Required Emergency Preparedness Basic Surveyor Training Course

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CMS’ New Emergency Preparedness Regulation


CMS’ Emergency Preparedness Rule goes into effect November 16, 2017. This will be the first time home health agencies will be required to have an emergency preparedness plan in place. Emergency Preparedness Training: The Centers for Medicare & Medicaid Services.  CMS has developed the new Emergency Preparedness Training which is available on demand and learners may access it at their convenience: 24 hours a day, 7 days a week, and 365 days a year.

The Emergency Preparedness Basic Surveyor Training Course is a required course
for all State Survey Agency (SA) and Regional Office (RO) surveyors and reviewers
who conduct or review health and safety or LSC surveys for emergency preparedness
requirements. Non-survey professionals and other SA or RO support staff responsible for
ensuring compliance with regulations are also encouraged to take the course.

Senior Care Auditing is  one of the few 21st century fast growing career paths.  Get certified now as a Senior Care Auditor and earn 5 certifications for 1 all inclusive low price only at  Find out more about Senior Care Auditing and the Senior Care Auditor career at

All surveyors are required to take the training prior to surveying the Emergency
Preparedness requirements. Surveying for requirements begins November 15th, 2017.
How to Self-Enroll: Learners may self-register and self-launch the course on the Integrated Surveyor Training Website at



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School for Military Caregivers of Veterans

PsychArmor Institute’s School for Military Veteran Caregivers and Families, sponsored by USAA, contains over a dozen free, on-demand, self-paced courses to empower those who care for our Veterans. These courses can help caregivers and families develop skills and knowledge to provide care and support for their Veteran and themselves; learn about the VA, benefits, and how to access services; and better understand the most prevalent health issues Veterans face.

One of their newest courses, Coaching a Loved One Into Care, can help you talk to your Veteran about seeking help.

This is an extensive overview of material that will provide answers and further resources for caregivers of all types.

PsychArmor Institute is a national nonprofit that provides free education and support to all Americans who work with, live with, or care for military veterans and their families. PsychArmor recruits nationally recognized subject matter experts to create and deliver relevant online courses on issues related to veterans and their families.

All caregivers of the elderly or adults with special needs need complete education and certification. Make sure your care provider is educated and certified by

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Home Fitness Business for Aging in Place

In-Home Fitness Solutions clients are offered individualized services based on their fitness goals and current health status, according to Tyler Dukes, who assesses patients and comes up with a plan, often with the inclusion of family members. After seeing skilled nursing facility patients continue to be admitted with conditions that were largely preventable, Tyson Dukes started thinking about starting his own company to help keep seniors at home longer.

“One of the things I kept noticing was, frequently, people would come into the skilled nursing facility for short-term or long-term care, and I thought if I could have seen these people before their fall or accident, I could have helped them and prevented them from a stay in a SNF,” Dukes told Home Health Care News.

With this in mind, Dukes gained a senior fitness specialist certification and set out to help seniors by preventing falls and accidents that could land them in the hospital or a SNF. In July 2017, he officially opened the doors to In-Home Fitness Solutions, which offers at-home fitness health programs for seniors on an individualized basis.

The five core programs offered focus on strength training, balance training, flexibility, coordination training and mobility training. Much of the focus is on helping seniors avoid falls and fractures at home, one of the most common reasons for SNF admission that Dukes observed during his long-term care tenure and the leading cause of injury and death in older Americans, according to the Centers for Disease Control and Prevention (CDC).“I tell all my clients that before we do anything, we have to bring up their foundational strength, like building a home,” he said.

 “You can’t build a home without a good foundation, and older adults unfortunately lose some of that foundational strength over time.”Some clients will do fitness sessions several times per week at home to gain strength and balance before Dukes will focus on maintaining their current level and continuing to build. Maintenance, he says, is a word that doesn’t always bode well with insurance providers in terms of covering costs.Currently, all the services are paid for out of pocket by clients.

Become a Certified Senior Care Auditor and have a great career for the future.  Get started on your senior care auditor certification today at

 Looking ahead, Dukes sees potential for the business to expand rapidly across the state.“I want to grow the business to where it’s not only in my region, but throughout the state of Iowa,” Dukes said. “My expectation is to be a franchise business where we can partner with other good companies to offer services and help people stay at home as long as possible.”Dukes is also currently working on building relationships with home health and home care providers in the area, and other service providers focused on proactively keeping seniors healthy at home.

 Right now, his biggest challenge is educating prospective clients and other regional providers about the services, he said.“At the end of the day, I just want to help people stay at home, where their identity is based,” he said.Tyson Dukes, an Okoboji, Iowa-based physical therapist assistant, has spent the last 20 years working in health care and several years in long-term care.

Edited permission: Havi Vardit

Written by Amy Baxter

Posted in Aging at home, Caregiving, Caring for a Veteran, Elder Care, Elder Care Goods and Services, Holistic Eldercare, News, Senior Natural Health Care, Stories | Tagged , , , , | 1 Comment

Acting as our patients’ / parents’ advocates for home care

There is inherent tension dealing with a policy flawed by its quixotic attempts to distinguish between acute and long-term functional dependencies.

