Sagecrest Nursing and Rehabilitation Center in Las Cruces, NM has been identified by Medicare as a “special focus facility” and is in danger of losing its certification status with CMS. You have been hired as a consultant to evaluate and improve this facility. Based on what you have learned about long term care services, policies and regulations, you are to prepare a brief report that provides recommendations for improvement.

Use the web to find pertinent information with which to guide your recommendations. Some important resources may include:

· Nursing Home Compare: https://www.medicare.gov/nursinghomecompare/search.html

· State of New Mexico Nursing Home Regulations: http://www.hpm.umn.edu/nhregsplus/NHRegs_by_State/New%20Mexico/NM%20Complete%20Regs.pdf

· CMS.gov – Nursing Homes: https://www.cms.gov/medicare/provider-enrollment-and-certification/certificationandcomplianc/nhs.html

· Federal Nursing Home Regulations and State Laws: http://www.nursinghomealert.com/federal-nursing-home-regulations-and-state-laws

· Facility website (http://www.sagecrestrehabilitation.com/). IMPORTANT NOTE: Do NOT contact the site directly. This is a learning exercise. Since you are not actual consultants, contacting the facility directly would be inappropriate. 

In your report, include the following:

• Summary of identified problems
• Relevant policy that guides nursing home practice
• Prioritized list of recommendations
• Suggested action plan for implementing changes

Your report should be 3-4 pages in length, page length does not include the title page, tables, graphs, charts, pictures or reference page.. The paper should be double-spaced with 1” margins on all sides. Format, in-text citations and references should adhere to APA format.

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