March N&N

The Membership Publication of the Arkansas Health Care Association / Arkansas Assisted Living Association

Notes & Notices March 2010

Ken SchmidtFormer Director of Communications for Harley-Davidson Motor Company

Keynote Speaker atSpring ConventionApril 28 - 30 in Hot Springs

2

Sponsorships establish a partnership between our member facilities and the professionals who deliver goods and services to them. The people representing the organizations listed below help

AHCA further the education of our members and their staffs, provide support to the Arkansas Health Care Foundation, and promote quality care in our member facilities. Please recognize

and thank our partners when you are doing business with them.

Platinum $25,000

2010 AHCA / AALA SPONSORS

AllCare PharmacyD & D Medical Equipment

GPA / SyscoIncite Rehab

Preferred MedicalUS Foodservice / Innovatix

Z & D Medical ServicesSilver $10,000Gold $15,000

Gulf South Medical SupplyHMH Benefit Advisors

Bronze $5,000ASIT Midwest

Central Pharmacy / PSI Datek, Inc.

ExactMed IMARPharMerica

Copper $2,500Abbott Nutrition

AmericanaBoyle Insurance

Cooper Matone Dental CareHealthBridge, LLC

LTC SystemsMedline Industries

Millennium Rehab of ArkansasNeace Lukens

Northwest Fire ProtectionPatient Support Services, Inc

Reliant RehabilitationRestore Therapy

Senior Care Solutions, LLC

If you would like to learn more about the benefits of sponsorship, please contact Donna Childress at 501-374-4422.

Notes&Notices|March2010 3

The Arkansas Health Care Association and the Arkansas Assisted Living Association represent facilities dedicated to continuous im-provement in the delivery of professional and compassionate care. This care is provided by thousands of caring employees to nearly 20,000 of our state’s frail, elderly and disabled citizens who live in nursing facilities, assisted living residences, and homes for persons with mental retardation and developmental disabilities.

Executive Vice PresidentDonna Freel Childress

[email protected]

General CounselHardin, Jesson and Terry, PLC

Elizabeth Andreoli, [email protected]

Government RelationsErnest Cunningham

Director of Member ServicesRachel Davis

[email protected]

Office AdministratorJanet Reddin

[email protected]

Accounting AdministratorTesha Andrews

[email protected]

Director of Research & AnalysisBill Wood

[email protected]

Administrative AssistantHolly Ballard

[email protected]

AHCF Administrative DirectorKerri Marsh

[email protected]

AHCF Administrative AssistantJennifer Pearson

[email protected]

In This IssueMarch 2010

1401 W. Capitol Ave., Suite 180Little Rock, AR 72201phone: 501-374-4422

fax: 501-374-1077arhealthcare.com arassistedliving.org

AHCA / AALA Staff

AHCF StaffContact Us

2010 AHCA / AALA Annual Sponsors

Calendar of EventsSpring Convention Preliminary TopicsAHCF Update2010 AHCA / AALA Directory AdvertisingAALA UpdateVoter Registration MemoVoter Registration InstructionsGovernment Relations Meeting MinutesAIPP Monthly Top Ten TagsAIPP Arkansas Top F- TagsSocial Service Director Training “Of Record” Legal News

4 AMembershipPublicationofAHCA&AALA

Calendar of Events March

2010 AHCA/AALA Spring Convention & Trade ShowApril 28 - 30, 2010 Hot Springs

8th - 9th Administrator in Training, Session 1 Class Days

16th AHCA Board Meeting , 10:00 am

24th Space Deadline to advertise in the 2010 Directory of Long Term Care Facilities

23rd - 24th DON - Nurse Leadership Training, Part I

25th Nurse Consultant Training, Part I

26th Artwork due for advertising in the 2010 Directory of Long Term Care Facilities

26th NCAL “Employee Vacancy” surveys due for AALA Members

April

Save the Date

2010 National Nursing Home Week May 9th - 15th“Enriching Every Day”

8th - 9th Administrator in Training, Session 1 Class Days

16th AHCA Board Meeting , 10:00 am

28th - 30th 2010 AHCA / AALA Spring Convention & Trade Show

25th Nurse Consultant Training


2010 Spring Convention & Trade ShowPRELIMINARY EDUCATION TOPICS

April 28 - 30Hot Springs Convention Center

AHCA Board MeetingAALA Board MeetingOpening Plenary Speaker - Ken Schmidt “Make Some Noise” Trade Show, Vendor Reception & Door Prize Drawings Best Practices: Daily Start Up for Administrators & DONs, Walking Rounds

Trade Show & Door Prize DrawingsNew Pressure Ulcers: Relationship Between Hospitals & Nursing HomesThe Clinical Side of Risk ManagementMDS 3.0 OverviewFall Prevention & RestraintsRAC ProcessEarly Alzheimer’s Detection in Assisted LivingMock TrialBest Practices: Ordering Medication & DME ProductsSafe Patient Handling in Long Term CareArkansas Coalition for Nursing Home Excellence & Culture ChangeServSafe Food Safety Program Alzheimer’s Disease Product Theater

Interviewing EffectivelyInfection Control Living WIll & Other Legal Issues

WEDNESDAY, APRIL 28TH

THURSDAY, APRIL 29TH

FRIDAY, APRIL 30TH

Below is a list of preliminary education topics for the AHCA / AALA 2010 Spring Convention. These topics and days are subject to change. A complete agenda with topic times, locations, and descriptions will be mailed to all Members along with registration forms within the next two weeks. We will offer a full registra-tion rate and a special one day rate for Thursday.

AHCA is applying for 12 CEU Hours for Administrators & Nurses

Please call our office if you have any questions.

6 AMembershipPublicationoftheAHCA&AALA


TargeT Your adverTising!Place your advertisement in aaLa and aHCa’s 2010 directory of arkansas Long Term Care Facilities and target your advertising message. received and read by the most prominent and influential decision-makers in the nursing home profession in arkansas, it’s a sure fire way to get the most bang for your buck with your advertising dollar. Call rachel davis at 501.374.4422 to reserve your ad space in the next issue!

arkansas Health Care association • 1401 West Capitol Avenue, Suite 180 • Little Rock,AR 72201 • Telephone 501/374-4422 • FAX 501/372-1077 • www.arhealthcare.com


AALA Board of Directors

PresidentElizabeth “Liz” BlankenshipSouthridge Village Retirement Community

Vice PresidentDavid HightowerHealthmark Services, Inc.

Secretary/TreasurerMike ShepardPeachtree Assisted Living Mena

Member at LargeJim ThomasStonehaven Assisted Living

Member at LargeKimberly GoinsThe Gardens at Osage Terrace

Member at LargeSandra PressonMercy Crest Retirement Living

Member at LargeLamar GammellThe Pillars of the Community

Assisted Living News The AALA / HCTA meeting held on February 17th was a great success. We had a large attendance. Special thanks to Bonnie Riggins of HCTA for her assis-tance in planning the event and for providing CEUs to AALA Members, and to the AHCA / AALA office staff for coordinating the event.

