123 Flash Chat > Chat Rooms > Specialty Live Chats > Message History
DateTimeFromToMessage
2020-12-17 07:49:53 PM thomasodougherty This one is important, because if any allegations are made related to abuse and neglect it needs to be reported to your abuse coordinator. The abuse coordinator is usually the administrator of your building.
2020-12-17 07:50:08 PM tonyaharris82 correct
2020-12-17 07:50:25 PM byefelicia Yes
2020-12-17 07:50:28 PM thomasodougherty Groovy! What's next?
2020-12-17 07:50:42 PM tonyaharris82 free from restraints
2020-12-17 07:50:43 PM sarabrophy 5. Be Free from Restraints
2020-12-17 07:51:04 PM thomasodougherty Tell me about that, Sara.
2020-12-17 07:51:08 PM byefelicia quality of care
2020-12-17 07:51:51 PM sarabrophy Can not use physical or chemical restraints as a way to keep someone inline
2020-12-17 07:51:55 PM byefelicia While the law and subsequent regulation do not prohibit the appropriate use of physical restraints in nursing homes, the regulation provides that “the resident has the right to be free from any physical or chemical restraints imposed for discipline or convenience, and not required to treat the resident's medical
2020-12-17 07:52:11 PM tonyaharris82 left the chat room
2020-12-17 07:52:12 PM tonyaharris82 enter the chat room
2020-12-17 07:52:15 PM sarabrophy IE like side rails now or keeping someone snowed that from drugs
2020-12-17 07:52:17 PM tonyaharris82 nursing home can not use physical or chemical restraints to discipline for the staff convenience
2020-12-17 07:53:33 PM thomasodougherty There are really only two places I am aware of where restraints are permitted. Hospitals and Psych Facilities. I don't think you'll ever find a situation where CMS would come into a facility and say "it's ok that this person is restrained".
2020-12-17 07:53:44 PM byefelicia the use of physical restraints has largely been replaced with improved methods ofcare
2020-12-17 07:53:52 PM thomasodougherty Spot on, Felicia
2020-12-17 07:54:00 PM tonyaharris82 even side rails can be a form of restraint
2020-12-17 07:54:13 PM thomasodougherty They can be! Even a pillow can be.
2020-12-17 07:54:18 PM byefelicia (y)
2020-12-17 07:54:21 PM tonyaharris82 true
2020-12-17 07:54:36 PM byefelicia Correct, it could be used as a weapon too
2020-12-17 07:54:40 PM thomasodougherty You could probably look around your facility tomorrow and see some Residents who are "restrained" in their wheelchair.
2020-12-17 07:55:02 PM thomasodougherty What comes after Freedom from Restraints?
2020-12-17 07:55:17 PM sarabrophy Thier right to complain
2020-12-17 07:55:22 PM tonyaharris82 freedom to make a complaint
2020-12-17 07:55:27 PM byefelicia Nursing Home Reform Act stopped this
2020-12-17 07:55:52 PM thomasodougherty Making complaints about what?
2020-12-17 07:56:07 PM sarabrophy Anything their care, Food, not having a hair dresser
2020-12-17 07:56:24 PM tonyaharris82 staff of the nursing home or things in the nursing home other residents
2020-12-17 07:56:28 PM byefelicia the regulation provides that “the resident has the right to be free from any physical or chemical restraints imposed for discipline or convenience, and not required to treat the resident's medical
2020-12-17 07:57:02 PM byefelicia condition
2020-12-17 07:57:03 PM thomasodougherty How are complaints addressed?
2020-12-17 07:57:30 PM sarabrophy Either through a compaint form or call you local rep
2020-12-17 07:57:33 PM tonyaharris82 @my facility compalints go through our case worker
2020-12-17 07:57:37 PM byefelicia filing a complaint with CMS
2020-12-17 07:58:05 PM thomasodougherty Ideally, first step is a Grievance Form.
2020-12-17 07:58:09 PM tonyaharris82 and then concerns are address accordingly by the DON or Admin
2020-12-17 07:58:13 PM byefelicia does the complaint process vary according to facility or state of location?
