The long-term care survey process can be very time-consuming and stressful for the Director of Nursing while the surveyors are on-site. This session will provide an overview of what to expect during the on-site survey, in an effort to prepare both mentally and physically.  

• Identify key tasks that surveyors will complete during the on-site recertification survey.  
• Understand the process for completing the CMS-802 and CMS-672 forms.  
• Develop strategies for effective interview skills with long-term care surveyors. 

2:30 – 4:15 p.m. CT
MDS Overview, Regulations & Resident Centered Care Planning
Kellie Van Ree, RN, LNHA, IP, Director of Clinical Services, LeadingAge Iowa, Urbandale  

A key component of reimbursement, quality measures, and performance indicators is the Minimum Data Set (MDS). The Director of Nursing must have a basic understanding of the MDS process for quality assurance, performance improvement, and to be available as a resource to the MDS Coordinator. 

• Differentiate between each MDS Item Set/Section including assessment reference periods.  
• Identify where to locate information in the RAI manual as a reference to completing the MDS.  
• Develop resident-centered care plans based on the MDS coding. 

March 30, 2023
1 – 4:15 p.m. CT (a 15-minute break will be scheduled during this session)
Regulations Relevant to the Nursing Department Part 1
Kellie Van Ree, RN, LNHA, IP, Director of Clinical Services, LeadingAge Iowa, Urbandale  

This session will include strategies for maintaining compliance regarding federal regulations with focus in the nursing department.  The following sections from Appendix PP of the State Operations Manual (SOM) will be covered in-depth including regulatory language, developing strategies for strong prevention programs in accordance with interpretative guidance, and examples of non-compliance.   

• Freedom from Abuse, Neglect, and Exploitation 
• Quality of Life 
• Resident’s Rights 
• Pharmacy Services 
• Laboratory, Radiology and Other Diagnostic Services 
• Dental Services 
• Specialized Rehabilitative Services 

In addition, Quality Assurance and Performance Improvement examples will be provided during discussion on each regulation.  

• Review the regulations pertaining to the nursing department and resident care.  
• Establish effective compliant programs to prevent resident harm and non-compliance.  
• Discuss examples of non-compliance based on previous deficient practices as cited in Iowa.  
• Develop quality assurance monitors to assure ongoing regulatory compliance.