To follow up on the Medicaid portion of the meeting, Sandra Presson from Mercy Crest Retirement Living sent some helpful phone numbers. Anyone with Third Party Payor Issues should call LaDonna Mayo at 501-682-6681. Anyone who is having issues with Medicare Premiums not being paid by Medicaid should call Laura Bell at 501-682-2265.

Established by NCAL in 1995, National Assisted Living Week® provides a unique opportunity for residents, families, staff, volunteers, and the surrounding com-munity to come together to bestow on our residents a multitude of events and activities that show them how much we care for and love them. The 2010 theme, Living Life, will inspire creativity and participation and will grab the attention of local and national media. To make planning as easy as possible, a planning and product guide is being developed, which will contain activity ideas, media kit materials, and products featuring the 2010 theme. Look for the guide in June 2010.

This Year’s Theme: Living LifeYou don’t have to be a rock climber, sky diver, marathon runner, or scholar to live life to the fullest. Living life means participating in activities that you enjoy and pursuing your passions, whatever they may be. It means never stopping the process of discovery or mastering talents. It means sharing your history and teaching others what you have learned. It is a lifelong pursuit of happiness and growth. We all want to live life to the fullest, no matter how old or young we are. Assisted living communities around the country are giving their resi-dents the environment and tools they need to reach their goals and prosper. We celebrate their efforts and the residents who inspire their community and awe those that support them.


TO: AHCA/AALAMemberFacilitiesAdministrators

FROM: DonnaChildress,ExecutiveVicePresident

RE: VoterRegistrationDrive

DATE: March5,2010

WiththeMay18primaryrapidlyapproaching,ourgoalistomobilizeasmanyvotersaspossiblewithin

yourfacilities.Todoso,wearerequestingthesupportofyouandyourstafftohelpregisterany

residentsandstaffmemberswhoarenotalreadyregisteredvoters.

Enclosed,youwillfindinstructionsforconductingavoterregistrationdriveandabsenteevoting,acopy

ofthevoterregistrationapplication,andatipsheetonregistrationdrivesfromtheSecretaryofState’s

office.

Votingiseveryindividual’srighttomakehisorhervoiceheard,andwebelievethisrightisimperative

forallresidentsandstaffofyourfacility.Wehaveoutlinedthisplaninordertomakeyourvoter

registrationdriveassimpleaspossible,butweunderstandthattheprocessiscomplex.Ifyouhaveany

questionsregardingvoterregistrationorabsenteevoting,pleasedonothesitatetocontact

HollyBallard,administrativeassistantattheAssociationoffice,at501‐374‐4422or

[email protected].

Deadlines

March30–Lastdaytoconducta

registrationdrive

April2–VoterRegistrationForms

postmarkedtotheSecretaryof

State’soffice

May18(ElectionDay)–Absentee

BallotsreceivedbyCountyClerk’s

office


1

VoterRegistrationDriveInstructions

PhaseOne:VoterEligibility(Immediate)

Thefirstphaseofthisplanistodeterminewhoiseligibletovote.Residentswhohavegiven

guardianshiporpowerofattorneytoanotherpartyarenotallowedtovote.Also,residentswhohave

severementaldefectsandareunabletoverbalizetheirneedsgenerallydonotvote.

Onceyouhavedeterminedwhoiseligibletovote,thenextstepistodetermineifthepeoplewhowant

tovotearealreadyregistered.Thisprocessissimple.GototheSecretaryofState’svoterverification

websiteatwww.voterview.ar‐nova.org/andentertheperson’snameanddateofbirth.Ifthepersonis

registeredtovote,theirvotinginformation(suchasaddressandprecinct)willappearonthescreen.

Printthisinformationandputitinabinderalphabetizedbylastnameforeasyaccess.

PhaseTwo:VoterRegistration(throughMarch30)

Onceyouhaveestablishedwhichresidentsandstaffinyourfacilityneedtoberegistered,itwillbetime

toholdyourvoterregistrationdrive.Beforethedrivebegins,havetheactivitydirectorordesignated

staffmember(s)getfamiliarwiththevoterregistrationform(attached).

1. Onthedayofthedrive,havetheactivitydirectorordesignatedcoordinatorsetupatablewith

red,whiteandbluecolorstoattractattention.Thetableswillneedtobesuppliedwithblackink

pensandvoterregistrationforms.Youwillneedtophotocopyasmanyregistrationformsas

youneedfromtheoriginalenclosed.Pleasenotethattheformisfrontandbackandthatthe

formsmustbecompletedinblackinkonly.

2. Whenpeopleapproach,explaintothemthatthisvoterapplicationwillbemailedtothe

appropriateCountyClerk’sofficetobeapproved.(Votersmustberegisteredintheir

permanentresidencecounty.)

3. Onceresidentsandstaffhavebeenassistedincompletingtheirvoterregistrationform,mail

themtotheSecretaryofState’sofficefollowingtheinstructionsonthebackoftheform.(Usea

stickertosealtheform,asthesearephotocopiesandnotself‐adhesive.)Allvoterregistration

formsmustbepostmarkedwithin21daysofthedateontheapplicationandmustbemailed

nolaterthanApril2inordertoensuresufficienttimeforabsenteevoting.

Notes&Notices|February2009 11

2

4. Registrationisnotcompleteuntilapplicationsareapprovedbythecountyclerk.Ifapplicants

havenotreceivedconfirmationoftheirregistrationinthemailwithin2‐3weeks,checkwiththe

appropriatecountyclerk’sofficetomakesuretheyhavebeenproperlyregistered.

PhaseThree:Voting(April2‐May18)

Mostofyourresidentswillprobablychoosetovotebyabsenteeballotbecausetheyareunabletotravel

totheirpollingplace.Theabsenteevotingprocesshasthreesteps:

1. Whenyoureceiveconfirmationthatapersonisregistered,immediatelyrequestapplicationsfor

absenteeballotsbycallingtheCountyClerk’sofficewherethevoterhaspermanentresidence.

Foralistofcountyclerk’soffices,visit

http://www.sos.arkansas.gov/elections/elections_pdfs/county_clerks.pdf.(Alistisalso

enclosed.)

2. Oncetheapplicationshavebeenrequested,thecountyclerk’sofficewillmailthemtothe

facilityandthecoordinatorshouldassistthevotersincompletingtheapplication.Alongwith

theapplication,eachvotermustalsosubmitanotarizedaffidavitfromtheadministratorthat

theapplicantisaresidentatthefacilityandisthereforeunabletovoteonelectiondayathisor

herregularpollingsite.