2020-12-17 07:59:04 PM thomasodougherty Yes and no. You'll probably find each building can even be different in how they handle the process, but it should start internally either way, then if resolution isn't found there to the Ombudsman, and finally CMS.
2020-12-17 07:59:44 PM byefelicia thanks for the info
2020-12-17 08:00:00 PM thomasodougherty Can residents be punished for repeated unverified complaints?
2020-12-17 08:00:07 PM tonyaharris82 NO
2020-12-17 08:00:11 PM sarabrophy No
2020-12-17 08:00:16 PM tanyatre i dont think so
2020-12-17 08:00:17 PM byefelicia The facility must make information on how to file a grievance or complaint available to theresident.
2020-12-17 08:00:22 PM byefelicia absolutely not
2020-12-17 08:00:29 PM thomasodougherty Nope, complaints should be free from reprisal.
2020-12-17 08:00:59 PM thomasodougherty That's true, Felicia. The facility should explain the grievance process and identify who the contact person is for any grievances.
2020-12-17 08:01:11 PM thomasodougherty Moving along, what comes after Making Complaints?
2020-12-17 08:01:14 PM tonyaharris82 Freedom to get proper medical care
2020-12-17 08:01:28 PM thomasodougherty Can you explain that, Tonya?
2020-12-17 08:01:48 PM byefelicia enforcement action
2020-12-17 08:01:51 PM tonyaharris82 freedom to be fully informed about health status
2020-12-17 08:02:26 PM tonyaharris82 left the chat room
2020-12-17 08:02:27 PM tonyaharris82 enter the chat room
2020-12-17 08:02:55 PM tonyaharris82 to be to be involved in choosing the doctor
2020-12-17 08:03:07 PM byefelicia after the complaint, the facility needs to show how it plans to monitor its performance to make sure that solutions are enforced
2020-12-17 08:04:16 PM tonyaharris82 left the chat room
2020-12-17 08:04:17 PM tonyaharris82 enter the chat room
2020-12-17 08:04:20 PM thomasodougherty Proper Medical Care includes, being included in the process, being effectively informed, and even (as Felicia previously mentioned) the option to refuse to participate in experimental treatment.
2020-12-17 08:04:31 PM thomasodougherty Next?
2020-12-17 08:05:02 PM sarabrophy Have Your Representative Notified
2020-12-17 08:05:05 PM tonyaharris82 in nursing home how is the freedom to choose their doctor relavent when most nursing homes only have certain doctors come in house to deal with their patients?
2020-12-17 08:05:43 PM thomasodougherty Residents can choose any doctor any where to follow them.
2020-12-17 08:05:51 PM tonyaharris82 ok
2020-12-17 08:05:56 PM thomasodougherty However, the doctor has to agree to be on call for that Resident 24/7.
2020-12-17 08:06:09 PM tonyaharris82 ok make sense
2020-12-17 08:06:17 PM byefelicia What happens when the doctor is not available?
2020-12-17 08:07:00 PM thomasodougherty Ideally they'll have an on call doctor on their team. Otherwise, they would either have to consent to be seen by the facilities doctor or be sent to the Emergency Department.
2020-12-17 08:07:32 PM byefelicia Good to know, thanks!'
2020-12-17 08:08:38 PM thomasodougherty All right, Notifying Representative was next. That kind of encompasses Medical Care, but it includes someone appointed by the Resident (or Court/Government).
2020-12-17 08:08:59 PM thomasodougherty Next?
2020-12-17 08:09:14 PM sarabrophy Right to get info and know of fees
2020-12-17 08:09:45 PM thomasodougherty Also pretty straight forward, right? Question on that?
2020-12-17 08:09:52 PM sarabrophy right to be told in writing about allnursing home services and fees
2020-12-17 08:09:55 PM tonyaharris82 so notify the representive would be like the POA?
2020-12-17 08:10:21 PM sarabrophy yes as well as the resident
2020-12-17 08:10:27 PM thomasodougherty POA, Family, etc.
