123 Flash Chat > Chat Rooms > Specialty Live Chats > Message History
DateTimeFromToMessage
2020-11-24 07:29:14 PM sharitamurphy Hello
2020-11-24 07:29:15 PM tinacognato Hi there
2020-11-24 07:29:15 PM priyab HI good evening
2020-11-24 07:29:16 PM lhalfacre Hello
2020-11-24 07:29:16 PM annettep hello
2020-11-24 07:29:17 PM judithdevin hi
2020-11-24 07:29:18 PM bobbieduke hello
2020-11-24 07:29:19 PM melissabarrett hello
2020-11-24 07:29:20 PM melveniag hi
2020-11-24 07:29:20 PM paigea heyy
2020-11-24 07:29:29 PM wmcollins greetings and salutations !
2020-11-24 07:29:40 PM yvettemlopez hello
2020-11-24 07:29:40 PM cchase hope you are all doing okay tonight !!!
2020-11-24 07:29:47 PM melissabarrett yes
2020-11-24 07:29:48 PM annettep I am good
2020-11-24 07:29:49 PM priyab A... ok
2020-11-24 07:29:55 PM jeremytilton174 iam good
2020-11-24 07:30:01 PM judithdevin yes but tired and you
2020-11-24 07:30:02 PM sharitamurphy Great
2020-11-24 07:30:02 PM bobbieduke good here
2020-11-24 07:30:06 PM wmcollins Feeling fantastic
2020-11-24 07:30:11 PM paigea doing good
2020-11-24 07:30:23 PM tinacognato sitting with the heating pad ready to go
2020-11-24 07:30:40 PM bobbieduke looks like storms here
2020-11-24 07:30:49 PM shedenaalexander enter the chat room
2020-11-24 07:30:54 PM wmcollins A heating pad would be nice ! knees acting up
2020-11-24 07:30:58 PM jeremytilton174 snowing here
2020-11-24 07:31:02 PM cchase we had a bit of wind storms here but calm now
2020-11-24 07:31:07 PM yvettemlopez just cold here
2020-11-24 07:31:10 PM annettep snow in mornng, then lots of rain
2020-11-24 07:31:15 PM sharitamurphy flurries
2020-11-24 07:31:16 PM shedenaalexander Good Evening everyone
2020-11-24 07:31:18 PM cchase so is everyone doing ok with coursework??
2020-11-24 07:31:22 PM priyab yes
2020-11-24 07:31:24 PM annettep yes
2020-11-24 07:31:25 PM fillmorepam8 yep
2020-11-24 07:31:27 PM jeremytilton174 yes
2020-11-24 07:31:27 PM melissabarrett yes
2020-11-24 07:31:30 PM desiraes enter the chat room
2020-11-24 07:31:31 PM wclavin1234 doing okay
2020-11-24 07:31:49 PM desiraes good evening
2020-11-24 07:31:50 PM bobbieduke no snow here in Texas
2020-11-24 07:31:51 PM fillmorepam8 Just today and two more classes and I'm done!!!
2020-11-24 07:32:07 PM desiraes we have a dusting of snow here in northern vermont
2020-11-24 07:32:10 PM cchase who is sitting on a heating pad???
2020-11-24 07:32:19 PM debbief82 enter the chat room
2020-11-24 07:32:19 PM anunn enter the chat room
2020-11-24 07:32:22 PM fillmorepam8 tina
2020-11-24 07:32:23 PM tinacognato ({)
2020-11-24 07:32:32 PM desiraes im sitting with 2 heavy blankets
2020-11-24 07:32:32 PM sharitamurphy Lol
2020-11-24 07:32:32 PM cchase tina
2020-11-24 07:32:50 PM desiraes my feet are always cold
2020-11-24 07:32:50 PM bobbieduke lol I have my door open
2020-11-24 07:33:11 PM tinacognato me and my heating pad are in a really hot relationship
2020-11-24 07:33:13 PM debbief82 I'm good.