3. Returntheapplicationsandaffidavitsbymailtotheappropriatecountyclerk’soffice.Once

theyhavebeenprocessed,thecountyclerkwillmailtheabsenteeballotstothefacilitytobe

completed.Theseballotsmustbereceivedbythecountyclerk’sofficenolaterthan7:30p.m.

onMay18inordertobecounted.

Note:Insteadofcompletingtheprocessthroughthemail,applicationsandabsenteeballotsmay

alsobepickedupanddroppedoffinpersonbyanauthorizedagentofthefacility.Weencourage

theregistrationdrivecoordinatortousewhichevermethodisnecessarytoensurethatdeadlines

aremet.

Deadlines

March30–Lastdaytoconducta

registrationdrive

April2–VoterRegistrationForms

postmarkedtotheSecretaryof

State’soffice

May18(ElectionDay)–Absentee

BallotsreceivedbyCountyClerk’s

office


AHCA/OLTC

Government Relations Committee

Tuesday, February 23, 2010

Report by David Barker, Chair

The Government Relations Committee met at the Office of Long Term Care on Tuesday,

February 23, 2010. Those present from the AHCA were Pam Diggs, Josh Kilgore, Missy Stroud,

Gayle Hughes, David Barker and Elizabeth Andreoli. Present from AFMC/AIPP was Betty

Bennett. Those present from the OLTC were Carol Shockley, Frank Gobell and Brenda Styles.

MINUTES

I. Criminal Background Checks – Does the law require local police departments to

do fingerprints for the Federal background checks? Some members are having

an issue with their local police departments not wanting to do the fingerprints

because they aren’t getting paid to do them.

The Office of Long Term Care is unaware of any law that requires local law

enforcement agencies to perform the fingerprint functions. This is not to say that

such a law does or does not exist. Rather, it is a statement that the Criminal

Background Check law does not impose this requirement on local law enforcement

agencies.

Facilities may have their own staff trained to do fingerprinting. To do so, please

contact the Arkansas State Police (ASP) ID Bureau (501-618-8500); ASP provides

the training at the ASP headquarters in Little Rock. If facilities have staff trained

to do the fingerprinting function, OLTC recommends the facility buy the proper

“fingerprint kit” from a law enforcement supply store.

II. Access to Medical Records – While we are aware of the CMS memorandum

regarding surveyor access to computers when facility records are maintained

electronically, do surveyors have unfettered access into computer records

without identifying the type of record they want access to or the particular

resident?

Yes. The format in which the record exists does not determine the level of access.

Surveyors are required to have unrestricted access. There may be times in which

surveyors will identify the type of record they want or the records for a particular

resident, but the standard or requirement generally is unrestricted access.

In addition to S&C-09-53 (“…surveyors will verify with the facility the process they

will follow in order to have unrestricted access to the medical record.”), state

regulations for nursing facilities at Section 333.1(f) states that electronic record

systems must:


Provide access to Department of Health and Human Services

(DHHS), Office of Long Term Care (OLTC), and Centers for

Medicaid or Medicare Services (CMS) personnel. Access may be

by means of an identifier created for DHHS, OLTC, or CMS

personnel, by a printout of the record, or both, as requested by

DHHS, OLTC, or CMS personnel. Access must be in a “human

readable” format, and shall be provided in a manner that permits

DHHS, OLTC, or CMS personnel to view the records without

facility personnel being present. Access shall include all entries

and accompanying logs and shall list the date and time of any

entry, as well as identifying the individual who performed the

entry. Any computer system utilized, whether in-house or from a

third-party vendor, must comply with this regulation.

III. Hazardous Items – In the past, the guidelines prohibited items in resident rooms

that were labeled “keep out of the reach of children.” With the person-centered

care initiative, we understand that some of these items may now be allowed in

resident rooms. Are there any guidelines on what is acceptable and what is not?

Are night lights acceptable?

With culture change, the paramount issues are whether the facility has assessed,

informed the resident of the potential dangers and harms, and offered alternatives

that might be safer. Assuming that those are done, and a resident elects to proceed,

then that is the resident’s rights.

One proviso is whether the resident’s decision will harm or has the potential to

harm other residents, of course. If so, then the facility should attempt to develop a

mechanism that allows the resident his or her choice while protecting other

residents. This is not absolute – even for people living at home there are limits to

their choices when those choices will harm others.

There is no list of what is allowed or not allowed. CMS guidance provides some

examples of things that should be considered risks. However, while such items are

on the list, it does not mean that they can’t be present if the resident wants them – it

means that the resident must be informed of the risk and then accepts that risk, and

that the resident’s decision does not have the potential to harm others.

Regarding the issue of night lights, there is the further consideration of the Life

Safety Code. Bob Poffenbarger stated that UL approved night lights are

permissible. However, the light bulbs in some night lights could pose a potential

hazard to residents which is what may result in a deficiency if a proper assessment

to protect residents from the potential harm is not performed. LED lights do not

pose this threat so a UL approved, LED night light is recommended.

The CMS guidelines state:


Resident Risks and Environmental Hazards (found at 483.25 (h) Accidents as part

of the Overview in the Guidance section)

Supervision and/or containment of hazards are needed to protect residents from

harm caused by environmental hazards. Examples of such hazards can range from

common chemical cleaning materials to those caused by adverse water

temperatures or improper use of electrical devices.

Chemicals and Toxins - Various materials in the resident environment can pose a

potential hazard to residents. Hazardous materials can be found in the form of

solids, liquids, gases, mists, dusts, fumes, and vapors. The routes of exposure for

toxic materials may include inhalation, absorption, or ingestion.

For a material to pose a safety hazard to a resident, it must be toxic, caustic, or

allergenic; accessible and available in a sufficient amount to cause harm. Toxic

materials that may be present in the resident environment are unlikely to pose a

hazard unless residents have access or are exposed to them. Some materials that

would be considered harmless when used as designed could pose a hazard to a

resident who accidentally ingests or makes contact with them.

Examples of materials that may pose a hazard to a resident include (but are not

limited to):

• Chemicals used by the facility staff in the course of their duties (e.g.,

housekeeping chemicals) and chemicals or other materials brought into the

resident environment by staff, other residents, or visitors;

• Drugs and therapeutic agents;

• Plants and other “natural” materials found in the resident environment or in

the outdoor environment (e.g., poison ivy).

IV. Monitor vs. Record – If a physicians order or an approach on a care plan states

that an event will be monitored, is it expected that this event will be recorded.

For example, if a physician’s order states to monitor fluid intake would it be

expected that the intake be recorded?

If a physician orders an event be monitored or the care plan states to monitor, it

should be recorded whenever the event occurs. The reason for monitoring is to

determine whether changes have occurred. Absent recordation of the intake, there

is no way to be sure whether changes have occurred.