2020-12-17 08:10:31 PM tonyaharris82 ok
2020-12-17 08:10:37 PM byefelicia Oh yeah
2020-12-17 08:11:19 PM thomasodougherty After Services and Fees is being able to Manage their own Money. Can anyone expand on that?
2020-12-17 08:11:53 PM tonyaharris82 freedom to manage money or choose someone they trust
2020-12-17 08:12:02 PM byefelicia do you mean the fee schedule?
2020-12-17 08:12:38 PM thomasodougherty Anything that pertains to fees. Room rates, inservice care, etc.
2020-12-17 08:12:53 PM tonyaharris82 some residents have family manage their money and pay their bills and i have seen residents that manage their own money and get the facility fees paid
2020-12-17 08:13:20 PM thomasodougherty Each facility should have a "bank" that Residents can deposit funds into.
2020-12-17 08:13:55 PM byefelicia If residents choose to have the facility manage their funds, the facility may not refuse
2020-12-17 08:14:15 PM thomasodougherty Deposited funds should earn interest. Funds should be available during "normal" business hours.
2020-12-17 08:14:46 PM thomasodougherty Yes, Felicia, the facility can act as a representative for finances.
2020-12-17 08:14:54 PM byefelicia technology has changed since the implementation of this law/rule, has it changed due to the current economy?
2020-12-17 08:15:09 PM thomasodougherty How so?
2020-12-17 08:15:32 PM byefelicia Hmm, curious because we use electronic funds nowdays instead of cash and checks
2020-12-17 08:15:42 PM sarabrophy yes
2020-12-17 08:15:59 PM thomasodougherty Right, all of these mediums apply.
2020-12-17 08:16:00 PM sarabrophy depending on the business office that can all be done electronic too
2020-12-17 08:16:34 PM byefelicia this technology has changed and a lot of elderly residents may not be familiary with electronic currency
2020-12-17 08:16:51 PM sarabrophy They wouldnt handle it the nusing home would
2020-12-17 08:17:00 PM thomasodougherty Ah. I don't think facilities offere electronic currency. It would be handled in cash.
2020-12-17 08:17:02 PM sarabrophy they would then be able to access their money through them
2020-12-17 08:17:27 PM thomasodougherty Facilities will have physical currency available to dispense to those who wish to withdrawal it.
2020-12-17 08:17:30 PM byefelicia They have the right to manage their own money or choose someone they trust to do it
2020-12-17 08:17:42 PM sarabrophy yes
2020-12-17 08:17:59 PM thomasodougherty Any more questions/comments on Finances?
2020-12-17 08:18:07 PM tonyaharris82 nope
2020-12-17 08:18:14 PM thomasodougherty What's next?
2020-12-17 08:18:44 PM sarabrophy I worked in the business office and we would handle their electronic deposits and withdraw for payment then the reminder was theirs and they could get it out in cash and would all be done electronicly on our side
2020-12-17 08:18:48 PM tonyaharris82 freedom to get proper privacy, property and living arrangements
2020-12-17 08:19:21 PM thomasodougherty That is across the board, Sara. Usually statements are even sent out to residents who have opened an account at the facility.
2020-12-17 08:19:29 PM thomasodougherty Tonya! What does that include?
2020-12-17 08:19:42 PM byefelicia You have the right to privacy, and to keep and use your personal belongings and property as long as they don't interfere with the rights, health, or safety of others. You have the right to use a phone and talk privately. The facility must protect your property from theft.
2020-12-17 08:19:56 PM thomasodougherty Spot on, Felicia.
2020-12-17 08:20:04 PM byefelicia woohoo
2020-12-17 08:20:25 PM thomasodougherty Safety can be something of a trump card regarding most matters.
2020-12-17 08:20:26 PM tonyaharris82 to keep and use their personal property as long as it don't interfere with the rights , health and safety of others
2020-12-17 08:20:46 PM tonyaharris82 have private visits, to make and get private calls
2020-12-17 08:20:49 PM thomasodougherty Well done, Tonya.
2020-12-17 08:20:59 PM sarabrophy The right to spend time with visitors in private
2020-12-17 08:21:38 PM thomasodougherty Sara! Chugging along! Another pretty straight forward one. Any comments/concerns on this one?
