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Ask Proactive – We have a resident with dementia who becomes restless and repeatedly attempts to leave the unit during the late afternoon. As part of care planning, what non-pharmacological interventions should we consider?

by | Jun 10, 2026 | Activities, Behavioral Health, Care Planning, Dementia Care, Nursing, Pain, Quality

Q: We have a resident with dementia who becomes restless and repeatedly attempts to leave the unit during the late afternoon. As part of care planning, what non-pharmacological interventions should we consider?   A: Effective person-centered care focuses on...

Ask Proactive – We have an employee who has had multiple attendance issues and performance concerns. We’ve documented counseling sessions, provided coaching, and issued written warnings, but the employee has not improved. What steps should we take before terminating employment?

by | Jun 3, 2026 | Compliance, Documentation, DON, Legal, Nursing Home Consultant, Staffing

Q: We have an employee who has had multiple attendance issues and performance concerns. We’ve documented counseling sessions, provided coaching, and issued written warnings, but the employee has not improved. What steps should we take before terminating...

F692 Nutrition Risk Blueprint: Documentation that Drives Results

by | Jun 3, 2026 | 5-Star, Care Planning, Compliance, Dietary, Documentation, F-Tag, Nursing, Person Centered Care, QAPI, Quality Measure, Regulatory, Survey, Weight Loss

F692 Nutrition Risk Blueprint: Documentation that Drives Results Few clinical issues draw more focus and attention during surveys than unintended weight loss and altered nutritional status.  These issues impact resident well-being and quality of life and are linked to...

Ask Proactive – We recently had a resident who experienced a choking episode during lunch. Staff performed the Heimlich maneuver successfully, and a swallowing evaluation later showed they had difficulty managing regular-texture foods and thin liquids. What should be included in the care plan for a resident who has experienced a choking event or is at risk of choking?

by | May 27, 2026 | Accidents/Incidents, ADL, Care Planning, Clinical, Dietary, Nursing, Nursing Home Consultant, Safety, Survey

Q: We recently had a resident who experienced a choking episode during lunch. Staff performed the Heimlich maneuver successfully, and a swallowing evaluation later showed they had difficulty managing regular-texture foods and thin liquids. What should be included in...