Additionally, absent recordation, there is no way to demonstrate compliance with

the physician’s order.


V. Criminal Record Checks/Staffing – During a recent Licensure survey, days that

CNA’s had provided direct care were not recognized and shortages were

recorded because the facility did not have determination by the licensing agency

that the employee was qualified or disqualified for employment based on the

criminal history of the employee. Our understanding is that a deficiency could

be written under the Criminal Record Check regulations but we were not aware

that the shifts that this employee worked would be deducted and recorded as

shortages related to our monthly report to the OLTC stating our shift shortages.

Please clarify?

Tommy Wingard stated that as long as the facility conducted a “Registry”

clearance through the employment clearance registry (ECR) at the OLTC, and the

person has not listed prior criminal convictions on the DMS-736 form, a facility

may make an offer of temporary employment to an applicant or continued

employment to an incumbent employee while waiting for the official criminal

record check results. If a facility conducts criminal record checks online and there

are no records found, the facility receives an automatic electronic determination

letter which should be printed and kept in the employee file.

If the employee lists any convictions on the DMS-736 form or a record is found

online of any type or nature (not just the offenses listed in the regulations), the

facility is required to remove from unsupervised direct care duties any person who

were offered temporary or continued employment until the Office of Long Term

Care’s Letter of Determination has been received. If the applicant or employee is

disqualified from employment the facility shall terminate the employment of the

employee or deny employment to the applicant.

Carolyn Smart stated that if during a Licensure survey a surveyor identifies that the

facility has not conducted a “Registry” clearance and/or does not have a

determination letter from either the online system or from the OLTC, the shifts that

this employee had worked would be deducted and recorded as shift shortages on

your monthly report to the OLTC.

Both Tommy and Carolyn stated if a facility is conducting criminal record checks

by mail, that the applicant should not be offered employment until a the Office of

Long Term Care’s Letter of Determination is received.


Enhancing Nursing Hom

e Care in Arkansas

Arkansas T

op Ten T

agsN

ov 2008 – Jan 2010

AIPP (A

ll Surveys) O

LT

C (Standard Surveys O

nly)T

ag D

escription T

ag D

escription F323

Accidents

F323 A

ccidents F314

Pressure Sores F312

Receives N

ecessary Services F309

Quality of C

are F371

Food Storage, Prep & Serve

F312 R

eceives Necessary Services

F309 Q

uality of Care

F441 Infection C

ontrol F332

M

edication Errors

F282 Services by Q

ualified Persons F333

Sign Medication E

rrors F371

Food Storage, Prep & Serve

F314 Pressure Sores

F322 N

aso-Gastric T

ubes F282

Services by Qualified Persons

F333 Sign M

edication Errors

F328 Special N

eeds F315

Urinary Incontinence

F322 N

aso-Gastric T

ubes


A

IPP

Mon

thly

Top

F-T

ags J

anua

ry 2

010

Enha

ncin

g N

ursin

g H

ome

Car

e in

Ark

ansa

s

The

info

rmat

ion

in th

is re

port

is in

terp

rete

d as

it is

writ

ten

on th

e 25

67.

The

verb

iage

lead

ing

up to

the

follo

win

g st

atem

ents

wou

ld in

clud

e: ”

The

faci

lity

faile

d to

ens

ure…

”

