Long Term Care & Senior Living Blog

Irene Fleshner

Irene Fleshner, RN, MHA, FACHE, serves as a Principal for Reno Davis & Associates and the Senior Vice President for Strategic Nursing Initiatives for Genesis HealthCare.
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Recent Posts

Skilled Nursing Facility Assessment: Valuable & Not Complex

Irene Fleshner

Last summer, CMS issued proposed changes to the Requirements of Participation for Nursing Homes (RofP). They requested comments on the proposed changes and the stakeholder community was neither quiet nor shy in expressing its opinions. Since that time, CMS has been mum on the issue and we can only assume they’re going through the comments and determining next steps. The best guess is that CMS intends to have the new rules issued in 2016 and that some of the provisions may be phased in over time.

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3 Tips for Happier Senior Care Employees in the New Year

Irene Fleshner

Happy is a word we hear used a lot during the holidays. I started to think about the meaning of “happy,” and found myself singing the Pharrell Williams song, “Happy,” and then thought of a smiley face icon and the dictionary definition of “happy - being delighted or pleased”.

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Changes to Requirement of Participation: Good News with a Catch

Irene Fleshner

Proposed Changes to Requirement of ParticipationRecently CMS issued proposed changes to the Requirements of Participation for Nursing Homes (RofP) (think rules surveyors follow when they’re in my building).  The proposed changes were developed in part because CMS recognizes what SNF leaders have known for a long time….the long term post-acute care world has changed.

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Economics 101: The Senior Care Staffing Shortage

Irene Fleshner

Staffing shortages in long term post-acute care faciltiesLong term post-acute care facilities across the country face staffing shortages due in large part to high turnover rates, a lack of training and advancement opportunities, and a workforce largely comprised of individuals who have multiple job options.

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Nurse Leaders: Get More Involved in Your Staff Scheduling

Irene Fleshner

I recently attended the Long Term and Post-Acute Care Health IT Summit (LTPAC/HIT) in Baltimore.  The primary focus of the conference was on electronic medical records, thus the usual array of vendors were mingling with the attendees, who were primarily provider-based IT professionals.

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A Perfect Storm: High Turnover & Increasing Demand for LTC Workers

Irene Fleshner

Increaes in Demand for LTC Workers“I am finally fully staffed, and then one of my employees resigns.” How often have you experienced this situation?  If you’re like many senior care operators, this happens all too frequently.  A study entitled “Entry and Exit of Workers in Long Term Care” conducted by the University of California San Francisco Health Workforce Research Center on Long-Term Care (HWRC) found that the rate at which workers are leaving LTC is outpacing the entry rate across all LTC sectors. 

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My First Job and Why Such a Recruitment Process Will Not Work Today

Irene Fleshner

Recruiting and Hiring StrategiesI went down a circuitous academic path to become a nurse.  I started college majoring in political science in Washington DC.  Many of my classmates were doing internships on the Hill and thinking about law school.  I had little interest in either of those pursuits.  I started thinking about what type of career I wanted to pursue.   I had always thought about being a nurse and the profession really excited me. 

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Thanking Senior Care Nurses Who Make a Difference

Irene Fleshner

Nurses Making a Difference At the end of the year many of us reflect back on what we’ve accomplished and how we’ve lived our lives during the preceding 365 days.  I was thinking about how busy I’ve been in 2014 and my desire to improve my work-life balance for 2015.  I came upon a survey on this exact topic.

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An Age Old Staffing Question: Your Part-Time/Full Time Nursing Mix

Irene Fleshner

For years, people have asked me … “What is the optimal mix of full- and part-time employees to efficiently and effectively staff my facility?” Given that the employer mandate provision of the ACA is scheduled to begin in 2015, this issue may become more than just one of staffing best practice.

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Staff Stability? A Phenomenon Shared by Google, Amazon & LTC/Post-Acute Care

Irene Fleshner

Fall has officially arrived!  And there are a few things that we can count on happening every year at this time, like cooler temperatures, beautiful foliage colors and a full schedule of conferences and conventions.  

Like many of you, I attend a number of conferences each year.  It’s a great opportunity to network with colleagues, attend educational sessions to learn about latest trends and, of course, get my continuing educational credits.

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