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Long-Term Care Survey Alert

Special Focus:
Revised survey guidance--Avoid A Bitter Survey Pill: Give Your Medication And Pharmacy Services A Checkup
Use this 5-point checklist to comply with revised survey guidance. If your head is swimmi... Read more
CLIP & SAVE:
Check Out These 3 Medication-Related Immediate Jeopardy Examples
Could these scenarios happen in your facility? The revised survey guidance for the followi... Read more
CLINICAL TOOL:
Track Coumadin Trends To Detect A Need For Dosage Adjustment, Intervention
Facilities can use this form to see the big picture.  ... Read more
MEDICATION MANAGEMENT:
Sidestep Unnecessary Drugs And F329 Tags
Get your interdisciplinary team marching to this best-practice regimen. When prescribing m... Read more
CARE PLANNING; 2 Inside Tips For Care Planning A Resident's Behavioral Sx
Combine data analysis, creativity to improve resident well-being. Understanding residents'... Read more
CASE STUDY:
Field-Tested System Heads Off Falls And Improves Clinical Outcomes
Consider this facility's wellness-focused approach. Looking for a fun way to reduce reside... Read more
PATIENT SAFETY:
Don't Take A Survey Tumble For Falls
F tag-proof your facility with these 3 strategies. Whether your facility takes the rap for... Read more
STAFF DEVELOPEMENT:
Get Physicians, Nurses On The Same PageIn Responding To Acute Care Needs
Here's how to bridge the communication gap between docs, nurses. Nurses represent the phys... Read more
STAFF DEVELOPMENT:
Sharpen Your 'Illness Identification' Skills
Hint: Suspicion is your friend when evaluating common Sx. Sometimes a common symptom such ... Read more
WHAT DO YOU THINK? Can You Use The POC To Rebut Deficiencies?
The answer may be yes, if .... To argue or not to argue in the plan of correction that the... Read more
CLIP & SAVE:
Connect The Dots When Assessing Aggressive/Combative Behavior
Consider using this faxable form to gather assessment data for physicians.... Read more
SURVEY & CLINICAL NEWS
--Have you checked out the draft MDS 3.0? The revamped instrument requires staff to use a ... Read more
SURVEY MANAGEMENT ~ 5 Key Strategies Give You A Protective Edge In A Negative Media Event
Develop a media management plan before reporters are banging on the door. You know that ev... Read more
SURVEY MANAGEMENT:
Beware--Media Coverage Can Spark Press, Survey Woes For All Facilities
The best strategy: Be prepared. If you read a negative story about a nursing home and brea... Read more
QUALITY OF CARE ~ Is It Delirium? The CAM Can Zoom In On The Problem
Consider adding the "Confusion Assessment Method" to your toolbox. You need to identify a ... Read more
SPECIAL FOCUS ~ Make Your Plan Of Correction A Ticket To Get Out Of F Tags Fast
Follow these 5 rules to error-proof your POC. So ... the survey's over, you just got the C... Read more
What Do You Think? ~ Should You Use The POC To Rebut Deficiencies?
Know the bottom line on this potential strategy. To argue or not to argue in your plan of ... Read more
SPECIAL FOCUS ~ Keep Track Of Your Plan Of Correction
Organization is the name of the game for getting back into compliance.... Read more
RESIDENT CARE ~ Don't Put The Iron Before The Anemia Diagnosis
This mistake is one you definitely don't want to make. Automatically ordering iron for res... Read more
PAIN MANAGEMENT ~ Safely Vanquish Serious Chronic Pain With A Drug That Costs Pennies A Pill
Capitalize on the upsides of methadone while mitigating the risks. Methadone can be just w... Read more
CLIP 'N' SAVE ~ Watch Out For These Drugs In Patients Taking Methadone
Give the physician a heads up about these meds. A patient taking methadone and any one of ... Read more
PATIENT SAFETY ~ Communication Pitfalls At Shift Change Can Gear You Up For Serious F Tags
Make sure caregivers have the info they need to provide safe care. An F tag is often in th... Read more
What Do You Think? ~ Do The Regs Practically Forbid Restraining Residents?
