Tobin is an approved provider for state-directed remedies.

Contact us immediately if your facility has been cited and a remedy imposed.

We provide:

  • Department of Health Approved Monitors
  • Approved State Directed In-services Provider
  • Approved State Directed Plan of Correction Provider

We Provide

Directed In-Service Training

Directed Plan of Correction

Directed Placement of Temporary Manager

Directed Placement of Monitor

As an approved provider, Tobin can help implement the above remedies plus:

Assist to identify if the citation is accurate or disputable.
Assess whether or not the cited issue is isolated or a result of a system failure.

CMS (Centers of Medicare and Medicaid Services) will be assessing for implementation of such procedures:

  • These remedies are to be provided by organizations that do not have financial or operational ties to the cited facility.
  • If your facility is cited during a survey and directed to implement one or more of the CMS/State Directed Remedies, you will only have 10 days to complete the remedy.

As an ODH Approved Provider, Tobin can help with these remedies and if you would like, we can assist you in identifying if the citation is accurate or disputable. We can also assess whether or not the cited issue is isolated or a result of a system failure.

ODH will be assesing for implementation of procedures such as:

Report suspicion of a crime to law enforcement
Appropriate treatment and services for residents with dementia and behavioral issues
Established facility assessment
Established baseline care plan
An antibiotic stewardship program
Policies regarding loss and replacement of dentures
Polices on smoking
PRN limitations on psychotropic medications
QAPI program and plans
Etc.

F655 – Baseline Care Plan
F740 – Behavioral Health Services
F741 – Sufficient/Competent Direct Care/Access Staff-Behavioral Health
F758 – Psychotropic Medications
F838 – Facility Assessment
F881 – Antibiotic Stewardship Program
F865 – QAPI Program and Plans
F926 – Smoking Policies

In the past the survey protocol was laid out in the Appendix P of the State Operations Manual, however, now CMS has replaced Appendix P with a Long-Term Care Survey Process (LTCSP) procedure guide which will be what surveyors will follow when conducting a standard survey.

The protocol will be different under the new survey process; therefore, CMS decided that consumers and others would not be comparing ‘apples to apples’ facility survey reports under the old system to the new process. As a result, at this current time, CMS will be holding constant, or ‘freezing’ the health inspection five-star rating for health inspection surveys and complaint investigations conducted on or after November 28, 2017. Consumer Voice will be providing more information regarding the changes to Nursing Home Compare and the five-star rating system.

The above information was gathered through:
https://theconsumervoice.org/news/detail/latest/changes-in-nh-regulations

To read memo issued by CMS regarding the moratorium, go to
http://theconsumervoice.org/uploads/files/issues/Survey-and-Cert-Letter-18-04.pdf

To learn more about the new process, go to:
https://www.cms.gov/Medicare/Provider-Enrollment-and-Cerification/GuidanceforLawsAndRegulations/Nursing-Homes.html
(then click on ‘New Long-term Care Survey Process – slide deck and speaker notes)

  • Report suspicion of a crime to law enforcement
  • Appropriate treatment and services for residents with dementia and behavioral issues
  • Established facility assessment
  • Established baseline care plan
  • Antibiotic stewardship program
  • Infection Control programs and procedures
  • Policies regarding loss and replacement of dentures
  • Polices on smoking
  • PRN limitations on psychotropic medications
  • QAPI program and plans
  • Etc.

F655 – Baseline Care Plan

F740 – Behavioral Health Services

F741 – Sufficient/Competent Direct Care/Access Staff-Behavioral Health

F758 – Psychotropic Medications

F838 – Facility Assessment

F881 – Antibiotic Stewardship Program

F865 – QAPI Program and Plans

F926 – Smoking Policies

CMS has replaced Appendix P with a Long-Term Care Survey Process (LTCSP) procedure guide with new processes for surveyors to follow when conducting a standard survey.

Success may look different for every organization, but most agree that developing and implementing a strategy for efficiency is essential. Tobin’s decades of experience and expertise can help your facility create a custom game plan that aligns with your goals to generate positive results.