Tag

D

escr

iptio

n Is

sues

to M

onito

r

F323

A

ccid

ents

Mal

func

tioni

ng se

at b

elt i

n fa

cilit

y va

n w

as p

rom

ptly

repa

ired

/ Q-s

train

t whe

elch

air &

occ

upan

t res

train

t sys

tem

in fa

cilit

y va

n w

as a

pplie

d pr

oper

ly /

Mot

oriz

ed c

hairs

wer

e no

t use

d in

faci

lity

van

for t

rans

port

/ Tra

nsfe

rs w

ere

not c

ondu

cted

by

liftin

g un

der a

rms &

with

wai

stba

nd o

f cl

othi

ng /

Inte

rven

tions

wer

e de

velo

ped

& im

plem

ente

d fo

r pot

entia

l of r

esid

ents

wan

derin

g in

to o

ther

resi

dent

room

s / H

azar

dous

che

mic

als &

ite

ms p

rope

rly se

cure

d / C

loth

es d

ryer

filt

ers w

ere

free

of l

int /

Pad

ded

side

rails

wer

e in

goo

d re

pair

/ Lift

s use

d ac

cord

ing

to p

lan

of c

are

/ R

estra

ints

wer

e pr

oper

ly a

pplie

d / A

ccur

ate

asse

ssm

ents

con

duct

ed &

inte

rven

tions

dev

elop

ed a

nd im

plem

ente

d fo

r fal

ls /

Mul

ti pl

ug o

utle

t was

not

us

ed /

Blo

od su

gar l

ance

ts &

insu

lin n

eedl

es d

ispo

sed

of p

rope

rly /

Smok

ing

was

supe

rvis

ed /

Whe

elch

air w

as lo

cked

/ W

ater

tem

pera

ture

s at a

safe

le

vel /

Per

sona

l ala

rms a

ttach

ed /

Res

iden

t was

pro

perly

pos

ition

ed in

slin

g du

ring

trans

fer /

Res

was

abl

e to

bea

r wei

ght w

hen

usin

g st

and

up li

ft

F314

Pr

essu

re S

ores

Hee

ls w

ere

offlo

aded

/ In

cont

inen

t car

e pr

ovid

ed p

rom

ptly

/ N

ew a

reas

pro

mpt

ly id

entif

ied

& re

porte

d / S

kin

asse

ssm

ents

con

duct

ed &

doc

umen

ted

wee

kly

and

incl

uded

size

, sta

ge, &

a d

escr

iptio

n of

skin

surr

ound

ing

area

/ Tr

eatm

ents

con

duct

ed a

s ord

ered

/ In

terv

entio

ns d

evel

oped

&

impl

emen

ted

to p

reve

nt p

oten

tial s

kin

brea

kdow

n /

Turn

ing

& re

posi

tioni

ng w

as c

ondu

cted

eve

ry 2

hou

rs /

Rel

ief d

evic

es p

rovi

ded

for b

ed &

cha

ir/

Con

tam

inat

ion

of p

ress

ure

ulce

r dur

ing

inco

ntin

ent c

are

with

feca

l mat

ter /

Res

iden

ts w

ere

free

from

shea

ring

forc

es /

Rin

se, d

ry, a

pply

bar

rier

crea

m a

fter i

ncon

tinen

t car

e / A

ll ar

eas c

lean

sed

of u

rine

/ Glo

ves c

hang

ed a

fter c

onta

min

ated

/ Su

pplie

s cle

anse

d pr

ior t

o us

e

F309

Q

ualit

y of

Car

eD

rain

age

at P

EG tu

be in

serti

on si

te w

as c

orre

ctly

ass

esse

d / P

ain

med

icat

ion

orde

red

& re

ceiv

ed in

tim

ely

man

ner /

Lab

wor

k co

llect

ed a

s ord

ered

/ U

rinar

y ca

th tu

bing

was

pos

ition

ed to

faci

litat

e dr

aina

ge /

All

area

s cle

anse

d du

ring

inco

ntin

ent c

are

/ Cat

hete

rs w

ere

secu

red

& c

are

was

pro

vide

d du

ring

inco

nt c

are

/ Ski

n ab

rasi

ons r

epor

ted

/ PO

C a

ddre

ssed

resi

dent

s nee

d fo

r tub

e fe

edin

g / L

axat

ive

was

not

adm

inis

tere

d to

resi

dent

hav

ing

freq

uent

epi

sode

s of d

iarr

hea

/ Leg

stra

ps w

ere

used

/ M

edic

atio

ns &

oin

tmen

ts w

ere

not u

sed

with

out a

n or

der /

Cat

h tu

bing

was

kep

t off

floo

r

F312

N

eces

sary

Ser

vice

s Fi

nger

nails

& to

enai

ls w

ere

trim

med

& c

lean

ed /

All

soile

d ar

eas w

ere

clea

nsed

dur

ing

inco

ntin

ent c

are

/ Res

iden

t’s h

ands

wer

e w

ashe

d / E

atin

g as

sist

ance

was

pro

vide

d / S

oap

was

rins

ed fr

om sk

in d

urin

g be

d ba

th

F282

*Se

rvic

es b

y Q

ualif

ied

Pers

ons

Plan

of c

are

follo

wed

for s

ervi

ng d

ieta

ry su

pple

men

ts /

Doc

tors

app

oint

men

t was

obt

aine

d /

Ord

ers w

ere

follo

wed

for s

lidin

g sc

ale

insu

lin o

rder

s /

Liqu

ids t

hick

ened

to o

rder

ed c

onsi

sten

cy &

free

of l

umps

/ Pu

ddin

g, d

oubl

e m

eat,

doub

le p

ortio

ns fo

r mea

ls a

nd re

gula

r bab

y fo

od d

iets

wer

e pr

ovid

ed /

Wou

nd tr

eatm

ents

pro

vide

d as

ord

ered

/ Pl

an o

f car

e to

adm

inis

ter m

edic

atio

ns w

ith fo

od w

as im

plem

ente

d / F

ortif

ied

food

s pro

vide

d

F315

* U

rina

ry In

cont

inen

ce

Car

e w

as p

rovi

ded

usin

g fr

ont t

o ba

ck w

ipin

g / S

ched

uled

toile

ting

prog

ram

was

pro

vide

d in

tim

ely

man

ner /

Diff

eren

t are

a of

clo

th w

as u

sed

for

each

swip

e / L

ab se

rvic

es w

ere

obta

ined

pro

mpt

ly /

Not

ify p

hysi

cian

of C

&S

resu

lts /

Ord

ered

ant

ibio

tic tr

eatm

ent w

as in

itiat

ed /

All

area

s wer

e cl

eans

ed o

f fec

al m

atte

r

F322

* N

aso-

Gas

tric

Tub

es

Feed

ings

wer

e ad

min

iste

red

at c

orre

ct fl

ow ra

te &

acc

ordi

ng to

sche

dule

/ B

olus

feed

ings

wer

e pr

ovid

ed /

All

wat

er fl

ushe

s wer

e at

rate

ord

ered

/ Tu

be w

as c

heck

for p

lace

men

t & p

aten

cy /

Feed

ing

tube

equ

ipm

ent w

as n

ot la

id o

n be

d / O

rder

s wer

e fo

llow

ed fo

r a d

ieta

ry su

pple

men

t via

feed

ing

tube

F333

*Si

gnifi

cant

Med

E

rror

s

Lexa

pro

10 m

g or

dere

d, g

ave

20 m

g x

20 d

oses

/ Fl

agyl

om

itted

on

even

ing/

nigh

t shi

fts /

Hum

ulin

not

adm

inis

tere

d / L

antu

s om

itted

/ Fu

rose

mid

e 40

mg

orde

red,

gav

e 20

mg

x 7

dose

s / In

corr

ect a

mou

nt o

f ins

ulin

adm

inis

tere

d ba

sed

on sl

idin

g sc

ale

/ Did

not

shak

e D

ilant

in o

r mea

sure

with

a

syrin

ge /

Dis

crep

ancy

bet

wee

n re

side

nt’s

rout

ine

stan

ding

slid

ing

scal

e or

ders

& w

hat w

as d

ocum

ente

d on

MA

R /

Did

not

roll

Nov

olin

/ Ip

ratro

pium

/Alb

uter

ol 0

.5 -

3 m

g- 3

ml o

rder

ed g

ave

Alb

uter

ol 2

.5 m

g –

3ml

F363

*St

anda

rd M

enus

/ N

utri

tiona

l Ade

quac

y Pl

anne

d w

ritte

n m

enu

for a

½ p

ortio

n di

et w

as a

vaila

ble

/ Pla

nned

men

u w

as fo

llow

ed fo

r Ren

al, L

ow C

once

ntra

ted

Swee

t, Pu

reed

, Hig

h Pr

otei

n-H

igh

Cal

orie

, & M

echa

nica

l Sof

t Die

ts

F441

Infe

ctio

n C

ontr

ol

Prog

ram

in p

lace

to tr

ack

& tr

end

infe

ctio

ns /

Staf

f was

hed

hand

s afte

r dire

ct re

side

nt c

onta

ct /

Con

tam

inat

ed c

loth

ing

prot

ecto

rs w

ere

not u

sed

/ Lo

g w

as m

aint

aine

d to

incl

ude

all i

dent

ified

infe

ctio

ns &

ant

ibio

tic u

se /

In-r

oom

isol

atio

n ba

rrel

s wer

e co

vere

d / G

love

s wer

e ch

ange

d af

ter

beco

min

g co

ntam

inat

ed /

Han

ds w

ere

was

hed

prio

r to

pass

ing

med

icat

ions

/ So

iled

linen

s wer

e di

spos

ed o

f pro

perly

/ Ic

e sc

oop

was

han

dled

in

sani

tary

man

ner /

Ove

r bed

tabl

e w

as sa

nitiz

ed b

efor

e pl

acin

g su

pplie

s on

it an

d to

set u

p a

clea

n fie

ld

*Ind

icat

es d

efic

ienc

y w

as c

ited

the

sam

e nu

mbe

r of t

imes

dur

ing

Dec

embe

r.


