913)826-7333

LOCATION:  Lakeview Village, 9100 Park St, Lenexa, KS  66215

Date: July 22, 2014 from 9am -12pm

Want To Serve on The Governor's Senior Advisory Council Subcommittee on KanCare?


James Bart, Director of Managed Care for KDADS is seeking individuals to fill vacant spots on The Governor's Senior Advisory Council, subcommittee on KanCare.  The vacant spots are for long term care consumers, or family members of consumers.  The meetings occur quarterly and are typically held in Topeka.  The first meeting is next Wednesday, July 16th at 10am. If you are interested, please contact James at with any questions regarding this committee or the application process. 

New LTC TrendTracker is Coming- Make Sure You're Ready


This coming October, LTC Trend Tracker will receive a brand new upgrade! AHCA aims to make this free member resource easier for users to navigate, along with a more modern online look. This means the current platform will no longer be available to users starting October 31, 2014.

During this transition, members should take the following actions to prepare for the switch:

Account Administrators

Please verify your organization and user lists. These lists were sent out to organization account administrators in May. Please contact to receive your list.

Also, all current username and passwords will be changed at launch. So, please send us your information so you can log in in October. If we don’t receive verification from you, you will not be able to access the site.

Corporate Users

If you use the system for incentive purposes for staff, please download the data before October 31, 2014 for your organization.

All Users

New data will not be updated in the current LTC Trend Tracker system as of September 30, 2014.

There will be a new login in page for LTC Trend Tracker beginning on or around October 10. Please ensure you've bookmarked This will allow you to keep up with important updates to the upgrade.

AHCA and the LTC Trend Tracker team are looking forward to the launch of the new system in October. If you have any questions or need further information on this please email

AHCA’s Peggy Connerton will be back in Kansas during the Oct 22-24, 2014 KHCA/KCAL Convention and Tradeshow to roll out the new system and to help providers get the most out of LTC Trend Tracker.


Physicians Package- Share This With Your Medical Directors


This Physician Package is designed to help a physician make an appropriate decision on how to treat mood/behavior for elders with Dementia.

Download Package

Nursing Home Social Media Policies- What Can Go Wrong?


A former nursing home worker fired for a Facebook status update has not succeeded in an appeal to the Idaho Supreme Court. The language of the SNF’s social media policy was an important factor in the ruling handed down, according to local reports. This begs the question…do you have a Social Media Policy? Well, the employee, Joseph Talbot wrote on Facebook that he would like to “slap the ever loving bat snot out of a patient” at the 60-bed Desert View Care Center in Buhl, ID, the Twin Falls Times-News reported. The January 2013 status update also insinuated that Talbot would not answer residents' call lights “every time” if they insulted him. A nursing professor saw the post and reported it to Desert View, leading to Talbot's dismissal, the Times-News reported. The Idaho Department of Labor later determined that Talbot was “venting” and would not actually harm a resident, and that the facility's social media policy was vague about Facebook posts, according to reports. The agency granted Talbot unemployment benefits. The state's Industrial Commission came to a different conclusion, finding that Desert View had proper policies in place and had communicated them to Talbot, who agreed to abide by them as a condition of employment. Three of the Supreme Court justices agreed with the Industrial Commission and concluded that Talbot's intentions of following through on his threats was not relevant. The two dissenting justices said that Desert View's social media policy was unclear. In other words, check your Social Media Policy or develop one if you don’t have one already.

Staff Interaction Habits Holding Back Nursing Home Quality Improvement


Staff interaction habits are holding back nursing home quality improvement, researchers find.

Nursing homes can improve resident care and staff satisfaction by changing the usual way that workers interact with each other, suggests newly published research from investigators at a handful of academic institutions.

To understand worker interactions, researchers interviewed staff members and reviewed organizational charts, survey reports and other information sources at four nursing homes — two with high quality ratings and two with low quality ratings. The researchers identified a “common pattern of interaction” and a “positive pattern of interaction.”

The common pattern was the “default” behavior for many workers at all levels, according to the researchers. In the common pattern, “people blamed others, avoided collaboration, decided ‘not to bother the nurse,' ignored others, said ‘it's not my job,' scolded others, or ‘passed the buck,'” they wrote.

Punitive managers and overreliance on rules fostered these bad patterns of interaction, the researchers stated. One example was a manager who “scolded” a nurse aide for leaving a shampoo bottle in a clean linen cart. The manager did not talk to the aide to learn that she had bought the shampoo using her own money, after observing that a resident did not respond well to the facility's shampoo.

The positive model consisted of 20 strategies that created more productive staff interactions and better resident outcomes. These strategies included being approachable, pitching in, listening carefully, and paying attention to surroundings. They led to better connections among workers, improved their satisfaction and promoted the exchange of information. They also led to “cognitive diversity,” in which workers from various parts of the facility came together to solve problems.