2020-12-17 08:21:56 PM byefelicia None at this time
2020-12-17 08:22:28 PM tonyaharris82 left the chat room
2020-12-17 08:22:28 PM sarabrophy To have visitors at any time, as long as you wish to see them, as long as the visit does notinterfere with the provision of care and privacy rights of other residents
2020-12-17 08:22:28 PM tonyaharris82 enter the chat room
2020-12-17 08:22:31 PM thomasodougherty Next is "Get Social Services" we'll delve into that after we're done with Resident Rights.
2020-12-17 08:22:43 PM byefelicia The facility must provide residents with any needed medically-related social services, including counseling, help solving problems with other residents, help in contacting legal and financial professionals, and discharge planning
2020-12-17 08:22:46 PM thomasodougherty What is after social services?
2020-12-17 08:22:57 PM sarabrophy Right to leave
2020-12-17 08:23:02 PM ashuk enter the chat room
2020-12-17 08:23:07 PM tonyaharris82 Freedom to leave
2020-12-17 08:23:34 PM thomasodougherty They are able to leave for visits and/or moving out.Is that true even today?
2020-12-17 08:23:52 PM tonyaharris82 not with covid
2020-12-17 08:23:56 PM sarabrophy sadly not the in person visits
2020-12-17 08:23:58 PM byefelicia This is what puzzles me the most - thought they could not leave
2020-12-17 08:24:19 PM sarabrophy but via zoom or facetime
2020-12-17 08:24:41 PM sarabrophy They can leave if they want to sign out AMA or for apts
2020-12-17 08:24:45 PM thomasodougherty They CAN leave. Our facilities are not prisons. That is not to say that there won't be some restrictions when they return, but we can not tell someone they aren't able to leave the facility.
2020-12-17 08:24:57 PM byefelicia The facility must not establish policies or practices that hamper, compel, treat ... social services for a resident
2020-12-17 08:25:50 PM byefelicia are they exceptions to the rule? like in memory care?
2020-12-17 08:26:53 PM thomasodougherty Yes; they or their representative has revoked their right to leave the facility.
2020-12-17 08:27:14 PM byefelicia Thanks for the clarification
2020-12-17 08:28:10 PM thomasodougherty However, someone who is not in memory care, but is an elopement risk is free to leave if they so desire. Redirection should be used as best able and if they do leave, don't leave them alone. If necessary, contact the police. Of course, notify your Administrator immediately as well.
2020-12-17 08:28:51 PM tonyaharris82 did not know that
2020-12-17 08:28:58 PM byefelicia neither did I
2020-12-17 08:29:34 PM thomasodougherty Seems counterintuitive, but as previously mentioned, our facilities aren't prisons.
2020-12-17 08:29:43 PM thomasodougherty Questions/Comments/Concerns?
2020-12-17 08:29:48 PM byefelicia none
2020-12-17 08:29:54 PM tonyaharris82 nope
2020-12-17 08:29:55 PM thomasodougherty What is next?
2020-12-17 08:30:05 PM byefelicia complaints
2020-12-17 08:30:21 PM thomasodougherty We touched on complaints already.
2020-12-17 08:30:22 PM tonyaharris82 Protection against unfair transfer or discharge
2020-12-17 08:30:23 PM byefelicia Residents have the right to make a complaint to the staff of the facility, or any other person, without fear of punishment. The facility must resolve the issue promptly.
2020-12-17 08:30:30 PM byefelicia My bad!
2020-12-17 08:30:35 PM thomasodougherty No worries!
2020-12-17 08:30:42 PM thomasodougherty Yes, Tonya.
2020-12-17 08:31:08 PM thomasodougherty Residents can't be ejected from the facility, UNLESS...
2020-12-17 08:31:47 PM byefelicia You can't be sent to another facility or made to leave the facility, except in these situations:• It's necessary for the welfare, health, or safety of you or others• Your health has declined to the point that the facility can't meet your care needs• Your health has improved to the point that facility care is no longer necessary• You don't pay for the services you're responsible for• The facility closes
2020-12-17 08:32:03 PM thomasodougherty Felicia delivers!
