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Survey, Regulatory & Legal

Every skilled nursing center certified to provide care to Medicare and Medicaid beneficiaries must comply with the Federal Requirements of Participation. These requirements are contained in the Federal Regulations for Nursing Facilities, which also state each center must comply with all applicable Federal, State, and local laws, regulations, and codes with accepted professional standards.  

Here you will find helpful resources needed to understand and develop systems to meet requirements and regulations that fall under the Requirements of Participation, survey preparedness, emergency preparedness, fire, and life safety, payroll-based journal (PBJ), and the CMS Five-Star Quality Rating System on Nursing Home Compare.  

F-TAG ACTION BRIEFS & MORE ON ROP

Discover action briefs and tools to help you better understand the Phase 2 updates and Phase 3 new guidance, including F-Tag Action Briefs, which complement weekly Focus F-Tag summaries and feature implementation strategies and tips. 

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Additional Resources

  • Contains 1 Component(s)

    Available to AHCA/ NCAL Members only. In this session, you will be able to, identify how the principles of Baldrige can help you operationalize your QAPI plan. Discover ways to utilize data analysis to inform your business processes and improvements. Create a culture of continuous quality improvement to optimize performance.

    Registration is available to AHCA/NCAL Members-only. 

    In this session, you will be able to:

    • Identify how the principles of Baldrige can help you operationalize your QAPI plan.
    • Discover ways to utilize data analysis to inform your business processes and improvements.
    • Create a culture of continuous quality improvement to optimize performance. 

    © 2022 American Health Care Association. All rights reserved. 

    All the Business Success Through Continuous Quality Improvement materials subject to this copyright may be photocopied or distributed for the purpose of nonprofit or educational advancement. The use, photocopying, and distribution for commercial purposes of any of these materials is expressly prohibited without the prior written permission of American Health Care Association.

    Lisa Pearson, MSN, RN, CIC

    Director of Infection Prevention and Quality Improvement

    South Davis Specialty Care

    Lisa Pearson, MSN, RN, CIC is the Director of Infection Prevention and Quality Improvement for South Davis Specialty Care. Throughout her more than 20-year career in the post-acute care industry, Lisa Pearson has worked in a variety of roles and settings, from working as a CNA at an assisted living facility to her current role at a South Davis Specialty Care (respiratory and pediatric post-acute care). She is also an online instructor for BYU-Idaho. Her credentials include a Master of Science in Nursing degree from Vanderbilt University and Board Certification in Infection Prevention and Control. Lisa has previously served as a local chapter board member for the Utah Assisted Living Association, the Utah APIC Chapter, and a Senior Examiner for the American Health Care Association. In her spare time, you can find Lisa running, traveling, and spending time with her family. 

    Kristin Thrun

    Administrator and Director of Operations

    Kristin Thrun earned her undergraduate degree from Marquette University in Milwaukee, WI in 2002 and her master’s degree in Business Administration and in Public Health at St. Xavier’s University in Chicago in 2006.  She became a certified professional in healthcare quality in 2020.  Kristin is a licensed Nursing Home Administrator with 20+ years’ experience in systems development and operation management for skilled nursing facilities.  Facilities have been awarded the American Healthcare Association Bronze, Silver, and Gold Quality Award under her direction.  She has extensive experience in implementing programs and processes to improve clinical outcomes and maintain regulatory compliance.  She currently serves as the Director of Operations for a multi-specialty physician practice and a quality assurance consultant for Burgess Square Healthcare and Rehab Centre.

AHCA’s Requirements of Participation eCompetencies®

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