Please Note: Gerber Consulting Services, Inc formally requested removal from the Temporary Managers List for the Commonwealth of Pennsylvania and was granted such on February 17, 2011. Comprehensive turnaround support remains available.  Only the potential for State appointment to said responsibilities has been removed. It has been an honor to serve in that capacity in the past.  However, it is acknowledged acceptance of such responsibilitiy/ies  may preclude the provision of necessary services to other clients during that focused process.  If there are any questions regarding that change, please do not hesitate to call our office at 724-254-2987

1.  Survey corrective action assistance:  Evaluation of current Federal and/or State citations and facility situation will be completed resulting in recommendations for timely corrective action using a 'systems' approach to enable sustained compliance.  Further assistance, as needed, may include but not be limited to the following:

1. In-service presentations
2. Management Oversight
3. Formulating policies and procedures
4. Development of Quality Assurance monitoring tools
5. Coordination of plan of correction, including writing the plan of correction, as necessary.
6. On-site resurvey assistance, as needed

2.  Pre-Survey:  Following CMS's and State (Center for Medicare and Medicaid Services) guidelines an abbreviated or in-depth survey of the facility (or specific department) will be completed.  Potential Federal and State deficiencies will be reported and recommendations for corrective action supplied.  On-site survey support, if desired.

3.  Evaluation of nursing staffing patterns:  Resident acuity levels, current nursing procedures and scheduling practices, and facility lay-out will be examined to assist in recommending adequate staffing to optimize the delivery of cost-effective quality of care.  Further assistance, as needed, may include but not be limited to the following:

     b.    Development of position control grid

4.  Comprehensive orientation / training  and support for special positions which include:

1. Director of Nursing
2. Administrator
3. Interim Administrator/Director of Nursing Support
4. Staff Development Coordinator

5.  RNAC Training:  1:1 Registered Nurse Assessment Coordinator training that may include but not be limited to :

1. Comprehensive RAI / POC training
2. The importance of "coordination"
3. Medicare designation / documentation
4. Medicare PPS / RUGS
5. RUGS-III, PA MA Case-Mix & Optimization
6. Office of Long Term Living Review Process

6.  RAI / MDS Training:  In-services and 1:1 training, as needed, for all disciplines involved in the MDS 3.0 assessment and transmission process will be provided to assist in assuring quality of care, regulatory compliance, and maximization of Case-Mix Index reimbursement for MA and Medicare PPS.

7.  Plans of Care Training:  In-services and 1:1 training, as needed for all disciplines involved will be provided to assist in assuring quality care and regulatory compliance.  Follow through from the Care Area Assessments (CAAs) as well as the resident's current physical and mental status will be emphasized to help ensure "working / user-friendly plans of care."

8.  Case-Mix Index Optimization:  Current facility Case-Mix Index, MDS 3.0 accuracy, and nursing / rehabilitation documentation will be evaluated.  Recommendations to assist in driving the Case-Mix Index upward will be made and in-services provided, as needed, to train staff on Medicare's RUG-IV and PA MA's RUG-III, Version 5.12 CMI  Classification System CMI and documentation necessary to maximize reimbursement from Medical Assistance and Medicare PPS.  Assistance provided, as needed, with corrective action plans.

9.  Restorative Nursing:  Assistance provided in developing a comprehensive nursing program that will improve residents' quality of life and assist the facility to maximize reimbursement and demonstrate cost-effective, positive resident outcomes.

10.  Educational Offerings / In-service Presentations:  Presented, with most utilizing a Power Point format  and, if requested, taped for the facility to utilize for additional presentations.  The subject list is  available on, but not limited to, the following: 

1. Abuse Prevention, Recognition, Reporting, Investigating, and Interventions
2. Accident Prevention / Disaster Preparation
3. AIMS Screening Protocol
4. Culture Change 
5. Depression in the Elderly
6. Documentation - Licensed Staff and Certified Nursing Assistants
7. Fall Prevention & Resident Safety
8. Infection Control / Bloodborne Pathogens / TB Protocols
9. Interdisciplinary "Working" Plans of Care
10. Leadership and Management Skills
11. Pain Management
12. Pressure Ulcer Prevention & Treatment
13. Quality Initiative
14. RAI / MDS Process
15. Resident Rights
16. Restorative Nursing
17. Restraints - Psychoactive and Physical
18. Unnecessary Drugs / Behavior Management
19. Urinary Incontinence
20. Numerous State-Directed Inservices

Gerber Consulting Services, Inc. is also an approved provider of State Directed In-Service Presentations:      Approved Directed In-service Providers, Feb 2011

NOTE:  Gerber Consulting Services, Inc is an approved provider of continuing nursing education by the PA State Nurses Association an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.  PLEASE SEE ADDITIONAL INFORMATION UNDER THE EDUCATIONAL OPPORTUNITIES SECTION ABOVE

11. Pre-RAC (Recovery Audit Contractor) Review - available throughout the US

12.  5-Star Rating & Improvement Analysis