Nursing Homes: Welcome Guide and Resources for Nursing Home Administrators and Directors of Nursing

These resources serve as a guide for new nursing home administrators and directors of nursing at nursing homes.

General information

  • About the Department of Health Services (DHS) - DHS is committed to protecting and promoting the health and safety of the people of Wisconsin, making sure everyone can live their best life.
  • DHS' Division of Quality Assurance - Bureau of Nursing Home Resident Care (BNHRC) regional offices and contacts can be found on this webpage.
  • Local public health - Find resources for local health departments, health officers, boards of health, and others working in public health for the state of Wisconsin.
  • Survey Readiness for Long-Term Care Facilities, P-03552 (PDF) - The Bureau of Nursing Home Resident Care (BNHRC) has developed this booklet to help you and your staff be survey ready every day of the year.
  • Wisconsin HAI: Contact Information - The Wisconsin Healthcare-Associated Infections (HAI) prevention program conducts statewide HAI surveillance and provides technical assistance in a variety of areas for health care and public health partners. Contact information for program staff can be found on this webpage.

Associations, councils, and organizations

Resident advocacy

Caregiver tools and trainings

Education

  • Clinical Resource Center (CRC) - This website is a user-friendly resource which provides links to educational and clinical information about selected care areas and training topics, as well as full copies of the AMDA Clinical Practice Guides and other tools and resources from AMDA – The Society for Post-Acute and Long-Term Care Medicine. You must register and log in to access the modules.
    • Care Area Modules
      • Challenging Behaviors
      • Chronic Obstructive Pulmonary Disease (COPD)
      • Dehydration & Fluid Maintenance
      • Dementia
      • Depression
      • Diabetes Management
      • Falls & Fall Risk
      • Infection
      • Nutrition
      • Pain Management
      • Person-Centered Care
      • Pressure Injury Prevention & Treatment
      • Restraints
      • Transitions in Care
      • Urinary & Bowel Incontinence
    • Training Modules
      • Managing Challenging Behaviors
      • Person-Centered Comprehensive Care Plans
      • Review of the Care Process: Getting to the Root of the Matter
      • Identifying and Responding to the Changes in Resident Condition (ICRC): The Impact of Effective Communication between the Licensed Nurse and Medical Provider
      • Building Relationships Within a Clinical/Cultural Environment
      • Infection Prevention and Control Within a Clinical/Cultural Environment

Infection control

Nursing home survey material

  • Care Compare - This tool provides a single source search and compare experience for people with Medicare or their caregivers who want to choose a Medicare provider (like physicians, hospitals, nursing homes, and others).
  • CMS Minimum Data Set (MDS) 3.0 Resident Assessment Instrument (RAI) Manual - This webpage includes the current version of the MDS 3.0 RAI Manual and associated documents. This page will be updated when an update is made to the MDS RAI 3.0 Manual, a newer version of the MDS RAI 3.0 Manual becomes available, or important information regarding the MDS 3.0 RAI Manual needs to be communicated.
  • CMS Nursing Homes Quality, Safety & Oversight- Guidance to Laws & Regulations - Nursing home surveys are conducted in accordance with survey protocols and federal requirements to determine whether a citation of non-compliance is appropriate. The survey protocols and interpretive guidelines serve to clarify and/or explain the intent of the regulations. All surveyors are required to use them in assessing compliance with federal requirements. Deficiencies are based on violations of the regulations, which are to be based on observations of the nursing home's performance or practices. Check the downloads section of this webpage for the latest versions of these resources:
    • CMS Form 802
    • LTCSP Initial Pool Care Area
    • F-Tag Crosswalk
    • Appendix PP State Operations Manual
    • Revision History for LTC Survey Process Documents and Files
    • Survey Resources (Survey Pathways, Initial Pool Care Areas, Entrance Conference Exam, Immediate Jeopardy Template, LTCSP Complaints Guide, Psychosocial Severity Grid, Staff Matrix for F888)
  • CMS Policy & Memos to States and CMS Locations - CMS Quality Safety & Oversight memoranda, guidance, clarifications and instructions to State Survey Agencies and CMS Locations.
  • CMS Staffing Data Submission Payroll Based Journal (PBJ) - Section 6106 of the Affordable Care Act (ACA) requires facilities to electronically submit direct care staffing information (including agency and contract staff) based on payroll and other auditable data. The data, when combined with census information, can then be used to report on the level of staff in each nursing home, as well as employee turnover and tenure, which can impact the quality of care delivered.
  • CMS Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Measures and Technical Information - This webpage provides information on the quality measures reported by SNFs. Quality measures are tools that help measure or quantify healthcare processes, outcomes, patient or resident perceptions, and organizational structure/systems that are associated with the ability to provide high-quality services related to one or more quality goals.
  • DHS Nursing Homes: RAI/MDS 3.0 Information - This webpage includes RAI/MDS resources for Wisconsin providers, including RAI/MDS educational forum, technical resources, and the contact information for the Wisconsin RAI Education Coordinator and the MDS Automation Coordinator.

Quality Assurance and Performance Improvement

  • CMS QAPI Website - Quality Assurance (QA) and Performance Improvement (PI) takes a systematic, comprehensive, and data-driven approach to maintaining and improving safety and quality in nursing homes while involving all nursing home caregivers in practical and creative problem solving. CMS provides resources, such as the Process Tool Framework (PDF), to providers developing their QAPI process.

Rules and regulations

Email updates

Miscellaneous

  • CDC National Healthcare Safety Network (NHSN) - CDC's National Healthcare Safety Network is the nation's most widely used healthcare-associated infection tracking system. NHSN provides facilities, states, regions, and the nation with data needed to identify problem areas, measure progress of prevention efforts, and ultimately eliminate healthcare-associated infections.
  • Office of Evaluation and Inspections Reports - These reports contain findings of audits and evaluations conducted by the Department of Health and Human Services, assess how well programs and grantees/contractors are working, identify risks to the people they serve and to taxpayers, and recommend necessary improvements.

Glossary

 
Last revised June 3, 2024