2020-12-17 08:32:15 PM byefelicia woohoo - again
2020-12-17 08:32:23 PM tonyaharris82 I've witnessed residents not being able to be ejected because wee have had a few homeless people come in and we could'nt safely discharge
2020-12-17 08:32:33 PM thomasodougherty Good point, Tonya.
2020-12-17 08:33:06 PM byefelicia A facility can't make a resident leave if they're waiting to get Medicaid.
2020-12-17 08:33:19 PM thomasodougherty A resident has to have a plan/safe place to discharge. However, if they are prepared to leave despite being homeless, that's on them. Documentation just needs to be spot on indicating that.
2020-12-17 08:33:56 PM thomasodougherty Also true, Felicia.
2020-12-17 08:34:09 PM byefelicia It seems, as though there's a loophole where a resident can be ejected from a facility, is that true?
2020-12-17 08:34:52 PM thomasodougherty Usually that loop-hole involves their being admitted to the hospital and refusing to readmit them.
2020-12-17 08:35:06 PM sarabrophy yes but again document
2020-12-17 08:35:14 PM sarabrophy not paying combative
2020-12-17 08:35:14 PM thomasodougherty That doesn't always work though.
2020-12-17 08:35:32 PM tonyaharris82 That is exactly what we had to do
2020-12-17 08:35:37 PM sarabrophy no sadly it doesnt and at times facilities loose a lot of money but they need to go somewhere
2020-12-17 08:35:53 PM thomasodougherty Sometimes police can be involved, but you'd be hard pressed to find a cop who is going to want to go on record as pulling a resident out of a facility.
2020-12-17 08:36:39 PM sarabrophy Nope we had two residents fighting and the cops were called
2020-12-17 08:36:56 PM sarabrophy After father talking they were both send to the hospital
2020-12-17 08:37:14 PM thomasodougherty Fights will often be an exception to that. However, if you're just looking to evict someone, a cop usually won't get invovled.
2020-12-17 08:37:45 PM thomasodougherty All right! Time is running short! The last two kind of tie together. What are they?
2020-12-17 08:38:03 PM sarabrophy They were both sent out and then returned back and we moved them far from one anohter
2020-12-17 08:38:03 PM byefelicia family & friends
2020-12-17 08:38:27 PM tonyaharris82 form or participate in resident groups and have family and friends involved
2020-12-17 08:38:39 PM byefelicia Family members and legal guardians may meet with the families of other residents and may participate in family councils. Family and friends can help make sure their loved one get good quality care. They can visit and get to know the staff and the facility's rules.
2020-12-17 08:39:06 PM thomasodougherty Resident Council and Family Council.These two entities can form and must be accomodated by the facility. They are free to opperate autonomously and staff can only become involved at their invitation.
2020-12-17 08:39:24 PM thomasodougherty Questions/Comments on anything regarding Resident Rights?
2020-12-17 08:39:28 PM byefelicia By law, facilities must develop a plan of care (care plan) for each resident which they the right to take part in this process and family members can help with the care plan with the resident’s permission. Legal guardian, have the right to look at all medical records about the resident and also has the right to make important decisions on the resident’s behalf.
2020-12-17 08:39:50 PM tonyaharris82 this is something the activity director puts together right?
2020-12-17 08:40:20 PM thomasodougherty There is an appointee. Usually it is Activities, but it could be any staff representative that acts as a go between.
2020-12-17 08:40:27 PM sarabrophy our social worker does the care plan meetings
2020-12-17 08:40:28 PM byefelicia no questions
2020-12-17 08:40:29 PM tonyaharris82 ok
2020-12-17 08:40:33 PM sarabrophy and all staff attend
2020-12-17 08:40:38 PM sarabrophy well departments
2020-12-17 08:40:43 PM thomasodougherty Sara, only if they are invited.
2020-12-17 08:40:53 PM sarabrophy for a care plan
2020-12-17 08:41:00 PM thomasodougherty Ah, yes.