SOCIALSERVICEDIRECTORTRAININGPARTI&II

Sponsoredby:

DustyLinnConsulting

APRIL8TH

&9th

2010

FAIRFIELDINN&SUITES:CONWAY,AR

CourseContent

PartIwillbecoveringTag250aswellasdocumentation,careplanningandMDS2.0.Wewillalsobe

discussingculturechangeandresidentrightsandlookingattimemanagement.

PartIIwillcoverabuseandneglectissuesaswellasreportingabuseandneglect.TheQualityofLifeTags

andamorethoroughunderstandingofculturechangewillbecoveredaswell.ThenewMDS3.0willbe

reviewedandinformationregardingspecialtyunitswillalsobecovered.

Lunchwillbeprovidedbothdays,andadiscountisavailableatFairfieldInn&Suitesforparticipants.

RegistrationInformation

EarlyBirdRegistrationDeadline: LateRegistration:

March15 1registrantfor1day:$125

1registrantfor1day:$100 1registrantfor2days:$200

1registrantfor2days:$170 Multipleregistrantsfor1day:$100/person

Multipleregistrantsfor1day:$85/person Multipleregistrantsfor2days:$200/person

Multipleregistrantsfor2days:$170/person

Toregister,pleaseremitpaymentmailto:DustyLinnConsulting

3TrellisCourt

Greenbrier,AR72058

(501)472‐6642

[email protected]

Pleaseincludethenameoftheparticipantsandthenameofthefacility.

Hotelinformation:FairfieldInn&Suites

2260SandersRd.

Conway,AR72034

(501)450‐7363


I N S I D E T H I S

I S S U E

1 ē Employment

Verification

2 ICF/MR Enhanced

Care Add-Ons

3 Options Counseling

4 Glucometer Cleaning

5 LPN Scope of

Practice

6 Employee

Management

7 Reminders

8 Important Dates

Should You Verify Employment Eligibility

Electronically?

E-verify is a free web-based system designed to supplement existing Form I-9 identify verification procedures, to ensure that newly hired employees are authorized to work in the United States. The system is operated by the Department of Homeland Security (“DHS”), together with the Social Security Administration (“SSA”), to increase the accuracy of the Form I-9 procedures. While its use is mandatory for some employers, such as federal contractors and subcontractors, to date, only eleven states have made in mandatory for private employers.

To use the system, the employer inputs the employee’s information from the Form I-9. This information is then compared with information contained in other federal databases. Automatic confirmation of eligibility for employment is returned within 24 hours.

Employers may enroll in the system voluntarily by applying on the Department of Homeland Security’s web-site. The employer is required to enter into a Memorandum of Understanding that imposes certain obligations, key of which are as follow:

• Posting a notice to prospective and current employees that the employer uses the E-verify system.

• Verifying the work authorization of every new employee within 3 days of hire. E-very may not be used to prescreen job applicants or to reverify existing employees.

• Accepting only those Form I-9 List B documents that contain a photo.

• Making a photocopy of certain Form I-9 List A documents when they are presented, including Permanent Resident Cards (“green cards”).

• Notifying employees of Tentative Non-Confirmations of work authorization with written instructions for challenging the Tentative Non-Confirmation.

• Refraining from taking adverse actions against employees while the E-verify query is being processed or during the time an employee is given to

Of Record Legal News

February, 2010

Volume 5 Issue 2

Arkansas Health Care Assoc iat ion/Arkansas Ass i s ted L iv ing Assoc iat ion 1401 W. Capito l Ave., Su i te 180 L i t t le Rock, AR, 72201, (501) 374-4422


February, 2010

Page 2 Of Record

challenge a Tentative Non-Confirmation.

• Complying with the nondiscrimination provisions of the Immigration and Nationality Act and Title VII of the Civil Rights Act of 1964.

• Allowing DHS and SSA to review the employer’s I-9 Forms and other employment records.

A significant advantage of using the E-verify system is that the employer may rely on a rebuttable presumption that it did not knowingly hire an unauthorized worker. On the disadvantage side, all Tentative Non-Confirmations must be resolved within the E-verify system by recording whether the employee has chosen to challenge the Non-Confirmation, and if so, whether SSA or DHS has resolved the challenge in the employee’s favor. Also, the continued employment of any worker who has received a Final Non-Confirmation creates a rebuttable presumption that the employer is knowingly continuing to employ an unauthorized worker, which is prohibited under the law.

The Form I-9 was established in 1986 as a mechanism to monitor the prohibition against knowingly employing unauthorized workers. The I-9 is retained by the employer and not submitted to the government for verification, so the effectiveness of that system depends on the employer’s willingness and ability to determine the validity of the employee’s documents, and to ensure that an employee is not using another person’s documents. While the E-verify system has been in place since about 1997, it wasn’t until July, 2009 that more attention has been focused on that system, when President Obama committed to focusing all employment eligibility determinations on E-verify use.

If your current verification procedures are sufficiently strong to pick up on unauthorized workers, you may not wish to voluntarily enter this system. On the other hand, if you are concerned that you may not be picking up on false or fraudulent documentation provided by your new employees, this system may be a useful tool.

ICF/MR 16 Bed & Over Enhanced Care Add-

On

ICF/MR 16 Bed and Over Private Facilities will receive an adjustment to the per diem rate in the amount of $10.54 per day effective for dates of service beginning November 1, 2009. The Division of Medical Services will process a mass adjustment in the near future to retroactively apply the rate increase. The rule change is reflected on pages 2-6 and 2-6a of the Medical Assistance Program Manual of Cost Reimbursement Rules for Long-Term Care Facilities. DMS Notice of Final Rule Memorandum dated 01/15/10.

“If you are concerned

that you may not be

picking up on false or

fraudulent

documentation

provided by your new

employees, this

system may be a

useful tool.”


February, 2010

Page 3 Of Record

ICF/MR Under 16 Bed Enhanced Care Add-

On

ICF/MR Under 16 Bed Facilities will receive an adjustment to the per diem rate in the amount of $7.02 per day effective for dates of service beginning November 1, 2009. The Division of Medical Services will process a mass adjustment in the near future to retroactively apply the rate increase. The rule change is reflected on pages 2-7 and 2-7a of the Medical Assistance Program Manual of Cost Reimbursement Rules for Long-Term Care Facilities. DMS Notice of Final Rule Memorandum dated 01/15/10.

Options Counseling Form Has Revision

The Division of Aging and Adult Services has revised the Options Counseling form, which must be used beginning February 1, 2010. The form is attached to the notice memorandum from the Office of Long Term Care, or may be downloaded from the Public Downloads folder on the OLTC Public SharePoint site at https://ardhs.sharepointsite.net/OLTC/default.aspx. OLTC Advisory Memo dated 01/12/10;as amended by LTC-A-2010-03 REVISED (original

memorandum had the wrong form)..

