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Reporting And Data

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COVID-19 Nursing Home Cases

CMS is requiring facilities to report COVID-19 cases in their facility to the CDC National Health Safety Network (NHSN) on a weekly basis. CDC and CMS will use information collected through the new NHSN Long-term Care COVID-19 Module to strengthen COVID-19 surveillance locally and nationally; monitor trends in infection rates; and help local, state, and […]

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COVID-19 Outbreak in Skilled Nursing Facility

Skilled nursing facilities must report any outbreaks of COVID-19 immediately, and continue reporting until there are no new cases. An outbreak is defined as any new occurrence in residents or staff.

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COVID-19 Skilled Nursing Facility Daily Census SurveyENDED 

***This reporting requirement ended on May 3, 2023.***Nevada skilled nursing facilities are required to complete a daily census survey under a directive from the State's Chief Medical Officer. The State will use this information for internal dashboards that will merge with data provided by the hospitals.  State health officials hope that having this data will […]

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COVID-19 Skilled Nursing Facility Daily Status Survey

Skilled Nursing Facilities in Nevada must complete a COVID-19 Daily Status Survey via a link sent in an email from the Division of Public and Behavioral Health (DPBH).

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COVID-19 Skilled Nursing Facility Nevada Health Alert Network (NVHAN) (EMResource)

Effective 7/15/20, Nevada’s Chief Medical Officer, Dr. Ihsan Azzam, is requesting that all skilled nursing facilities participate in the Nevada Health Alert Network (NVHAN). It is understood during this time of crisis that skilled nursing facilities are extremely busy taking care of residents; therefore, in addition to general demographics the only information being requested is: […]

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Fire or Disaster

An Intermediate Care Facility (Incl. Distinct Part Long-Term Care) must report the occurrence of a fire or disaster to the Bureau of Health Care Quality and Compliance (HCQC) within 24 hours.

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Influenza Vaccination Among Healthcare Personnel - for Skilled Nursing Facilities

Facilities must report annual HCP influenza vaccination summary data through the NHSN HPS Component. CDC is no longer collecting weekly influenza vaccination data for residents and healthcare personnel through the Long-term Care (LTC) Facility Component, and these tabs were removed in the NHSN application. Therefore, reporting weekly influenza vaccination data through the LTC Facility Component […]

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Judicial action against employee of SNF

Facilities for skilled nursing must report any judicial action taken against an employee or former employee of the facility which would indicate that the employee is unfit to be employed as a member of the staff of a facility for skilled nursing.

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Minimum Data Set (MDS)

The Minimum Data Set (MDS) is part of the federally mandated process for clinical assessment of all residents in Medicare and Medicaid certified nursing homes.  This process provides a comprehensive assessment of each resident's functional capabilities and helps nursing home staff identify health problems.  Care Area Assessments (CAAs) are part of this process, and provide […]

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Mistreatment, Neglect, Abuse, Injuries of Residents

A Long Term Care (LTC) facility shall ensure that all crimes or alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and misappropriation of resident property, are reported immediately, but not later than 2 hours after the allegation is made, if the events that cause the allegation involve abuse or result […]

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Nevada Healthcare Quarterly Reports (NHQR) (CHIA)

Hospitals and Intermediate Care Facilities (incl. Distinct Part Long-Term Care) must submit quarterly utilization and financial reports to DHCFP via the Nevada Healthcare Quality Reporting portal.

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Non-Natural Death

The reporting of any death in a healthcare facility is required (not related to NQF), with the exception of a “death due to natural causes” as understood in a general meaning and for which it has been established that the cause of death is not due to any contributing factors by the healthcare facility.

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Nursing Facility Census

All Medicaid participating Nursing Facilities must report census information monthly including the number of vacant beds available for resident occupancy.

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Payroll Based Journal (PBJ)

Under the ACA, long term care facilities must submit information about staff working in direct care. This includes agency and contract staff. Direct care staff are defined by the CMS as anyone that uses interpersonal contact or is involved in residential care management to provide care and services that allows the recipients to attain or […]

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Positive COVID-19 Test Following Second Dose of Vaccine

Facilities must inform DPBH staff immediately if a resident or staff tests positive two weeks or more following their second dose of the COVID-19 vaccine.

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Sentinel Events in LTC

The following sentinel events apply to the long-term care setting. Please click on the links to view the reporting requirements: 1A. Surgery or other invasive procedure performed on the wrong site 1B. Surgery or other invasive procedure performed on the wrong patient 1C. Wrong surgical or other invasive procedure performed on a patient 2A. Patient […]

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Unsafe FDA-Regulated Medical Devices and Drugs

Facilities are required to report when it receives information that reasonably suggests that a medical device has (or may have) caused or contributed to a serious injury or death of a patient or employee of the facility. The FDA receives voluntary reports on other serious adverse event, product quality problem, product use/medication error, or therapeutic inequivalence/failure that […]

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DISCLAIMER
Although many of these requirements apply to individual medical professionals and other types of hospitals and health care facilities, the information is presented solely to support Critical Access Hospitals. The reporting requirements and legal mandates on this site are not an exhaustive list and Nevada Rural Hospital Partners, Inc. bears no responsibility or liability for any hospitals' or providers' failure to comply with Federal or State laws or regulations.