2020-11-24 07:33:15 PM melveniag houston hot
2020-11-24 07:33:17 PM shedenaalexander 79 degree here
2020-11-24 07:33:18 PM dianes It is 40 degrees here,
2020-11-24 07:33:19 PM wmcollins LOL
2020-11-24 07:33:24 PM fillmorepam8 bwahaha tina
2020-11-24 07:33:32 PM dianes no doors open here
2020-11-24 07:33:35 PM tinacognato hes got my back
2020-11-24 07:33:38 PM desiraes 27 degrees here in northern vermont
2020-11-24 07:33:46 PM desiraes and the wind is blowing
2020-11-24 07:33:54 PM dianes Brrr
2020-11-24 07:33:58 PM desiraes so my door is SHUT
2020-11-24 07:34:01 PM desiraes lol
2020-11-24 07:34:02 PM bobbieduke wow in the 60s here
2020-11-24 07:34:04 PM fillmorepam8 dayum 27...bbbrrrr
2020-11-24 07:34:15 PM cchase ok folks - so have you all read the reading materials on regulations yet?
2020-11-24 07:34:18 PM yvettemlopez its about 50 here so not to bar
2020-11-24 07:34:20 PM yvettemlopez bad
2020-11-24 07:34:26 PM melissabarrett yes
2020-11-24 07:34:38 PM jeremytilton174 31 and snowing in northern michigan
2020-11-24 07:34:39 PM annettep is that this weeks
2020-11-24 07:34:40 PM jmeza75 yes
2020-11-24 07:34:42 PM tinacognato over and over
2020-11-24 07:34:44 PM fillmorepam8 yes
2020-11-24 07:34:48 PM dianes yes
2020-11-24 07:34:49 PM bobbieduke yes
2020-11-24 07:34:51 PM annettep I did all of week 7
2020-11-24 07:34:59 PM tinacognato my mind is like a pasta strainer
2020-11-24 07:35:05 PM shedenaalexander i did read
2020-11-24 07:35:11 PM cchase great start - can anyone explain what CMS means?
2020-11-24 07:35:11 PM desiraes yes
2020-11-24 07:35:16 PM debbief82 I have not started on week 8 yet.
2020-11-24 07:35:26 PM cchase a pasta strainder??
2020-11-24 07:35:35 PM lhalfacre Center Medicare Services
2020-11-24 07:35:35 PM debbief82 Center for Medicare and Medicaid Services
2020-11-24 07:35:36 PM cchase sirry stainer
2020-11-24 07:35:40 PM bobbieduke medicare
2020-11-24 07:35:44 PM tinacognato lol
2020-11-24 07:35:45 PM shedenaalexander Center Medicare Services
2020-11-24 07:35:47 PM bobbieduke medicaide
2020-11-24 07:35:48 PM cchase good and who are they
2020-11-24 07:35:52 PM dianes Center for Medicare and Medicaid servicewsw
2020-11-24 07:35:56 PM priyab yes
2020-11-24 07:35:56 PM jmeza75 medicaid and medicare service
2020-11-24 07:35:59 PM desiraes Center Medicare Services
2020-11-24 07:36:01 PM melissabarrett center for medicare and medicaid service
2020-11-24 07:36:03 PM paigea meedicare and medicaid
2020-11-24 07:36:07 PM cchase what do they have to do with regulations?
2020-11-24 07:36:08 PM annettep rules of the skilled care system
2020-11-24 07:36:11 PM desiraes Medicade
2020-11-24 07:36:15 PM tinacognato they provide insurance and funds
2020-11-24 07:36:20 PM fillmorepam8 thats how we get paid
2020-11-24 07:36:22 PM tinacognato they make the regulations
2020-11-24 07:36:23 PM melissabarrett that how we get paid?
2020-11-24 07:36:24 PM judithdevin payment
2020-11-24 07:36:28 PM paigea insurance and regualtions
2020-11-24 07:36:29 PM debbief82 They control the rules and regulations for medicare and medicaid
2020-11-24 07:36:30 PM annettep To ensure quality and appropriate care
2020-11-24 07:36:32 PM shedenaalexander payment
2020-11-24 07:36:32 PM desiraes provide funds and insurance
2020-11-24 07:36:33 PM priyab through state
2020-11-24 07:36:35 PM sharitamurphy Since they pay the money they make the rules.
2020-11-24 07:36:38 PM tinacognato about 60%
2020-11-24 07:36:45 PM tinacognato ?
