The Founder and President of Our Mother’s Voice discusses the history and goals of the organization on the radio!
For the audio podcast:http://leojansen.net/WLMAMedia/Podcast/Kathy%20Bradley%2001-06-15.mp3
For a video version of the interview: https://www.youtube.com/watch?v=DeTABWD798c&feature=youtu.be
The Center for Medicare and Medicaid Services has released updated federal regulations governing nursing facilities, which will be phased in over a 3-year period. The new Revised Regulations for Long-Term Care Facilities (nursing homes) are now published as a single document available online:
The Interpretive Guidance for surveyors, which further defines the intent of the new regulations, is available here:
For a version of the Guidance with a “clickable” Table of Contents to enable the reader to “jump” to any section rather than searching the entire 700-page document:
1. Click here to download the Revised Interpretive Guidelines with the clickable Table of Contents.
2. Scroll down to page 2 of the document.
3. Move your mouse over the section you want to review (e.g. "Resident Rights," "Quality of Care," etc.). You should see your pointer mouse turn into a hand with a finger.
4. Click on the section you've selected. The document should immediately jump to that section of the Interpretive Guidelines.
The National Consumer Voice is publishing a series of informative briefs highlighting some of the changes, the first of which can be accessed here:
For those who want a more in-depth review of the changes in the regulations, the following are two multi-page summaries of key changes:
and for a fact sheet that explains some of the reasons these revisions are vital to nursing home residents (NOTE: You will have to copy and paste this address into your browser. This hyperlink would not activate):
More fact sheets on the new revised nursing home regulations from the National Consumer Voice for Quality Long-Term Care:
on transfer & discharge:
on unnecessary drugs and antipsychotic medications:
on admission: http://theconsumervoice.org/uploads/files/issues/Revised_Nursing_Facility_Regulations_Admission.pdf
on assessment, care planning, and discharge planning:
on involuntary transfer and discharge:
on nursing services:
on visitation rights:
on specialized rehabilitation services:
on Grievances and Resident or Family Councils:
on Return to Facility After Hospitalization:
on Quality of Care:
Often families are told their loved one cannot be served in a community-based setting because of wandering or other challenging behaviors. The Center for Medicare and Medicaid services has published guidance for providers instructing them how they are to meet these needs within the federal regulations:
For a guide to understanding this new rule and how it impacts care and services in adult day settings, from the Consumer Voice and Justice in Aging:
For information on how you can advocate for person-centered services in adult day settings who are governed by these rules, from the Consumer Voice and Justice in Aging:
Resident-on Resident Abuse is often cited as a reason to discharge an “aggressive” resident. For a guide to successfully addressing these behaviors, and avoiding the threat of involuntary discharge of the “aggressive” resident, the National Center on Elder Abuse has published this brief:
for a new report on the impact of Alzheimer’s disease:
for links to various informational resources for caregivers of loved ones with dementia:
for an overview of the concepts of individualized quality care:
for information about the Center for Medicare & Medicaid Services (CMS) initiative supporting and encouraging facilities to implement person and family involvement in care planning:
for a fact sheet detailing the rights of Resident Councils in nursing homes, from the National Consumer Voice on Quality Long-Term Care:
For a guest article on senior wellness tips, click here.
Click here for more Online Resources
We have not tried to be exhaustive in discussing these topics, or including all the issues that will arise when families face the life changes of placing a loved one in a nursing home. And for many families, providing care at home is the best option – a decision which also brings challenges. These links to the resources of others will help to further equip families to become strong advocates not only for their own family members but also for systems change in the field of long-term care, whether that care takes place in a nursing facility or with assistance in the home.
We encourage you to explore these resources; and if you find others that we haven’t included, please let us know at firstname.lastname@example.org so that we can add them to our compendium.
Mixed Media on Canvas by Carol J. Hay
Our Mothers Voice
STATEMENT OF PURPOSE AND DISCLAIMER:
The contents of the information shared at this site are largely based upon the Code of Federal Regulations 42CFR483 Subpart B, Centers forMedicare & Medicaid Services, Requirements for Long-Term Care Facilities, standards for nursing homes. Although not every Nursing Facility accepts Medicare or Medicaid residents, the standard of care represented in the discussion here should be the standard families look for when choosing a facility for their loved one. Our Mother’s Voice reminds the family to remain vigilant to ensure that those rights and quality of care and services remain in place, for those whose voice has been silenced by age, incapacity, or dementia. Our Mother’s Voice does not advise, but informs, so that families can then make decisions of their own. If you require advice, we recommend that you seek the appropriate advisory professional. Our Mother's Voice is a trademark owned by the founders of the organization. All rights reserved. All artwork taken from original paintings by Carol J Hay, our mother, copyrighted; used with permission.
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