The answer is no, not if ... Facilities should definitely show restraint when restraining ... Read more
SURVEY NEWS
If you think surveyors have to observe med preparation and administration before they can ... Read more
Pressure Ulcer Prevention:
Reposition Your Skin Program With These Wheelchair Repositioning Strategies
Prevent decubs and F314 tags -- and save staffing time.You probably already have a tu... Read more
Survey Management:
Cut Off These 23 F Tags At The Pass
Teach staff to identify problems in real time.Achieving a clean survey requires a daily te... Read more
Best practices:
Let The Evidence Be Your Guide For Diagnosing, Managing Pneumonia
Breathe easier with a best-practice plan for tackling this serious condition.Talk about wa... Read more
Pain Management:
Rein In Pain Before Surveyors Pull You Up Short
Follow these 5 expert pain med management strategies.What your attending physicians don't ... Read more
Medication Management:
Resident Taking Opioid Medication? Preempt This Sentinel Event
Simple prevention can protect your residents and survey record. Physicians who use opioids... Read more
Clip 'N' Save:
Navigate The Pneumonia Care Decision Tree
You won't be out on a limb if you follow best practices.Source:Evidence-based guidelines f... Read more
Survey Management:
Don't Let Inadequate Pain Management Be A Ticket For F501 Citations
The buck stops with the medical director for ensuring resident comfort.Your facility will ... Read more
Resident Assessment:
Get A Jumpstart On Your Pain Assessments
The draft F309 survey guidance suggests using this approach.If you're looking for a little... Read more
Care Planning:
Rehab Your Therapy Program Before Your Survey Record Needs Rehabbing
Take this quick test and shore up your program if it's on the track to F tags.If your faci... Read more
Clinical Tip:
A Pictorial Symbol At The Bedside Can Stave Off Injuries
This simple strategy can communicate ADL needs at a glance.Caregivers who try to lift or s... Read more
Quality Improvement:
Walking In Your Cognitively Impaired Residents' Shoes Can Create A New Rehab Therapy Path
See where this empathy-building exercise leads your rehab and ADL care. Experiencing how r... Read more
Survey & Clinical News
Revisions to F371 (sanitary conditions) are cooking right along. The Centers for Medicare ... Read more
QUALITY OF CARE:
Catch Residents Falling Short Of Rehab Goals
Detect these clinical impediments to effective therapy.Your survey will hit a tailspin if ... Read more
PAIN MANAGEMENT:
Vanquish F309 Tags For Failing To Manage Rehab Residents' Pain
Ferret out the nature of a resident's pain so you can individualize treatment.You've heard... Read more
CLIP 'N' SAVE:
Read The Sign Posts Of Pain
Otherwise, you may be posting a CMS 2567 with F309 tags.Source:  Provided courtesy of... Read more
SURVEY MANAGEMENT:
Take Your Survey Fate In Hand With This Preemptive Plan
Anticipate and fix these key vulnerabilities.Sometimes your survey outcome is the luck of ... Read more
STAFF MANAGEMENT:
3 Ways To Rein In The 'Loose Cannons' Long Before The Survey
Don't let your own staff undo the facility.You know that staff with loose lips or an axe t... Read more
QUALITY OF CARE:
Outmaneuver Common Obstacles To Rehabbing Residents With Dementia
Enlist cooperation, prevent behavioral symptoms.A few smart moves can make all the differe... Read more
RESTRAINT REDUCTION:
Education Provides The Best Medicine For Eliminating Restraints
Help residents, families--and staff--buy into restraint reduction.Some of the best quality... Read more
CASE STUDY:
Find Out How One Facility Challenged An H-Level Deficiency At IDR
Accepting a deficiency doesn't always mean buying the whole enchilada.Certain deficiencies... Read more
PSYCHOSOCIAL CARE:
Depression And Hopelessness Can Cripple Your Rehab Patients
Rekindling can ignite motivation.Depression and hopelessness can derail a resident's rehab... Read more
SURVEY & CLINICAL NEWS
Is your facility incorporating these principles of care for patients with Alzheimer's dise... Read more
READER QUESTION:
Take A Look At Benefits, Risk Of Video Surveillance
Question: What are the pros and cons of facilities implementing video surveillance of comm... Read more
SURVEY PREPARATION:
5 Surveyor Tactics Can Trap You Into F Tags
Don't let surveyors bait you into making statements that end up on the SOD.All's not fair ... Read more
SURVEY CASE STUDY:
An Interdisciplinary Approach To The MDS Can Pay Off In Spades
Here's how one facility's team approach staved off an F tag.He or she who knows the most i... Read more
SURVEY MANAGEMENT:
Tame Your Worst Survey Nightmare Before, During And After It Happens
Foresight and fast action can save you from the unforeseen.You can't always prevent a wors... Read more
SURVEY MANAGEMENT:
Know When An F Tag Doesn't Mean All Is Lost
If you've met the regs, you may prevail at IDR.You have to know when to hold and when to f... Read more
EMERGENCY PREPAREDNESS:
Shore Up Your Emergency Preparation Before A Disaster Or Survey Forces You To
The time to decide how to respond to storms, fires, floods ... is now.What you don't antic... Read more
DISASTER PLANNING 101:
Don't Leave Answers To These 4 Key Questions Hanging In The Wind
Think through these "what ifs" before it's too late.When a disaster strikes, staff and res... Read more
INFECTION CONTROL:
Enlist Staff To Hait Methicillin-Resistant Staph
These simple strategies will go a long way to lower your infection rates.If you're looking... Read more
NURSING PRACTICE:
Inject Some Best Practices Into Your Z-Track Technique For Iron Replacement Rx
Skin staining, abscesses can result if you don't follow the right procedure.Picture this: ... Read more
NURSING PRACTICE:
Ready, Set--Update Your Nursing Procedures
Mini-QI projects can create major gains.You want to perform nursing procedures "by the boo... Read more
ACTIVITIES CARE PLANNING:
Develop 'Activities Bins' Geared To Residents At Different Functional Levels
Use a simple set of supplies to create a make-believe day at the beach.Organization is the... Read more
HIPAA TOOL:
Know When You Can Disclose PHI For Public Health Emergency Preparedness
This chart takes you through the HIPAA info flow.Source:  Department of Health and Hu... Read more
SURVEY & CLINICAL NEWS
Double-check how much acetaminophen (Tylenol) your residents are really receiving. It may ... Read more
REVISED SURVEY GUIDANCE:
Get With CMS' Plan--Integrate Activities Into The Resident's Total Plan Of Care
Hint: Think of activities as part of the big picture.As John Donne famously said, "No... Read more
QUALITY OF LIFE:
Help Your Facility Make The Grade With Its Activities Programming
Use this checklist to get your program in shape before the next survey.You want your activ... Read more
WOUND CARE:
Boost Positive Outcomes For Negative Pressure Wound Therapy
Outline and follow the do's and don'ts for this expensive therapy.If your facility uses ne... Read more
RISK MANAGEMENT:
Cognitive Impairment QI On The Rise? Give Your Overall Care Approach And Environment A Check-Up
If you don't, you're setting your facility up for a survey fall.Think of a high cognitive ... Read more
MDS ACCURACY:
Undo Inaccurate MDS Coding That Skews The Cognitive Impairment QI
Before you start chasing a high QI, take a deep breath and a step backwards.Your smartest ... Read more
RESIDENT ASSESSMENT:
These Best Practices Will Help You Evaluate, Care Plan A Resident Triggering On The Cognitive Impairment QI
Identify what's wrong so you can help.If you don't assess and care plan each resident trig... Read more
RAI COMPLIANCE:
Determine Whether To Do A Sig Change
Here's what the RAI manual says to consider.If surveyors see you've coded a resident on th... Read more
YOU BE THE SURVEYOR:
Determine The Level Of Severity For These Negative Psychosocial Outcomes
Find out how surveyors might cite 3 common scenarios.Here are the answers to last month's ... Read more
CLIP 'N' SAVE:
Use This Calendar Form To Capture A Resident's Activities
Back-up documentation can head off survey woes.... Read more
CLIP 'N' SAVE:
Continued
... Read more
SURVEY & CLINICAL NEWS
Ready for a new F tag for deficiencies in posting nursing staffing information? The Center... Read more
SURVEY MANAGEMENT:
A Negative Psychosocial Outcome + A Deficient Practice = A Potential Survey Disaster
Here's what surveyors will target starting June 1.The new Psychosocial Outcome Severity Gu... Read more
PROGRAM EVALUATION:
Find Out If Your Psychosocial Care Needs Revamping
Follow this five-point guide to F-tag proof your facility.With the new Psychosocial Severi... Read more
You Be The Surveyor:
Determine The Level Of Severity For These Negative Psychosocial Outcomes
Find out how CMS would cite 3 common scenarios.Put on your surveyor's cap and determine th... Read more
QUALITY OF CARE:
To Get a Clean Survey, Use Evidence-Based Bathing Practices
Surveyors will be looking for 'person centered' bathing.If you think suds and a regular tu... Read more
WOUND CARE:
Put Vascular Ulcers On The Fast Track To Healing
Check out these surprisingly simple solutions to greatly improve wound care.Using the righ... Read more
RESIDENT ASSESSMENT:
Address 'Health Literacy' Before Surveyors Write You Up
Make sure staff, residents/families are on the same page.As the concept of "health literac... Read more
RISK MANAGEMENT:
Implement Systems To Prevent Deadly Tubing Misconnection Errors
If you think it can't happen, your residents are at higher risk for mix-ups.Picture this: ... Read more
PATIENT SAFETY:
Should You Color Code Tubes And Catheters To Prevent Tubing Misconnection Errors?