2020-11-24 07:36:46 PM cchase good
2020-11-24 07:36:48 PM ckelly1 medicare and medicaid services are for insurance purposes
2020-11-24 07:36:48 PM desiraes that is how we recieve a pay check
2020-11-24 07:36:51 PM jmeza75 oversight
2020-11-24 07:36:53 PM jeremytilton174 payment
2020-11-24 07:37:04 PM cchase The Center for Medicaid and Medicare Services (CMS) is the US government agency that sets the regulations for nursing homes that take residents who are on Medicare and/or Medicaid.
2020-11-24 07:37:19 PM desiraes agree
2020-11-24 07:37:21 PM lhalfacre They are the ones that write the regulations, I know because my nephew has been working there for about 10 years and he does the editing on the bylaws
2020-11-24 07:37:23 PM paigea yes
2020-11-24 07:37:34 PM jeanneb enter the chat room
2020-11-24 07:37:35 PM priyab oh ok
2020-11-24 07:37:39 PM michelled right
2020-11-24 07:37:40 PM ckelly1 yes agree
2020-11-24 07:37:42 PM annettep ya, that is it
2020-11-24 07:37:42 PM melissabarrett yes
2020-11-24 07:37:43 PM dianes ok
2020-11-24 07:37:44 PM cchase interesting
2020-11-24 07:37:46 PM jeremytilton174 yes
2020-11-24 07:37:46 PM wclavin1234 ok
2020-11-24 07:37:47 PM cchase these regulations are updated from time to time in order to ensure our residents are receiving the best quality of care available. The primary goal of OBRA is to establish uniform standards for nursing homes and ensure the protection and safety of patients.
2020-11-24 07:37:53 PM jeanneb sorry jjust got home from work
2020-11-24 07:38:15 PM melissabarrett yes
2020-11-24 07:38:16 PM ckelly1 ok
2020-11-24 07:38:21 PM yvettemlopez ok
2020-11-24 07:38:26 PM annettep yes
2020-11-24 07:38:26 PM jeremytilton174 okay
2020-11-24 07:38:27 PM priyab yes, aware of that
2020-11-24 07:38:28 PM debbief82 ok
2020-11-24 07:38:29 PM anunn improves quality of care also
2020-11-24 07:38:30 PM desiraes 6ok
2020-11-24 07:38:30 PM sharitamurphy ok
2020-11-24 07:38:36 PM shedenaalexander ok
2020-11-24 07:38:36 PM judithdevin ok
2020-11-24 07:38:38 PM jmeza75 got it
2020-11-24 07:38:40 PM desiraes ok
2020-11-24 07:38:41 PM cchase many years ago - senior care was done in church basements or any location without standards and so not always the best of care
2020-11-24 07:38:42 PM dianes ok
2020-11-24 07:38:52 PM desiraes oh boy
2020-11-24 07:38:53 PM paigea ok
2020-11-24 07:38:54 PM dianes omg
2020-11-24 07:38:55 PM melissabarrett wow
2020-11-24 07:39:00 PM ckelly1 oooh ok wow
2020-11-24 07:39:02 PM desiraes we have come along ways since then
2020-11-24 07:39:03 PM priyab good start somewhere
2020-11-24 07:39:10 PM jeremytilton174 yikes
2020-11-24 07:39:13 PM cchase soem seniors ended up in mental institutions
2020-11-24 07:39:15 PM sharitamurphy ...
2020-11-24 07:39:18 PM paigea wow thats crazy
2020-11-24 07:39:20 PM jeanneb that is horriable
2020-11-24 07:39:21 PM fillmorepam8 sad
2020-11-24 07:39:23 PM dianes thats sad
2020-11-24 07:39:24 PM desiraes craziness
2020-11-24 07:39:25 PM shedenaalexander oh my
2020-11-24 07:39:29 PM ckelly1 awwww sad
2020-11-24 07:39:30 PM melissabarrett thats bad
2020-11-24 07:39:30 PM debbief82 I could see why
2020-11-24 07:39:33 PM cchase it was not a good time in history
2020-11-24 07:39:45 PM priyab how long ago was that?
