Survey Tip: Documenting Protection on Abuse Reporting

A new survey tip has been posted to the AHCA Survey Regulatory page for your review. In the new Survey Tip section, on the Survey Regulatory page, you will find tips related to recently noted survey trends. In the latest survey tip, you will find tips to ensure you are protecting resident(s) from further abuse, and sufficiently documenting the protection you have provided/are providing residents on both your initial abuse reporting and your 5-day working report to the State Survey Agency.
For additional information about abuse, neglect, and misappropriation of resident property, please review the webinar series on ahcancalED. The series also provides individual tip sheets for each F-tag associated with abuse. If you have any topics or suggestions for future survey tips, or survey/regulatory questions, please send them to​.

Improving Outcomes Through Better Communication

Communication is key when providing quality care to residents because those living in long term care environments experience increased vulnerability. Good communication can often be likened to a dance. When synchronized, it is beautiful to watch. However, one misstep can lead to injury or hurt feelings. Lack of communication can result in missed appointments, medication errors, adverse events, rehospitalization, and even death. This article offers tips to facility leadership on how to improve communication with residents and their families, staff, and outside partners.

Empower Residents with a Holistic Approach to Activities

​The senior care industry is dutifully focused on medical interventions and patient care. Part of this commitment is the promotion of activities and mobility.

Picture a bustling senior care facility where the rooms are filled with sounds, the halls echo with the shuffle of feet engaged in purposeful movement, and every corner hosts a unique activity that sparks joy. It’s a vision that goes beyond the conventional notions of caregiving. Attending to the physical needs of older adults is part of their comprehensive care, and skilled nursing facilities and long-term care centers would do well to embrace the transformative power of recreation.

Why should activities and mobility be at the forefront of the senior care sector? Because it’s about celebrating the vitality of our senior community and creating environments where residents can lead better quality lives.

10 Elements of Safe, Functional Bathrooms

In a senior living facility, the bathroom is arguably the most important space to providers and their residents. Studies show that most incidents and falls occur in the bathroom. The independence, hygiene, dignity, and safety that occurs in the bathroom is all pivotal. That is why it’s so important to create an environment that supports aging over time and promotes independence for seniors.,-Functional-Bathrooms.aspx

Start Your RN Board Certification Journey on Certified Nurses Day

Certified Nurses Day™ occurs every March 19 and is an annual day of recognition for and by healthcare leaders dedicated to nursing professionalism, excellence, recognition, and service. The AHCA/NCAL Gero Nurse Prep course is specifically designed for RNs working in long term care and provides comprehensive online training that leads to board certification in gerontological nursing by the American Nurses Credentialing Center (ANCC).
Gero Nurse Prep course significantly increases RNs’ gerontological nursing competency test scores. Further, Gero Nurse Prep grads who choose to sit for the ANCC gerontological nursing certification exam have a pass rate of 94% on their first try.
Research conducted by AHCA/NCAL in 2023 found compelling reasons to consider the Gero Nurse Prep course and ANCC Board certification for RNs. Nursing facilities with at least one ANCC Board certified RN experienced:
  • Lower rehospitalization rates for short stay and long stay residents
  • Fewer deficiencies on average
  • Fewer Immediate Jeopardy (IJ) citations
  • More stars — twice as likely to be a CMS 5-Star facility (44% versus 19%)
Gero Nurse Prep also makes a big difference even for those RNs who are not interested in pursuing ANCC Board certification. Nurses who complete Gero Nurse Prep show an average 24 percent increase between their pre- and post-course test scores. Quite simply, Gero Nurse Prep delivers smarter RNs who are better prepared to deliver competent geriatric nursing care in skilled nursing and assisted living settings. Both two-year RNs and BSNs can take the Gero Nurse Prep course and sit for the ANCC exam.
RNs have one year to complete Gero Nurse Prep and earn 30 quality nursing contact hours – enough to meet the criteria for taking the ANCC certification exam. Gero Nurse Prep grads who pass the ANCC gerontological nursing certification exam ($395 separate fee paid to ANCC) can then use the GERO-BC™ credential after their RN credential.
Watch this video or visit the website at to learn more about this online program designed to help RNs increase their geriatric nursing skills and to pass the ANCC exam. Remember to use the AHCAPAYLESS promo code when you register to save $100 off the regular $790 Gero Nurse Prep registration fee.

March is Careers in Aging Month!

In the past, AHCA/NCAL and providers across the country have celebrated Careers in Aging Week to bring recognition to the numerous career opportunities available in long term care and aging services and to celebrate current caregivers in the industry. In 2024, we are extending the celebration and the month of March will now be dedicated to Careers in Aging Month! Join us in promoting these rewarding careers for the month-long observation!

Learn more by going to

Maintaining Your Respiratory Protection Program in LTC Centers: Actions and Frequencies

Long term care (LTC) centers must adhere to specific requirements for compliance with the Occupational Health and Safety Administration (OSHA) Respiratory Protection Standard (29 CFR 1910.134). The nature of airborne hazards, the presence of respiratory threats, the specific respiratory protection program, and the resulting compliance requirements will vary between organizations. Employers must recognize that once a Respiratory Protection Program (RPP) is established, ongoing maintenance is necessary to ensure compliance with the OSHA standard.

Navigating “Safety” in Long Term Care Centers: Separating the Roles of OSHA and the CMS requirements for Emergency Preparedness


In this third article regarding the connection between the Occupational Safety and Health Administration (OSHA) and the Centers for Medicare & Medicaid Services (CMS) Life Safety and Emergency Preparedness (EP) Requirements, the focus will be on how OSHA’s regulations overlap with CMS’ EP requirements, found in 42 CFR 483.73 (Appendix Z).
It’s important to note that CMS’ EP requirements do NOT apply to assisted living, however any OSHA requirements do apply.