Infection Control Toolkit

There are many resources available to providers on implementing effective infection control protocols. These resources are available from The Centers for Medicare and Medicaid Services (CMS) and The Centers for Disease Control and Prevention (CDC).

Since the implementation of Phase 1 of the new Requirements of Participation, infection control (F 441) has ranked as the most cited F tag in Ohio. To access the toolkit for more information, click here.


Legionnaires Toolkit

In early June 2017, CMS released the S&C 17-30-Hospitals/CAHs/NHs REVISED 06.09.2017 Requirement to Reduce Legionella Risk in Healthcare Facility Water Systems to Prevent Cases and Outbreaks of Legionnaires’ Disease.

The surveyor software has already been updated to ask for this upon entrance for the annual survey. This toolkit contains valuable resources to help members meet survey requirements.  

Toolkit includes:

Home Health Conditions of Participation: Regulatory Checklists

LeadingAge developed for members a set of checklists that delineate the requirements of the new home health Conditions of Participation (HHCoPs) published in the final rule and the actions needed to be in compliance.  Members can access the checklists HERE.   

 Immediate Jeopardy (IJ) Citations: What You Need to Know

Summary of Citations 1st Quarter 2017 ICF Facilities

Immediate Jeopardy 1st Quarter 2017 Citations

Immediate Jeopardy 3rd Quarter 2017 Citations


Side Rail Toolkit 

In the 1st quarter of 2017, use of side rails without an assessment, monitoring or orders was cited as an Immediate Jeopardy. The purpose of this toolkit is to provide facilities with guidance about the use and monitoring of side rails.

Side Rail Checklist

  • Discuss the list of alternative measures that will be used prior to installing a side/bed rail.
  • Update the side/bed rail protocol to include how the facility ensures correct installation, use, and maintenance.
  • Discuss the protocol for documenting resident assessment, review of risks, and bed and resident dimensions.

Side Rail: Language from the Federal Register

Members can access additional resources including the Accidents QIS tool, Side Rail Usage Assesment, Bed Inspection Policy, Bed Rail Use and Bed Inspection Training PowerPoint and more HERE.

Pressure Ulcer Toolkit

Immediate Jeopardy related to pressure ulcers continues to be a trend in the 1st quarter of 2017. LeadingAge Ohio has developed a toolkit to provide facilities with guidance about pressure ulcer care and prevention.

The toolkit includes a Pressure Ulcer checklist, language from the federal register, referenced websites, link to the CMS critical element pathway, staff interview questions and an audit tool for members to use in their improvement efforts. 

To access the toolkit, click here.




Need Help?

Stephanie DeWees

Stephanie DeWees

Quality & Regulatory Specialist - Long Term Care 

  • Supports planning and execution of the association's education initiatives for long term care
  • Provides resources for quality and regulatory strategies
    • Offers 911 survey support
    • Facilitates networking opportunities through regional events
    • Provides training on state and national trends, initiatives and enforcement
  • Staff liaison to Professional Development Committee and SNF/AL Subcommittee

Anne Shelley, MBA, BSN, RN

Anne Shelley

Director of Home Health/Hospice Regulatory Relations

  • Reviews state and federal policies and regulations and provides technical and regulatory support to Home Health and Hospice members
  • Works with state and federal agencies and regulatory bodies to develop policy and rules for the home health and hospice industry
  • Provides education for hospice and palliative care providers related to regulatory and operational issues
Our national partner, LeadingAge, is an association of 6,000 not-for-profit organizations dedicated to expanding the world of possibilities for aging. Together, we advance policies, promote practices and conduct research that support, enable and empower people to live fully as they age.