Nursing Homes

Skilled Nursing Facilities

Skilled nursing facilities (SNFs) and nursing facilities (NFs) are required to be in compliance with the requirements in 42 CFR Part 483, Subpart B, to receive payment under the Medicare or Medicaid programs. To certify a SNF or NF, a state surveyor completes at least a Life Safety Code (LSC) survey, and a Standard Survey. SNF/NF surveys are not announced to the facility. States conduct standard surveys and complete them on consecutive workdays, whenever possible. They may be conducted at any time including weekends, 24 hours a day. When standard surveys begin at times beyond the business hours of 8:00 a.m. to 6:00 p.m., or begin on a Saturday or Sunday, the entrance conference and initial tour should is modified in recognition of the residents' activity (e.g., sleep, religious services) and types and numbers of staff available upon entry.

The State has the responsibility for certifying a skilled nursing facility's or nursing facility's compliance or noncompliance, except in the case of State-operated facilities. However, the State's certification for a skilled nursing facility is subject to CMS' approval. "Certification of compliance" means that a facility's compliance with Federal participation requirements is ascertained. In addition to certifying a facility's compliance or noncompliance, the State recommends appropriate enforcement actions to the State Medicaid agency for Medicaid and to the regional office for Medicare.
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Preventing Carbon Monoxide Poisoning After an Emergency

Generators, grills, camp stoves, or other gasoline, propane, natural gas, or charcoal-burning devices should never be used inside a home, basement, garage, or camper - or even outside near an open window.
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What to Look for When Choosing a Retirement Community

Deciding where to live in retirement is one of the most important decisions people will make. For those considering a move to a retirement community, there are more choices than ever before that cater to a variety of lifestyle and health care needs. These tips can help you make the best possible decision.
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You Are Already Consuming Cloned Animal Products

Are food products from clones labeled? I'm afraid not. The FDA feels that any additional measures relating to food derived from adult clones and their offspring, including labeling, is not necessary. They claim that there is no science-based reason to use labels to distinguish between milk derived from clones and that from conventional animals. What do you think about that?
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Federal Whistleblower Protection in Jeopardy

Special Counsel Scott Bloch, appointed by President Bush in 2004, is overseeing the virtual elimination of federal whistleblower rights in the U.S. government.The U.S. Office of Special Counsel (OSC), the agency that is supposed to protect federal employees who blow the whistle on waste, fraud, and abuse is dismissing hundreds of cases while advancing almost none. According to the Annual Report for 2004 (which was not released until the end of first quarter fiscal year 2006) less than 1.5 percent of whistleblower claims were referred for investigation while more than 1000 reports were closed before they were even opened. Only eight claims were found to be substantiated, and one of those included the theft of a desk, while another included attendance violations. Favorable outcomes have declined 24 percent overall, and this is all in the first year that the new special counsel, Scott Bloch, has been in office.
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