It was not as widespread as the common pattern in any setting, but the positive interaction pattern was seen in all four nursing homes, the researchers noted. Although their findings stem from only these four facilities in the southeastern United States, they have confidence that all nursing homes can improve by identifying and expanding on the “pockets of excellence” created by positive interactions, they wrote.

New job performance measures could encourage staff members to engage in positive interactions, the researchers suggested. Frontline nurses and aides likely are the best people to engage first, as the benefits of positive interactions were “most apparent” among these caregivers, they stated.

The findings appear in BMC Health Services Research. Study authors are affiliated with a variety of institutions, including the schools of nursing at Duke University, the University of North Carolina at Chapel Hill and The University of Texas at Austin.

2014 AHCA/NCAL Convention and Expo- Early Bird Deadline is Next Friday, July 18


AHCA/NCAL 65th Annual AHCA/NCAL Convention & Expo


The early bird deadline is next Friday, July 18 so don't delay! 
Register now and save!


Join thousands of long term and post-acute care professionals at National Harbor on the banks of the Potomac River, just outside Washington, D.C., October 5-8. Don't wait-register today and get the maximum discount available.
The AHCA/NCAL Convention & Expo offers more than 60 education sessions with top-rated speakers from the field and from academia, special constituency events for targeted learning, plenty of networking opportunities, and one of the largest Expos supporting your special business needs. Our keynote speakers this year include Colin L. Powell, U.S.A. (Ret.), and Captain Richard Phillips. Pat Benatar and Neil "Spyder" Giraldo will headline the Gala Dinner & Show! Enjoy all this as well as access to the historic surroundings of our nation's capital.

Register at or Early bird registration ends July 18.

CMS Midwest Division of Survey and Certification Long Term Care Provider Update 14-10


Two Survey and Certification Memos have been released since the last note:

14-37: Advance Guidance - Revisions to State Operations Manual (SOM), Appendix PP- Guidance to Surveyors for Long-Term Care (LTC) Facilities and Chapter 4 (7/3/14)

We have revised the Interpretive Guidelines and, where appropriate, Investigative Protocols for the following F Tags to incorporate Survey & Certification (S&C) policy memos issued from October 2003 through May 2014.  Specifically, the guidelines have been updated for the following F Tags:

F161 - Assurance of Financial Security

F202 - Documentation for Transfer and Discharge

F208 - Admission Policy

F221 - Physical Restraints

F278 - Accuracy of Assessment/Coordination/Certification/Penalty for Falsification

F281 - Services Provided Meet Professional Standards of Quality

F286 - Maintaining 15 Months of Resident Assessments (Use)

F332 - Medication Errors/Free of Medication Errors of 5% or Greater

F333 - Medication Errors/Residents are Free of Significant Medication Errors

F371 – Sanitary Conditions

F387 - Frequency of Physician Visits/Timeliness of Visits

F388 - Personal Visits by the Physician

F390 - Physician Delegation of Tasks in SNFs/Performance of Physician Tasks in NFs 

F425 - Pharmacy Services

F428 - Drug Regimen Review

F431 - Service Consultation/Labeling of Drugs and Biologicals/Storage of Drugs and 


F441 - Infection Control

F492 - Compliance with Federal, State and local laws and Professional Standards

F514 - Clinical Records

F516 - Resident Identifiable Information/Safeguard against loss, destruction, or 

           unauthorized use

Revisions to SOM Chapter 4:  Section 4132.1E Waiver of Program Prohibition has been revised to incorporate information consistent with CFR 483.151(c)(1).  Section 4542.2 State Agency (SA) Expenses for Training of SA Personnel has been revised to include Association of Health Facility Survey Agencies (AHFSA) to the list of annual meetings.

14-38: Rehabilitation Agencies: Fire Alarm Systems, SOM Appendix E Revision - Advance Copy (7/3/14)

The interpretive guidance for OPTs is revised to clarify the fire safety requirements.   Surveyors should review the revised Appendix E to view the requirements in their entirety.   Rehabilitation Agencies are required to have an automatic extinguishing system or an enclosure with a 1-hour fire resistance rating in hazardous areas as well as fire extinguishers, a fire alarm system, and a fire evacuation plan.  Air horns will not serve in place of a fire alarm system for Rehabilitation Agencies.   Rehabilitation Agencies cannot be certified or recertified and extension locations cannot be approved if they do not meet the minimum fire protection requirements.


Nursing Homes

The National Partnership to Improve Dementia Care in Nursing Homes is having its next call on August 19.

Culture Change

We received four documents from Pioneer Network and two from Action Pact.