Find out about these little-known pitfalls.Some safety experts suggest using color-coded t... Read more
What Do You Think? Is Forbidding Unmarried Sex Or Mandatory STD Screening Verboten In Nursing Homes?
Here are the answers to last month's questions on resident sexuality and mandatory STD scr... Read more
SURVEY NEWS
Ready for more revised F tags? The Centers for Medicare & Medicaid Services recently r... Read more
QUALITY OF CARE:
Nail Down Wound Dx Before Surveyors Nail You With F314 Or F309 Tags
Follow these key clues that pressure isn't the culprit in creating a wound.Surveyors often... Read more
WOUND PREVENTION:
If The Shoe Doesn't Fit...The Resident Could Get A Diabetic Ulcer
2 ways to keep your diabetic residents from getting foot ulcers.A hard-to-heal foot ulcer ... Read more
SURVEY MANAGEMENT:
Use A Risk Management Approach To Address Residents' Sexuality
Following the right policies and procedures can stave off a survey disaster.Does your faci... Read more
RESIDENT ASSESSMENT:
Ask The Right Questions To Answer Whether Residents Can Consent To Sex
Follow this model to document residents' decision-making ability.If you don't really know ... Read more
What Do You Think?
How Much Leeway Does A Facility Have To Impose Requirements Governing Resident Sexual Beha... Read more
TEST YOURSELF:
How Would Your Team Handle This Scenario Involving Resident Sexuality?
The right care plan can support residents' rights and keep them safe.Talk about a juggling... Read more
PAIN MANAGEMENT:
What You Don't Know About Your Pain QMs Can Hurt Your Facility
6 ways to stay a step ahead of pain and F tags in your facility.The pain quality measures ... Read more
RESIDENT SAFETY:
Fall Rate Going Up? Go To The Source To Get The Lowdown
Staff may have the elusive answers.Ask and you will often get answers that can explain and... Read more
CASE STUDY:
How To Think Outside The Pharmacological Box To Provide Optimal Pain Relief
Take notes on this facility's best practice pain management strategies.An effective pain m... Read more
QUALITY OF CARE:
Keep Your Pressure Ulcer Prevention Plan From Breaking Down
2 simple tips can spell success in assessing, preventing decubiti.To keep your pressure ul... Read more
CLIP 'N' SAVE:
Give Your Facility's Pain Assessment A Check-Up
Are your pain assessments covering these critical bases?... Read more
SURVEY & CLINICAL NEWS
Nursing facilities that assume "shelter in place" is the way to go in most emergencies cou... Read more
SURVEY UPDATE:
What You Need To Know Now About The New Slate Of Revised F Tags
Surveyors will be ready to roll with new interpretive guidance on June 1.If you were plann... Read more
SURVEY MANAGEMENT:
Use Revised Survey Guidance To Scope Out Scope and Severity
Find out what CMS considers actual harm and immediate jeopardy.What's good for the surveyo... Read more
RESIDENT ASSESSMENT:
Sidestep Blame For Skin Breakdown That Occurred In Another Setting
You have some wiggle room at F314 to avoid citations.Just because your nursing facility "i... Read more
SURVEY MANAGEMENT:
Get Your Medical Director Involved At Every Step Of The Survey Process
Here's how to cut off F501 tags at the get-go.How involved is your medical director in man... Read more
Survey Tip:
Know When To Do A Pre-Exit
Hint: Don't save the worst for last.A pre-exit interview can help turn around a surve... Read more
QUALITY OF CARE:
Go On A Quest For The Best--Develop Top-Notch Nursing Policies And Procedures
7 ways to keep a step ahead of the latest evidence-based practices.You want to do nursing ... Read more
QUALITY OF CARE:
The Wrong Nursing Policies/Procedures Can Ladle Up A Numeric Soup Of F Tags
Keep your eye on these requirements.If your policy and procedure manual doesn't spell out ... Read more
CLIP 'N' SAVE:
Don't Get Stuck With An F328 Tag For Faulty Injections
Would your facility pass this survey probe?In evaluating your compliance with F328, survey... Read more
RISK MANAGEMENT:
Master Medication Reconciliation--Or Reconcile Yourself To Survey Citations
Jump on the bandwagon of this safety practice before it's too late.If your facility thinks... Read more
PATIENT SAFETY:
Could This Patient Safety Nightmare Be A Discharge Away?
