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February 29, 2016 | Irene Fleshner
Last summer, CMS issued proposed changes to the Requirements of Participation for Nursing Homes (RofP). They requested comments on the proposed changes and the stakeholder community was neither quiet...
December 15, 2015 | Irene Fleshner
Happy is a word we hear used a lot during the holidays. I started to think about the meaning of “happy,” and found myself singing the Pharrell Williams song, “Happy,” and then thought of a smiley...
October 9, 2015 | Irene Fleshner
Recently CMS issued proposed changes to the Requirements of Participation for Nursing Homes (RofP) (think rules surveyors follow when they’re in my building). The proposed changes were developed in...
August 27, 2015 | Irene Fleshner
Long term post-acute care facilities across the country face staffing shortages due in large part to high turnover rates, a lack of training and advancement opportunities, and a workforce largely...
August 12, 2015 | Irene Fleshner
I recently attended the Long Term and Post-Acute Care Health IT Summit (LTPAC/HIT) in Baltimore. The primary focus of the conference was on electronic medical records, thus the usual array of vendors...
March 20, 2015 | Irene Fleshner
“I am finally fully staffed, and then one of my employees resigns.” How often have you experienced this situation? If you’re like many senior care operators, this happens all too frequently. A study...
February 26, 2015 | Irene Fleshner
I went down a circuitous academic path to become a nurse. I started college majoring in political science in Washington DC. Many of my classmates were doing internships on the Hill and thinking about...
December 23, 2014 | Irene Fleshner
At the end of the year many of us reflect back on what we’ve accomplished and how we’ve lived our lives during the preceding 365 days. I was thinking about how busy I’ve been in 2014 and my desire to...
November 18, 2014 | Irene Fleshner
For years, people have asked me … “What is the optimal mix of full- and part-time employees to efficiently and effectively staff my facility?” Given that the employer mandate provision of the ACA is...
September 30, 2014 | Irene Fleshner
Fall has officially arrived! And there are a few things that we can count on happening every year at this time, like cooler temperatures, beautiful foliage colors and a full schedule of conferences...
September 2, 2014 | Irene Fleshner
Most of my life I lived “inside the beltway,” which is DC speak for an area that includes Washington DC and the close suburbs of Maryland and Virginia. August was always my favorite month in DC. Not...