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Care of Persons with Dementia and Unnecessary Medication Use F309 Quality of Care and F329 Unnecessary Drugs



The purpose of this bulletin is to inform providers and other interested parties that the Centers for Medicare and Medicaid Services (CMS) released new Nursing Home Guidance to Surveyors related to Care of Persons with Dementia and Unnecessary Medication Use. The Guidance to Surveyors at F309 Quality of Care and F329 Unnecessary Drugs has been revised.

MDH surveyor training will be offered prior to the implementation of these guidelines by the Minnesota Department of Health (MDH) in conjunction with stakeholder groups.


MDH surveyors and investigators will implement these revised guidelines for surveys exiting October 1, 2013, or after.

Joint Training

MDH in conjunction with the Office of the Ombudsman for Long Term Care, Aging Services of Minnesota, Care Providers of Minnesota, Minnesota Medical Directors Association, Minnesota Directors of Nursing Association, Stratis and other interested individuals and organizations will sponsor joint training.

The training will include written resources, CMS Surveyor Online Training and two Statewide Phone Calls. These two statewide phone calls will be repeated. There is no charge for these events or resources.

Resources will be placed on the MDH Clinical Web Window under the heading "Dementia Care in Nursing Homes".

Individuals can subscribe to receive notices for additions to the MDH Clinical Web Window by including your email address at Subscribe to the Information Bulletin Index.

Training for Participants to Implement

Written Resources

Prior to the July 30, 2013 and July 31, 2013 statewide phone calls, read and review written information on the revised CMS Guidance and information on the MDH Clinical Web Window website under Dementia Care in Nursing Homes.

CMS Online Surveyor Training Videos

Prior to the July 30 and 31, 2013 statewide calls, view the three CMS online Surveyor Training Videos as outlined in CMS S&C 13-34 (PDF).

Listen and participate on the statewide phone calls on Dementia Care in Nursing Homes on Tuesday, July 30, 2012 from 10 a.m. - 12 noon or Wednesday, July 31, 2013 from 1 p.m. - 3 p.m. These calls will be repeated and will cover the same material.

Registration is required for the two statewide phone calls. Registration is be available online at No Charge Event Registration. Providers will need to register online to participate in the call. Registration will close at end of working day on Friday July 25, 2013. The call in number and participant code will be provided by Friday, July 26, 2013. Make sure your email address is correct on your registration to get the phone number and participant code.

Questions/Ideas/Best Practices

Please submit your questions, ideas and best practices related to these new protocols by Friday, July 19, 2013. These will be compiled and shared with participants during the July 30 and 31, 2013 call or other appropriate avenues.

Submit your questions, ideas and best practices to by Friday, July 19, 2013.


Updated Tuesday, January 07, 2014 at 11:55AM