2020-11-24 07:39:50 PM desiraes no it doesnt sound it
2020-11-24 07:39:52 PM yvettemlopez so sad'
2020-11-24 07:39:56 PM dianes Cant imagine what people probably went thru
2020-11-24 07:39:57 PM jeremytilton174 couldnt aford it
2020-11-24 07:39:58 PM annettep before my time
2020-11-24 07:40:00 PM cchase they put them in these institutions because that were believed to be senile
2020-11-24 07:40:06 PM ckelly1 i see back then was different
2020-11-24 07:40:12 PM desiraes omg that is awful
2020-11-24 07:40:17 PM melissabarrett and didn't know what to do with them
2020-11-24 07:40:24 PM cchase now they know that senility = Alzheimer's
2020-11-24 07:40:29 PM debbief82 As in dementia patients?
2020-11-24 07:40:32 PM cchase to some degree
2020-11-24 07:40:38 PM cchase correct debbie
2020-11-24 07:40:45 PM desiraes alzheimers/dementia?
2020-11-24 07:40:46 PM priyab oh ok
2020-11-24 07:40:50 PM anunn now they have memory care
2020-11-24 07:40:50 PM yvettemlopez oh wow
2020-11-24 07:40:54 PM michelled wow
2020-11-24 07:41:00 PM jeanneb ok
2020-11-24 07:41:04 PM cchase yes - good - now they have memory care
2020-11-24 07:41:07 PM cchase These regulations, Federal Tags (F-Tags), are the minimum standards for delivering care to residents and are used by the Survey Team to inspect nursing homes. These minimum standards also cover the Quality of Life for residents.
2020-11-24 07:41:23 PM desiraes hmm
2020-11-24 07:41:23 PM ckelly1 yes dementia patients
2020-11-24 07:41:35 PM jmeza75 got it
2020-11-24 07:41:37 PM dianes much needed
2020-11-24 07:41:40 PM jeanneb got it
2020-11-24 07:41:43 PM melissabarrett yes
2020-11-24 07:41:45 PM jeremytilton174 yes
2020-11-24 07:41:48 PM yvettemlopez yes
2020-11-24 07:41:54 PM bobbieduke yes
2020-11-24 07:41:57 PM sharitamurphy yes
2020-11-24 07:42:02 PM cchase This is where “your programming” fall within the scope of the standards. There are also state regulations that affect the delivery of activities services. If your state regulations were more stringent than the federal regulations, then they would supersede them. It is recommended that you have both sets of regulations available at all times.
2020-11-24 07:42:27 PM annettep right
2020-11-24 07:42:31 PM paigea ok
2020-11-24 07:42:31 PM jeremytilton174 true
2020-11-24 07:42:35 PM melissabarrett yep
2020-11-24 07:42:37 PM dianes ok
2020-11-24 07:42:37 PM desiraes ok
2020-11-24 07:42:38 PM priyab yes,
2020-11-24 07:42:42 PM sharitamurphy ok
2020-11-24 07:42:43 PM yvettemlopez ok
2020-11-24 07:42:43 PM jeanneb i will look
2020-11-24 07:42:45 PM debbief82 ok
2020-11-24 07:42:46 PM tinacognato yup
2020-11-24 07:42:47 PM cchase states may add to the Federal Regulations but may not take away from them in any way
2020-11-24 07:42:47 PM shedenaalexander ok
2020-11-24 07:43:00 PM jeremytilton174 okay
2020-11-24 07:43:03 PM sharitamurphy yes
2020-11-24 07:43:04 PM dianes thats interesting
2020-11-24 07:43:09 PM debbief82 Interesting
2020-11-24 07:43:09 PM shedenaalexander ok
2020-11-24 07:43:14 PM melissabarrett ok
2020-11-24 07:43:15 PM jeanneb good to know
2020-11-24 07:43:17 PM priyab yep
2020-11-24 07:43:20 PM ckelly1 yes
2020-11-24 07:43:26 PM bobbieduke hummm
2020-11-24 07:43:28 PM judithdevin ok
2020-11-24 07:43:31 PM michelled ok
2020-11-24 07:43:39 PM cchase so state to state may vary somewhat but the foundations set by the Federal must remain intact
2020-11-24 07:43:47 PM cchase These regulations were updated as recently as 2017. OBRA ’87 regulations in of themselves did not change; however, there has been a noted increase in terms of regulation interpretations and expectations.