Stephanie Blocker has been hired by the Division of Aging and Adult Services to oversee the Options Counseling Program, in part. One of her roles will be to study the affect of the Options Counseling on institutional living. To accomplish this, one of the first goals is to get cleaner information from the nursing facilities. Data quality problems have been related to illegible hand-writing and incorrect social security numbers. To correct this, in part, facilities that have Internet access are directed to submit their forms electronically. The residents or responsible party’s signature is not required for the electronic submission, however, the completed form must be printed and signed by the resident or responsible party, and that form maintained for OLTC’s audit. Those facilities that do not have Internet access may continue to submit the forms by facsimile.

Failure to Clean Glucometer Between

Resident Merits IJ Deficiency

Lyn Bently of the AmHCA, reports that there is an increase in Immediate Jeopardy citations because facility employees are not cleaning glucometers between uses. She notes that, while it is true that CMS updated the interpretive guidelines for F441 with an example of an IJ deficiency being either not changing lancets between residents or not cleaning a glucometer between residents, this has always been Centers for Disease Control (“CDC”) policy for quite some time. Two links to relevant information on the CDC Web site are: http://www.cdc.gov/hepatitis/Settings/GlucoseMonitoring.htm http://www.cdc.gov/hepatitis/Populations/PDFs/diabetes_handout.pdf


February, 2010

Page 4 Of Record

LPNs May Perform PRN Blood Glucose Tests

and Administer Meds Based on the Results

During a recent visit to a facility, an advance practice nurse, who was formerly on the State Board of Nursing, told the Director of Nursing, that LPNs were not permitted to administer PRN blood glucose tests because the LPN would be performing an “assessment” to determine the need for the test, and that assessments fall outside the scope of practice for LPNs. Debbie Jones, the expert on Scope of Nursing Practice with the State Board of Nursing, disagrees that an LPN is not permitted to administer a PRN medication. She responded to the following question.

Is an LPN qualified by training to observe and record signs and symptoms of high or low blood sugar, and then based on those observations, to administer a blood glucose test, which is a PRN order?

Ms. Jones explained as follows: Position Statements 95-1 and 98-6 define the Scope of Practice which are broad and vague. The RN Scope of Practice includes assessment, diagnosis, planning, intervention and evaluation. The LPN Scope of Practice includes observation, intervention, and evaluation. The LPN works under the direction of the RN, APN, licensed physician or licensed dentist.

The RN will assess the resident, identify the appropriate diagnose(s) and plan the care based on the assessment, diagnosis, and physician orders. Unless the task requires assessment, diagnosis, or planning the LPN could be assigned or delegated the task that the LPN is educated and competent to perform.

Monitoring signs and symptoms of Hypo- or hyperglycemia and documenting observations would be within the LPN Scope of Practice. One method of monitoring is performing and blood glucose test. The LPN can then administer medication that is ordered based upon the blood glucose test. If specific nursing tasks are not ordered by the physician or nursing care plan, the LPN would report adverse signs and symptoms to the RN, APN, or physician for further directions.

Deborah L. Jones, RN, MNSc Program Coordinator Arkansas State Board of Nursing

Reinventing Your Management: Teamwork

Doesn’t Always Work

“Competition doesn’t always appeal to every member on the corporate ladder.”

-Jim Mathis


February, 2010

Page 5 Of Record

Your Team Hates Working For You

"What? They love me!” you say. They follow direction and always honor me and my family at the annual meeting with a gift and testimonials. They hate you. Most bosses operate under the delusion they are adored and that everyone is dying to follow them. The more eccentric the leader, the more the hatred. I worked for multiple leaders who were as eccentric as could be and it generated contempt. The deeper the quirks, the more intense the animosity. The workers may be bowing and scraping, but they resent every action and duty dumped on them that you want done and won’t do for yourself. They like getting paid. But when they go home at night, they spill their bile about that taskmaster of a boss who does nothing but drive them crazy (isn't that what you do?).

Before you fly off the handle and stop reading this, allow me to explain the top reasons your team can’t stand working with you. Remember the movie, Mr. Mom, with Michael Keaton and Martin Mull? Keaton attended his wife’s company picnic. There were competitive games, but the object was to let the hapless boss (played by Mull) win every time. They hated him. Well these are things you need to fix before you either have a full-scale mutiny or a going-out-of-business sale in the HR department.

First, you treat them like employees, or cattle. You don't know a thing about them as persons (which makes them feel like nothing more than a number). You have no idea what lives they live or what they go through to please you. You require reports that you really never read or care about just to make sure they are honestly working. They know the reports are useless and that you really don’t read them. They have more important things to do with their time. Just like you have more important things to do than read useless reports. Nothing sucks more than a gift or reward that doesn’t match the person’s likes or dislikes. I served on a board last year that was tough enough. But at the end of the year, when it was time to pick gifts for the “team,” the leader bought all of us cookbooks (I don’t cook). He autographed them with personal notes about what they had done that year. If he couldn’t remember what they did, he just wrote something that came to mind. “Jim, I know how you love to cook, so hope you can use the great recipes in this book.” What a waste.

Next, you don't fight for them. When is the last time you went to bat for a team member? And I mean went to bat where you had something to lose if it didn't work out? How many times have you been thrown under the bus by a superior? Didn’t feel good, did it? I had a boss one time that was afraid to ask the finance committee for an annual raise for his staff, but wouldn’t allow them to go to the committee and ask for themselves either. When you don't stand up for them, you lose their trust. Instead try to identify something you should have gone to the mat for recently and get out there and fight. Get someone that raise they deserve. Go fight for them to get that cool new project. Give them credit for work accomplished…and I mean real credit; something they want and deserve.

You micro-manage. You know every detail of what they're working on and


February, 2010

Page 6 Of Record

you've become a control freak. They have no room to make decisions on their own (which means yes, they'll make a mistake or two). There are certain personality types that outright despise being micro-managed. It all boils down to the trust issue. I speak to CEOs all the time at conventions and retreats who fret over what is going on while they are away. That is usually the first sign that I can tell they aren’t coaching their managers. Want to fix this? Try backing off. Pick a few low risk projects and commit to not doing ANYTHING on them unless your employee asks you for assistance. It'll be uncomfortable for you. Give it a try and stop being a control freak.

You treat them like mushrooms. Translation: they're kept in the dark and fed a bunch of manure. Do you ration information? Do you withhold "important" things from them because it's "need to know" only? All you're doing is creating gossip and fear. Again, it goes back to the trust issue. People will follow a vision or a dream when it is made clear. They will help a leader attain his or her goals when they find out what is in it for them. Stop being a secret agent and start being transparent in your management style. The most dedicated employees I have seen are up to speed on what the boss wants and where they fit into that scheme of things. They will follow you over the next hill if you tell them why and where.

