1. Geriatrics and Extended Care Operations
Lisa Minor
Chief, Institutional Care Programs
Office of Geriatrics and Extended Care Operations (10NC4)
Department of Veterans Affairs

2. Geriatrics and Extended Care Operations
GEC Operations
Non-Institutional Care
Geriatric Care Team
Home and Community Based Care
Hospice and Palliative Care
Institutional Care
CLC Operations
SVH Operations
CNH Operations

3. Institutional Care State Veterans Home (SVH) Operations
Lisa Minor, Chief Institutional Care
(202)
Contract and Survey Oversight
Jo Anne Parker, Management Analyst, SVH Operations
(202)
SVH Recognitions
Kelly Mingle, Management Analyst, SVH/CLC Operations
(202)
SVH Issue Briefs, Survey Report Reviews and Close Outs, and Survey Appeals
Theresa Hayes, Program Analyst, SVH Operations
(202)
Resident Assessment Instrument (RAI)/ Minimum Data Set (MDS)
Janet Barber, Program Analyst, CLC Operations
(706)
GEC Operations
Non-Institutional Care
Geriatric Care Team
Home and Community Based Care
Hospice and Palliative Care
Institutional Care
CLC Operations
SVH Operations
CNH Operations

4. RAI/MDS Update
Proposed rule to require use of most current version of RAI/MDS
No comments received
In second phase of concurrence
Most SVH are currently using and transmitting MDS 3.0 data
6 SVH are not at this point

5. FY 2011 Surveys FY 2011 Surveys Annual = 134 For Cause = 3
Recognitions = 11
Annual = 134
For Cause = 3
Totals Surveys = 148
FY 2011 Surveys

6. Top 5 Commonly Cited NH Deficiencies
# CITATIONS
STANDARD
CFR# 97
Physical Environment: Life Safely From Fire**
(a) 25
Quality of Care: Accidents
(I) 18
Dietary Services: Food**
(d) 16
Resident Assessments: Frequency **
(2) 12
Resident Assessments: Review (3

7. Top 5 Most Commonly Cited DOM Deficiencies
TAG #
STANDARD
# CITATIONS 2A
Safety: Current State Fire Marshall’s certificate** 10 2C
Safety: Evidence of Corrective Actions 2 9D
Patient Activities: Patient’s Activity Plan
10B
Pharmacy: Safe procurement, control and distribution of drugs 1D
Governance and Administration: Policies & Procedures 1

8. Top 5 Immediate Jeopardy Determinations
Tag #
Title
CFR#
108
Quality of Care: Accidents
51.210(i)
123
Dietary Services: Thicken Liquids
51.140(d)(3) 38
Resident Rights: Notification of Changes
51.70(b)(9)(i) (B) & (C) 92
Resident Assessments: Comprehensive plans need to be individualized
51.110(e)
109
Nutrition: Based on Comprehensive Assessment
51.120(j)(1)
Top 5 Immediate Jeopardy Determinations

9. THANK YOU! Questions?