2020-11-24 07:44:01 PM fillmorepam8 do you what state is the most strict
2020-11-24 07:44:02 PM priyab ok
2020-11-24 07:44:08 PM priyab nj
2020-11-24 07:44:18 PM jeanneb MAine
2020-11-24 07:44:22 PM bobbieduke all for the beterment and alot of culture change
2020-11-24 07:44:26 PM jeanneb ??
2020-11-24 07:44:40 PM michelled more person centered
2020-11-24 07:44:48 PM yvettemlopez ok
2020-11-24 07:45:02 PM cchase I do not know which state is most strict - that would be a great idea for extra credit - Hmmmmm
2020-11-24 07:45:13 PM ckelly1 ooh ok
2020-11-24 07:45:14 PM priyab :D
2020-11-24 07:45:18 PM jeremytilton174 sounds good
2020-11-24 07:45:23 PM melissabarrett yess
2020-11-24 07:45:26 PM cchase Some of the changes were: (this course will highlight a number of these areas)
2020-11-24 07:45:27 PM sharitamurphy MI pretty strict
2020-11-24 07:45:38 PM shedenaalexander ok
2020-11-24 07:45:38 PM cchase  The Federal Tags (F-Tag) numbers were all changed (regulations remain unchanged) Increased focus on abuse and mandated reporting requirements Greater emergency preparedness and implementation
2020-11-24 07:45:51 PM cchase  Consider CPR/First Aid Certification Know resident’s end of life directives Immunizations requirements for volunteers
2020-11-24 07:46:09 PM cchase  Infection control (infections & required universal precautions/ disinfection standards) Understand LGBTQ rights/cultural sensitivity HIPAA - privacy and confidentiality (electronic/paper health records)
2020-11-24 07:46:19 PM ckelly1 ok gotcha ya
2020-11-24 07:46:28 PM yvettemlopez ok
2020-11-24 07:46:29 PM paigea ok
2020-11-24 07:46:29 PM judithdevin ok
2020-11-24 07:46:32 PM jmeza75 ok
2020-11-24 07:46:32 PM melissabarrett infection control is a big one
2020-11-24 07:46:32 PM jeremytilton174 okay
2020-11-24 07:46:33 PM sharitamurphy ok
2020-11-24 07:46:34 PM priyab wow, so much to know
2020-11-24 07:46:35 PM ckelly1 yes ma'am
2020-11-24 07:46:46 PM bobbieduke yes
2020-11-24 07:46:58 PM cchase you all have heard about surveys --- yes??
2020-11-24 07:47:03 PM priyab yes, infection control, especially right now
2020-11-24 07:47:05 PM jmeza75 yes
2020-11-24 07:47:05 PM jeremytilton174 yes
2020-11-24 07:47:06 PM sharitamurphy yah!
2020-11-24 07:47:07 PM tinacognato indeed
2020-11-24 07:47:07 PM bobbieduke yes
2020-11-24 07:47:08 PM melissabarrett yes
2020-11-24 07:47:08 PM debbief82 Yes.
2020-11-24 07:47:10 PM dianes yes
2020-11-24 07:47:12 PM lhalfacre been thru a lot of those
2020-11-24 07:47:15 PM priyab what surveys?
2020-11-24 07:47:16 PM yvettemlopez yes
2020-11-24 07:47:20 PM wclavin1234 no
2020-11-24 07:47:27 PM anunn yes, for the state?
2020-11-24 07:47:38 PM lhalfacre the last facility I worked at had state in the building almost every week
2020-11-24 07:47:38 PM annettep yes
2020-11-24 07:47:40 PM fillmorepam8 omg ive been thru 7 of them...went to er for hign bp a few years ago lol
2020-11-24 07:47:41 PM cchase so they surveyors are referring back to CMS regs. when they review the facilities
2020-11-24 07:47:54 PM dianes why so much
2020-11-24 07:48:15 PM priyab oh, Inspections..... yes done it, a few of them..
2020-11-24 07:48:26 PM cchase have not heard of a weekly survey - interesting
2020-11-24 07:48:26 PM jeremytilton174 have to be compliant in all departments
2020-11-24 07:48:45 PM lhalfacre staffing, complaints, and irrate employee
2020-11-24 07:48:45 PM jeremytilton174 no
2020-11-24 07:48:50 PM yvettemlopez its yearly right?