You don’t get down in the trenches with them. You're above getting your hands dirty. You're great at assigning work. Doing work? Not so much. They hate watching you preside (and they hate it even more when you take credit for what they slaved over). I ask my assistant, to make 20 telephone calls every day to clients and prospects. She doesn’t love making the calls (who really does?), but one thing she can’t complain about is that I don’t just dump this on her. I make 20 -30 call per day myself. Roll up your sleeves and pick a smaller task you can handle in addition to your other responsibilities and DO THE PROJECT YOURSELF.

MSNBC.com came out with a poll of work satisfaction January 5. It seems that in the first week of the new decade dissatisfaction with work is at an all-time low. Almost all of the comments about being dissatisfied were associated with the management/employee relationship, or lack thereof. Some of the quotes associated with the poll were:

“I work for a small firm owned by vapid narcissists with no regard for the aspirations of those who make their opulent lifestyle possible.”

“I hate every part of it. Used to love my job, but over the past five years I’ve seen it go to hell due to poor management and people who just don’t care.”

“Not satisfied and I want a new one. I feel very disconnected from my job. Management is making bad decisions and not listening to the employees.”

“Plenty of payroll issues, as well as being hidden from the rest of the company and being purposefully held back from advancement.”

“Things have changed for the worse at my job. After 29 years I was demoted – with a large DECREASE in pay. So much for being loyal to people.”


February, 2010

Page 7 Of Record

The New World of Community

There is a breath of fresh air in the new decade, though. It embodies the world of community at work. It doesn’t pit employees against each other. It doesn’t set up an “enemy” in the form of the competitors, other staff members, or even the boss. It involves openness and sharing from top to bottom. Mankind has always wanted to belong to a group. Acceptance, affirmation and approval are the motivating factors. Competition doesn’t always appeal to every member on the corporate ladder. Some people are proud to do their jobs and contribute with only the acceptance of others as their reward.

My wife works for a national corporation. She has a territory that spans four states. Last year we had just gotten engaged and soon after the day she announced our engagement, the company newsletter proclaimed her good news to everyone in her region. The salutations poured in. When my wife arrived at a subsequent training meeting, the lunch banquet had a French theme to incorporate our honeymoon destination! She was so surprised and texted me immediately what they had done. Everyone was happy and celebrated. The spirit of community building in her company is very strong. No team vs. team. No “us” vs. “them.” It’s all about you and what you can do to make us a better community. It bleeds out into the climate of their customers and the ROI (Return on Investment) is growing.

For years people have attempted to build community. They have tried in the schools, but we are a disjointed society without a lot of free time to get involved in our children’s school. They have tried in neighborhoods, but most people can’t name four families that live two doors down the street from them. They have tried in churches, but when the most active people only attend 2-3 hours a week, you can’t build a very large, viable community. The place we work is where we spend most of our time every week. It contains the people we interact with more than anyone else in our lives. It is the perfect breeding ground to grow community. You can take a dysfunctional group of people and build a strong community out of their needs and wants that are satisfied by mixing together.

Permission is granted to reprint this article. Jim Mathis, CSP is an international Certified Speaking Professional, Corporate Reinvention Strategist and author. To subscribe to his free personal and professional

development newsletter, please send an email to: [email protected] with the word SUBSCRIBE in the subject. An electronic copy will be sent out to you every month. For more information on how Jim and his programs can benefit your organization or group, please call 888-688-0220, or visit his web site: www.jimmathis.com.

Reminders

Upon hire and contracting, check the OIG Exclusion and GSA databases for names of persons and companies you may not employ or do business with:


February, 2010

Page 8 Of Record

www.hhs.gov/oig and http://epls.arnet.gov.

Check the AHCA website monthly for the OIG monthly Exclusion List Update and for other helpful legal documents. Go the Members Only section/Legal Page. Call the Associations office if you do not know the user id or password. http://arhealthcare.com.

Important Dates Reminders

02/01/10 Post OSHA Form 300A now and until April 30, 2009 - see Of

Record, Vol. 5, No. 2 (February 2010)

05/30/10 Deliver or mail annual Facility License Renewal Application

06/01/10 New Deadline for Red Flag Rule Implementation - see Of

Record, Vol. 4, No.10 (October 2009)

06/30/10 Deliver or mail annual Administrator’s License Renewal Application

This Newsletter is not intended as legal advice. Rather, it is intended as an informational service to the

reader. Questions about its interpretation should be referred to legal counsel.

BY: Elizabeth Andreoli, JD

Hardin, Jesson & Terry, PLC 1401 W. Capitol Ave, Suite 180 Little Rock, Arkansas 72201 Phone: (501) 372-3634 Fax: (501) 372-3631 E-mail: [email protected]


Medical

ServicesZ & D

595 Hwy. 365 South Mayflower, AR 72106

Office 866 - 280 - 2122 Fax 501 - 327 - 0424

Sponsor Spotlight

Sponsorships establish a partnership between our member facilities and the professionals who deliver goods and services to them. Sponsors help AHCA further the education of our members and their staffs, provide support to the

Arkansas Health Care Foundation, and promote quality care in our member facilities. Please recognize and thank our partners when you are doing business with them.

Since its incorporation in September 2000, Z&D Medical Services has grown to provide a wide variety of medical equipment servicing, rental and sales. “Our main focus has always been and will always be to take care of the resident. Our pricing reflects that,” Z&D President Dave Gray said. In addition to affordable pricing, Z&D is dedicated to high quality long term care. They service all types of medical equipment, including low air loss therapy mattresses and bariatric and respiratory equipment, and they use the best equipment available. “What we’re doing is providing a high quality service that’s going to definitely take care of these residents,” Gray said. In order to better care for residents, Z&D has also implemented programs and events to care for the staff, such as cookouts, educational trainings and distributing prizes. This year, we are proud to announce that Z&D has become an AHCA/AALA Platinum Sponsor. Gray said Z&D is highly interested in helping AHCA/AALA provide continuously higher quality training for health care professionals. Just as Z&D was built from the ground up, so have they built their sponsorship, starting out as a lower level sponsor in 2000 and arriving at our highest level of sponsorship this year. We are grateful for their sponsorship and look forward to continuing our work together for long term care residents in Arkansas! Thank you, Z&D!

To contact Z & D Medical, call 866-280-2122.

FIRST-CLASS MAILU.S. POSTAGE PAID

LITTLE ROCK, ARPERMIT NO. 325

1401 West Capitol, Suite 180Little Rock, Arkansas 72201

Don’t miss the 2010AHCA / AALA Spring Convention & Trade Show!

April 28 - 30Hot Springs Convention Center

Visit www.arhealthcare.com for more information.

Date post:	10-Mar-2016
Category:	Documents
Upload:	rachel-davis
View:	217 times
Download:	2 times

March N&N

Documents