2020-12-17 08:41:14 PM sarabrophy resdient councel yes they have to be invited by the resdients
2020-12-17 08:41:23 PM thomasodougherty Care Plans don't fall into these two topics.
2020-12-17 08:41:27 PM sarabrophy Us in actvities are only there to take notes
2020-12-17 08:41:39 PM byefelicia I see
2020-12-17 08:41:51 PM thomasodougherty That would fall under "Get Proper Medical Care"
2020-12-17 08:42:40 PM thomasodougherty Social Services, what role do they play in Nursing Facilities?
2020-12-17 08:42:46 PM thomasodougherty Oh!
2020-12-17 08:43:02 PM thomasodougherty I'm sure you all found something listing Resident Rights, but here is a link just in case you didn't:
2020-12-17 08:43:04 PM thomasodougherty https://downloads.cms.gov/medicare/Your_Resident_Rights_and_Protections_section.pdf
2020-12-17 08:43:29 PM thomasodougherty Ok... Social Services... what is their role?
2020-12-17 08:43:30 PM byefelicia thanks for the link
2020-12-17 08:43:45 PM byefelicia The SNF must provide you with any needed medically-related social services, including counseling, help solving problems with other residents, help in contacting legal and financial professionals, and discharge planning.
2020-12-17 08:44:26 PM tonyaharris82 social servis is the person to assist with safe discharges and hospice or home health they also handle the grievance forms
2020-12-17 08:44:43 PM tonyaharris82 discharge eqipment
2020-12-17 08:45:16 PM thomasodougherty You All seem super informed on these topics!
2020-12-17 08:45:29 PM byefelicia thanks
2020-12-17 08:45:56 PM thomasodougherty They don't always work the grievance forms though, Tonya. However, they can be appointed to do so. Each facility will be different in that regard.
2020-12-17 08:45:56 PM tonyaharris82 left the chat room
2020-12-17 08:45:57 PM tonyaharris82 enter the chat room
2020-12-17 08:46:13 PM tonyaharris82 ok good to know
2020-12-17 08:46:32 PM byefelicia Kinda figured that after reading the text
2020-12-17 08:47:13 PM thomasodougherty All right, SS does discharges, inservices, counseling, conflict resolution, contact legal/financial representatives, and additional duties as assigned.
2020-12-17 08:47:39 PM byefelicia Wow, we covered a lot tonight
2020-12-17 08:47:44 PM tonyaharris82 left the chat room
2020-12-17 08:47:45 PM tonyaharris82 enter the chat room
2020-12-17 08:47:50 PM thomasodougherty Often time SS will be the go between for the Ombudsman.SS will usually be called in to interview residents regarding abuse allegations.
2020-12-17 08:47:55 PM thomasodougherty We did, Felicia!
2020-12-17 08:48:56 PM thomasodougherty Does anyone have any questions regarding anything we went over tonight?
2020-12-17 08:49:19 PM tonyaharris82 left the chat room
2020-12-17 08:49:20 PM tonyaharris82 enter the chat room
2020-12-17 08:49:20 PM byefelicia Yes, we covered quite a bit
2020-12-17 08:49:31 PM thomasodougherty Ask away!
2020-12-17 08:49:32 PM byefelicia I'm a fast typist so I took really good note
2020-12-17 08:49:39 PM byefelicia notes
2020-12-17 08:50:09 PM byefelicia Could we email you if questions arise later?
2020-12-17 08:50:29 PM thomasodougherty Sure. thomas.odougherty@gmail.com
2020-12-17 08:50:41 PM byefelicia I may not have a question until it type up my notes for Ms. Chase. thanks for your email
2020-12-17 08:50:54 PM thomasodougherty I am also going to give you all another link for F Tags, which will hopefully be handy for you.https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Downloads/List-of-Revised-FTags.pdf
2020-12-17 08:51:20 PM sarabrophy Thank you
2020-12-17 08:51:20 PM byefelicia Kool, I know we all will need it later
2020-12-17 08:51:23 PM thomasodougherty Review this and make sure you include Tags in your 1/2 page paper for Celeste.