Failing to reconcile a patient's meds could result in a liability wake-up call.Picture thi... Read more
MEDICATION MANAGEMENT:
Too Many Of These Drugs Can Add Up To Anticholinergic Toxicity
If a resident develops delirium or confusion, review his meds.One medication with antichol... Read more
CLIP 'N' SAVE:
Check Out This One-Page Form For Medication Reconciliation
Simple is better to ensure staff have time to identify all of a resident's meds.... Read more
SURVEY & CLINICAL NEWS
Will DAVE 2 be likely to report you for potential survey violations? DAVE will report indi... Read more
SURVEY MANAGEMENT:
Walk The Survey Tightrope With Policies That Don't Trip You Up
Hint:  Find out why and when less may be better.You want staff to be on the same page... Read more
QUALITY MANAGEMENT:
Prevent Breakdowns In Your Skin Program That Can Lead To F314 Tags
4-part plan keeps your survey record clear when residents develop decubiti.Rule one for pr... Read more
REGULATORY COMPLIANCE:
Do Your Abuse And Neglect Policies Imperil Your Nursing Facility?
Follow this blueprint for what to include and forego.They say the cover-up is what gets pe... Read more
SURVEY MANAGEMENT:
Know The Definition Of An Injury Of Unknown Source
Otherwise, you could end up over-reporting.Guessing at definitions for reportable injuries... Read more
QUALITY MANAGEMENT:
Use Early Pressure Ulcers As An Early Warning Sign
Here's why you should keep tabs on the prevalence of Stage I and II decubiti."Bigger ... Read more
RISK MANAGEMENT:
Evaluate Residents' Ability To Get Up And Go
This simple test can identify residents at increased risk of taking a tumble.Taking the ti... Read more
RAI COMPLIANCE:
Detect This RAI Compliance Shortcoming Before Surveyors Pull You Up Short
This strategy can tell whether a quarterly should be a sig change assessment.There's only ... Read more
What Do You Think? To Do Or Not To Do A Sig Change After Re-hospitalization
Question: Is a facility that doesn't do a significant change in status assessment for a re... Read more
RESIDENT ASSESSMENT:
Head Off Declines In Mobility, ADLs Before They Trigger The QI/QM
2 tips to keep your QIs/QMs in line.Prevention is always the best medicine for residents. ... Read more
SURVEY NEWS
If you're expecting surveyors to give you a break on how well you're managing resident's p... Read more
FALL PREVENTION AND MANAGEMENT:
Stay One Step Ahead Of Risk Of Falls And Fall-Related Injuries
Head off a survey spill with these 3 strategies.True or false? A facility can prevent almo... Read more
RISK MANAGEMENT:
Target These 4 Modifiable Risks For Falls
Some of these risk factors may surprise you.Your best bet for reducing falls is to id... Read more
SURVEY MANAGEMENT:
Be Survey Savvy: Master The Intricacies Of Managing Part D
Follow these steps from admission to exception requests.Nursing facilities that don't have... Read more
What Do You Think?
