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CMS Issues Final Rule Mandating New Minimum Staffing Standards for Long-Term Care Facilities

On April 22, 2024, The Centers for Medicare & Medicaid Services (“CMS”) issued the “Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency...more

Providers Take Note: CMS Identifies Areas of Focus for Federal Monitoring Surveys

The Centers for Medicare and Medicaid Services (“CMS”) recently released Administrative Information 24-05-NH to provide guidance to surveyors on areas of focus for Federal Monitoring Surveys (“FMS”). The document identifies...more

OIG Report Highlights Emergency Preparedness Challenges for Nursing Homes

A report released by the United States Department of Health and Human Services, Office of Inspector General (“OIG”) on September 1, 2023, details key emergency preparedness challenges reported by nursing homes situated in...more

CMS Proposes Minimum Staffing Standards for Long-Term Care Facilities

The Centers for Medicare and Medicaid Services (“CMS”) almost certainly changed the Labor Day weekend plans for many policy analysts and others when it released its long-awaited minimum staffing Proposed Rule for long-term...more

Home Health & Hospice Quarterly - Q2

AGG’s Home Health & Hospice team publishes a quarterly newsletter covering legal and regulatory topics specific to the home and community-based healthcare industry. The fields of end-of-life and home healthcare present...more

GAO Report Focuses on Expert Recommendations to Improve Nursing Home Infection Prevention and Control

A roundtable of 13 experts convened by the Government Accountability Office (“GAO”) has made several recommendations for improving infection prevention and control (“IPC”) efforts in nursing homes. The recommendations are...more

Supreme Court To Hear Case Regarding Section 1983 Enforcement of FNHRA Violations

The Supreme Court, on May 2, 2022, granted certiorari to consider whether certain provisions in the Federal Nursing Home Reform Act (“FNHRA”) create rights that are federally enforceable by nursing home residents under 42...more

Kentucky Rewrites Its Assisted Living Law

In keeping with several states that have recently overhauled their assisted living laws, the Commonwealth of Kentucky has enacted sweeping changes to its regulatory framework for assisted living. Kentucky Senate Bill 11 (“SB...more

CMS Revises Nursing Home Visitation FAQs to Address Omicron Variant

In light of surging COVID-19 cases occasioned by the highly transmissible Omicron variant and questions from nursing homes regarding whether to limit visitation, the Centers for Medicare and Medicaid Services (CMS) earlier...more

OSHA Emergency Temporary Standard Promises Implementation and Compliance Challenges for Long-Term Care Facilities

The Occupational Safety and Health Administration (OSHA), on June 10, 2021, released a long-anticipated Emergency Temporary Standard (“ETS”) to protect workers that provide healthcare and healthcare support services from...more

CMS and CDC Update Guidance for Nursing Home Resident Testing, Visitation, and Communal Activities

Long-term care providers that have been clamoring for updated guidance from the Centers for Medicare and Medicaid Services (CMS) and Centers for Disease Control and Prevention (CDC) to address the effect of COVID-19...more

Media, CDC, and DPH Combine to Confuse Georgia Providers Regarding Quarantine Guidance

With much fanfare earlier this month, mass media outlets touted revised guidance from the Centers for Disease Control and Prevention (CDC) that individuals who have been fully vaccinated can “skip” quarantine if they become...more

Georgia DPH Provides Guidance to LTCFs on Admitting Residents from a Hospital

As coronavirus infections continue to spike nationwide prompting an increase in hospitalizations, the Georgia Department of Public Health (DPH) recently issued interim guidance for long-term care facilities (LTCFs), including...more

CMS Releases Additional Criteria and New FAQs for Focused Infection Control Surveys in Nursing Homes

In a January 4, 2021 revision to a June 1, 2020 Quality, Safety and Oversight memorandum, the Centers for Medicare and Medicaid Services (CMS) revised the criteria for focused infection control (FIC) surveys in nursing...more

And So It Begins: The Great Government Look Back at the Effect of COVID-19 on Nursing Homes

As 2020, thankfully, comes to a close, the Department of Health and Human Services, Office of Inspector General (OIG) has released the first of several reports on the impact of COVID-19 on nursing homes and the effectiveness...more

CDC Provides Considerations to Guide Providers Regarding Possible Post-Vaccination Symptoms

As long-term care facilities (“LTCFs”), such as nursing homes and assisted living facilities, implement plans for the immunization of their residents and staff, and as the first shipments of vaccine are being delivered across...more

CDC Prioritizes Health Care Personnel and LTCF Residents for COVID-19 Vaccine

As expected, the Advisory Committee on Immunization Practices (ACIP) within the Centers for Disease Control and Prevention (CDC) voted 13-1 on December 1, 2020 to recommend that health care personnel and long-term care...more

With New Holiday Recommendations from CMS, the Year of Challenges for Nursing Home Residents Continues

In advance of the beginning of the holiday season, the Centers for Medicare and Medicaid Services (CMS) issued recommendations for keeping nursing home residents safe amidst the continuing Coronavirus pandemic while still...more

CDC Releases Nursing Home Testing and Management Considerations as Flu Season Begins Amidst COVID-19 Pandemic

As if protocols in certain states for dealing with nursing home residents returning from holiday leave weren’t complicated enough in terms of corhorting, the impending influenza season and new considerations from the Centers...more

OSHA Releases Updated COVID-19 Respiratory Protection Guidance for Long-Term Care Facilities

Long-Term Care Facilities (LTCFs) have not heard much from the Occupational Safety and Health Administration (OSHA) in terms of specific industry guidance since the middle of May when the agency released a one-page document...more

CMS Clarifies Emergency Preparedness Testing Exemption

In a memorandum issued on September 28, 2020, the Centers for Medicare and Medicaid Services (CMS) provided clarification to health care providers regarding an exemption to emergency preparedness testing exercise requirements...more

Georgia Re-Issues Phased Reopening and In-Person Visitation Guidance for ALFs and SNFs

The Georgia Department of Public Health re-issued guidance for long-term care facilities with respect to phased reopening and expansion of in-person visitation. This guidance was issued through an Administrative Order on...more

Final Nursing Home Commission Report Yields Many Recommendations, Even More Action Items

The independent, 25-member Coronavirus Commission on Safety and Quality in Nursing Homes (Commission) convened earlier this year by the Centers for Medicare and Medicaid Services (CMS) to study lessons learned from the early...more

CMS and CDC “Tag Team” on Point-of-Care Testing

The Centers for Medicare and Medicaid Services (“CMS”) earlier this month issued a series of frequently asked questions (“FAQs”) regarding the point-of-care (“POC”) program to provide certain Medicare and Medicaid certified...more

Requiring Employees to Wear N95 Masks? Better Have a Respiratory Protection Program or Risk OSHA Citations

Recent enforcement activity by the Occupational Safety and Health Administration (“OSHA”) underscores the risks posed by the deployment of N95 and other respirators by long-term care providers, including nursing homes and...more

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