2020-12-17 08:51:43 PM tonyaharris82 ok
2020-12-17 08:51:48 PM byefelicia Thanks for the link and the notice prior to writing our paper
2020-12-17 08:52:06 PM sarabrophy yes I wouldnt have
2020-12-17 08:52:16 PM sarabrophy as it wasnt what we covered today
2020-12-17 08:52:20 PM sarabrophy I will do that
2020-12-17 08:52:22 PM thomasodougherty All right! I don't have anything else on these topics. You're All pretty solid it seems. Anything else anyone wants to go over?
2020-12-17 08:52:27 PM byefelicia would there ever be a time when our chats are live with our voices?
2020-12-17 08:52:37 PM thomasodougherty Not that I'm aware of, Felicia
2020-12-17 08:53:21 PM byefelicia This was informative and great, I don't currently have any questions
2020-12-17 08:53:36 PM tonyaharris82 Thank you all for the great information
2020-12-17 08:53:40 PM sarabrophy is there somewhere that goes over what all the Ftags mean in deatil ?
2020-12-17 08:53:53 PM thomasodougherty If you don't have questions. Have a wonderul evening and I'll chat with you all next time.
2020-12-17 08:54:04 PM thomasodougherty Sara, I'll grab one for you. One moment.
2020-12-17 08:54:56 PM byefelicia sorry - one questions. Do all tags have a cluster? What's considered as a cluster?
2020-12-17 08:56:02 PM thomasodougherty A cluster will be, for example, Resident Rights - 483.10 (F550 - F586)
2020-12-17 08:56:31 PM byefelicia thanks, so its what's contained within the parenthesis
2020-12-17 08:56:52 PM thomasodougherty Those are the F Tags that will be issued. 482.10 is the cluster
2020-12-17 08:57:27 PM thomasodougherty Sara, I can't find my break down of the tags. However, you won't need it. The exam and the course won't ask you to go into any great detail on them.
2020-12-17 08:57:37 PM tanyatre left the chat room
2020-12-17 08:57:43 PM thomasodougherty It is a long and daunting document that has more information than anyone could ever want.
2020-12-17 08:57:57 PM sarabrophy ok thank you
2020-12-17 08:58:10 PM thomasodougherty I found it!
2020-12-17 08:58:12 PM thomasodougherty https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_pp_guidelines_ltcf.pdf
2020-12-17 08:58:27 PM sarabrophy cool thanks
2020-12-17 08:58:44 PM byefelicia think I have a better understanding now of the numbering system
2020-12-17 08:58:44 PM tanyatre enter the chat room
2020-12-17 08:58:58 PM thomasodougherty No sweat.Thank you All for your contributions tonight!
2020-12-17 08:59:12 PM sarabrophy have a good evening
2020-12-17 08:59:19 PM thomasodougherty Likewise
2020-12-17 08:59:27 PM byefelicia you're welcome - thanks for your patience, have a wonderful holiday everyone!!!
2020-12-17 08:59:41 PM thomasodougherty Same to you, Felicia
2020-12-17 08:59:50 PM sarabrophy left the chat room
2020-12-17 08:59:50 PM tanyatre left the chat room
2020-12-17 09:00:35 PM tanyatre enter the chat room
2020-12-17 09:00:37 PM ashuk thank you and Merry Christmas
2020-12-17 09:00:54 PM thomasodougherty Thank you! Take care!
2020-12-17 09:00:54 PM byefelicia left the chat room
2020-12-17 09:01:13 PM ashuk and happy new year
2020-12-17 09:01:24 PM tanyatre i hope you guys have a good holiday
2020-12-17 09:01:29 PM tanyatre left the chat room
2020-12-17 09:01:36 PM thomasodougherty And to you
2020-12-17 09:02:00 PM thomasodougherty left the chat room
2020-12-17 09:02:09 PM ashuk left the chat room
2020-12-17 09:13:11 PM tonyaharris82 left the chat room
2020-12-17 09:13:12 PM tonyaharris82 enter the chat room
2020-12-17 09:18:25 PM tonyaharris82 left the chat room

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