Question: What do government authorities consider to be "plan steering" under Part D and i... Read more
SURVEY MANAGEMENT:
Don't Let Drug Formulary Changes Become A Formula For F Tags
CMS surveyor training lays down the gauntlet for facilities under Part D.If you see Part D... Read more
Clip 'N' Save:
Know What's Covered And Not Under Part D
Some drugs are covered by Part D and Part B.Drug Formularies Under Part D What is covered?... Read more
Staff Management:
Spot 'Em Before You Got 'Em -- Troublemaking Employees, That Is
3 warning signs you should never ignore during the job interview.To keep your facility fre... Read more
Quality of Care:
Snooze On Hypnotic Use And You Will Lose On Your Next Survey
Follow this QA checklist to avoid a rude awakening.The answer to why a resident may not be... Read more
Quality Assurance:
Earn A 'High Five' From Surveyors On Your QIs
Keep an eye on prevalence of hypnotic use and related negative outcomes.Your quality indic... Read more
Patient Safety:
To Manage Accidental Poisoning, Know How To Define One -- And Whom To Call
Here's how to avoid dialing up a liability disaster.Every minute counts when a resident ha... Read more
End-of-life Care:
Design Your Activities Program To Meet Palliative Care Needs
Follow this facility's lead in offering a mix of activities.If there's an inside secret to... Read more
Risk Management:
Don't Drop The Patient Safety Ball During The 'Hand Off'
Prevent communication slip-ups at these 2 common transitions in care.Managing how well you... Read more
Risk Management:
Get A Grip On Standardizing 'Hand Off' Communications
Time for a huddle to get your team acting in tandem.If you picture the interdisciplinary s... Read more
Risk Management:
Go By The Book--Capture, Home In On Critical Resident Care Information
Head off charges of failure to respond to residents' needs in time.The last thing you want... Read more
Clip 'n' Save:
Achieve A Winning Patient Safety Record: Know And Go For The Goals
Find out what's on JCAHO's list for 2006.Here's one list you want to post to make sure you... Read more
Survey News To Use
Ready for DAVE 2? Just when facilities thought DAVE was a done deal, the Centers for Medic... Read more
WOUND CARE UPDATE:
Put Your Wound Management Program Into High Gear With The PUSH Tool
A scoring system can be worth a thousand words to show ulcer healing.Saying a pressure ulc... Read more
CARE PLANNING:
Wound Not Healing? Pull Out The 'Three-Legged Stool' To Take A Closer Look
This simple formula can get a wound back on track.If a wound stalls or deteriorates in its... Read more
PRACTICE MANAGEMENT:
2 Tips Help You Use The PUSH Tool Effectively
Ensure consistent measurements and trigger points for actionThese two strategies will go a... Read more
RESIDENT SAFETY:
Put The Lid On Accidental Poisonings
If you haven't taken these measures, your residents could be in harm's way.A poisoning can... Read more
RESIDENT SAFETY:
4 Ways To Keep Alcohol-Based Hand Gels Out Of The Hands Of Residents With Dementia
Follow the adage, 'Out of sight, out of mind.'You have to walk a tightrope between providi... Read more
SURVEY UPDATE:
Get Your Medical Director In Line With F501 Guidance Before Surveyors Have You On The Hook
Nail down what the new survey guidance really requires.Expect surveyors to have F501 tags ... Read more
SURVEY COMPLIANCE:
3 Ways To Ensure Medical Director Compliance With Revised F501 Survey Guidance
Define and enforce expectations and make participation easy.This three-prong approach can ... Read more
SURVEY MANAGEMENT:
Use A One-Stop Approach To Securing Medical Director Documentation
Here's a way to access everything you need in the heat of the survey.When surveyors start ... Read more
PROFESSIONAL RECRUITMENT:
In The Market For A Medical Director? Follow This Often Overlooked Path
Check out these common sense tips from a NH exec.If you're at a loss for where to find the... Read more
SURVEY MANAGEMENT:
Be Prepared To Cut Off F Tags For Past Or Continuing Noncompliance
These strategies can head off a major survey and fiscal headache. If surveyors don't belie... Read more
Clip 'N' Save:
Know The Score For Each Pressure Ulcer In Your Building
PUSH tool can help you track wound healing.... Read more
Clip 'N' Save (cont.) Pressure Ulcer Healing Chart
Source:  National Pressure Ulcer Advisory Panel.  Used by written permission.... Read more
Survey & Clinical News To Use
Is unrecognized pain taking a hidden toll on your residents with dementia? If so, relief m... Read more
Available Years:  2006  2005  2004  2003  2002