2020-11-24 07:48:51 PM priyab wow, weekly!!!
2020-11-24 07:49:03 PM bobbieduke only when alot of problems exist
2020-11-24 07:49:14 PM sharitamurphy Did they have to keep coming back for different tags?
2020-11-24 07:49:17 PM cchase the surveyors will look to see if your facility has complied and adhered to the state regs. if not in compliance - what happens?
2020-11-24 07:49:23 PM lhalfacre one yearly survey they were hit with 39 citations
2020-11-24 07:49:26 PM melveniag left the chat room
2020-11-24 07:49:28 PM priyab citations
2020-11-24 07:49:28 PM melissabarrett fine
2020-11-24 07:49:33 PM fillmorepam8 man if they came in for every complaint including staff we would have to set up an office for them
2020-11-24 07:49:33 PM jeremytilton174 tags
2020-11-24 07:49:34 PM anunn you get a tag
2020-11-24 07:49:36 PM cchase it is usually a yearly deal
2020-11-24 07:49:37 PM tinacognato F tags and fines
2020-11-24 07:49:40 PM michelled tags
2020-11-24 07:49:40 PM fillmorepam8 tags
2020-11-24 07:49:43 PM debbief82 You have to have a plan of correction
2020-11-24 07:49:43 PM judithdevin tags
2020-11-24 07:49:44 PM melissabarrett they get alot of money
2020-11-24 07:49:48 PM annettep have to put a lan in place to fixed, might get fineds
2020-11-24 07:49:50 PM cchase deficiency
2020-11-24 07:49:54 PM anunn we have had multiple this year due to covid and infection control surveys
2020-11-24 07:49:55 PM priyab yes
2020-11-24 07:49:59 PM jeremytilton174 yes
2020-11-24 07:50:06 PM annettep typos problem today
2020-11-24 07:50:09 PM jmeza75 deficiencies and a return visit
2020-11-24 07:50:21 PM cchase they are often public available if a facility is found deficient
2020-11-24 07:50:21 PM jeanneb we had 2 this year deficincies
2020-11-24 07:50:22 PM ckelly1 yes infection control
2020-11-24 07:50:35 PM cchase what two jeanne
2020-11-24 07:50:42 PM cchase do you know
2020-11-24 07:50:58 PM jeanneb Kitchen was hit not doing a pureed diet
2020-11-24 07:51:01 PM sharitamurphy yes, and to the residents too
2020-11-24 07:51:07 PM debbief82 We just had two complaint surveys in two weeks time.
2020-11-24 07:51:32 PM jeanneb and other was on charting the same resident the nurse did put the pureed diet in the careplan
2020-11-24 07:51:33 PM cchase OBRA ’87 regulations define the quality of life components to include the services from recreational therapists, activity professionals, and social services professionals and address the emotional and physical environment in which the resident lives. It also will hold the Resident Bill of Rights in the forefront of the quality of life spectrum.
2020-11-24 07:51:38 PM jeremytilton174 nursing and dietary get the most it seems like it.
2020-11-24 07:51:42 PM yvettemlopez we just got done with our moc survey
2020-11-24 07:51:51 PM melissabarrett we have a resident that likes to call state all the time
2020-11-24 07:52:04 PM cchase are you all familiar with Residents Rights??
2020-11-24 07:52:06 PM paigea oh gosh
2020-11-24 07:52:09 PM lhalfacre we had one and it was covid related. Employees not timing out or temping out
2020-11-24 07:52:09 PM paigea yes
2020-11-24 07:52:10 PM fillmorepam8 yes
2020-11-24 07:52:10 PM dianes yes
2020-11-24 07:52:12 PM debbief82 Yes.
2020-11-24 07:52:12 PM jeremytilton174 yes
2020-11-24 07:52:13 PM michelled yes
2020-11-24 07:52:13 PM annettep yes
2020-11-24 07:52:14 PM melissabarrett yes
2020-11-24 07:52:14 PM jeanneb yes
2020-11-24 07:52:14 PM bobbieduke yes

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