Specifically, they need to learn how to tell when needed services are not available because of Medicare regulations and when they are not available because an agency has a defensive policy that is designed to protect it from aggressive oversight.

Acting as our patients’ advocates for home care can be difficult because practices that meet patients’ needs and serve the public interest can exceed the intent of technical regulations.

Physicians providing care to frail patients who have difficulty leaving home or are not able to manage their own medical care at home should learn about the home health services and home care services that are available in their communities. Make sure all non-licensed care providers are certified and registered at

Several organizations, including the American Academy of Home Care Physicians, can help physicians deal with local home health care agencies. Physicians should identify home health agencies that have practice styles and perspectives that are complementary to their own and then build an interdisciplinary team slowly, patient by patient. Health systems can foster team building with more organizational support.

Why you should consider becoming a Senior Care Auditor

At a policy level, home care services need to be kept under the umbrella of prospective payment, so that the clinical nuances of each patient can be weighed when the consequences of home care are balanced against the consequences of acute hospitalization or long-term institutionalization. This change would prevent cost shifts based upon location of care.

It is our responsibility to take charge of the system and advocate for change that leads to a shared responsibility between physician, home care agency, and patient. Perhaps we should focus on bringing about a system we would want for ourselves, should we ever need it.

R. Miller MD


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What ancient Egyptians believed about Death

Ancient Egyptians believed that upon death they would be asked two questions and their answers would determine whether they could continue their journey in the afterlife.

The first question was, ‘Did you bring joy?’

The second was, ‘Did you find joy?

~Dr. Leo Buscaglia

Learn how to bring joy and excellence to caregiving.  Become an educated and certified informal, professional caregiver, or Senior Care Auditor with

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Two Aging in Place Careers for the 21st Century


As the elderly population numbers rise so has the desire to age in place.  For practical reasons of finances, and personal comfort and freedom, the trend for end of life residence has been to remain at home.  Nursing home numbers have been in steep decline for over a decade and that trend shows no sign of changing.

This new age trend toward permanent residence in one’s own familiar environment does require competent, proactive assistance to unfold as smoothly as possible over time.  Otherwise, either an expensive and/or dreadful assisted living facility is going to be one’s new address.

The older population is increasingly aware of the need for at home care. Their families are, too.  Some relatives step up others simply are not able to for whatever reason.  Both the oldster and the relatives are also aware of the dicey help they are likely to get from their loved one or the average home care agency. After all everyone has heard true stories of the child or care aide from hell, right?

So, if you like to work with frail adults and you need a career with long term possibilities and you do not have thousands of dollars to invest or the desire to get a 2 or 4+ year degree, and you do not want to be at the lowest end of the wage line, what are your options?  Consider these two, both of which open opportunities for you to work for yourself or for an agency in a matter of days or weeks for less money than you might imagine.

Personal care can be safe and enjoyable- if you know how to provide it!

Home Care / Senior Care / Elder Care / Long Term Care Careers for under $200

How to become a CPCA (Certified Personal Care Aide)

Certified Personal Care Aides (CPCA) are the most needed and requested service providers in the at home care industry.  Hundreds of studies of proven that care aides who have been properly educated enjoy their work more, get better quality positions and make more money.

Frail elders need assistance with the ADLs (Activities of Daily Living): cooking, bathing, dressing and grooming, etc.  If you are physically strong and do not mind helping people with their most intimate physical needs, becoming a Certified Personal Care Aide is a good choice.

How do I become a CPCA?  There are only a few Care Aide programs in the country. This online certification program for Personal Care Aides, only available at, is great for both informal family primary caregivers and professional personal care aides (after all, they do the same work).

Here’s why we say this to you…

CertifiedCare offers the only one that is accredited and  comprehensive PCA program that includes Alzheimer’s – Dementia and Special Needs education.  This program is only available online, has 4 modules and requires no other books or materials to complete at your own pace (no deadlines) – Certified Care gives you everything you need to get certified quickly and conveniently all in one package for under $200.

Become a real Certified Senior Care Auditor online at and earn credentials respected around the world.

Home Care / Senior Care / Elder Care / Long Term Care Careers for under $300

How to become a CSCA (Certified Senior Care Auditor)

Harvard Study about Senior Care Auditing

Like oldsters but not so much the personal care work?  Consider becoming a CSCA.  CSCAs check on frail elders who are aging in place and observe their circumstances and general overall condition and make reports.  Typically, the elder, their relative or a loving friend pays for the visit.  At this time, the only way to become an accredited Certified Senior Care Auditor is through the CSCA program at Certified Care (  This program is only available online, has 5 modules and requires no other books or materials to complete – Certified Care gives you everything you need to get certified and registered quickly and conveniently for under $300.

Watch video on Elder Abuse

Believe it or not, caring for an elder is not like caring for a child and the same rules do not apply.  Hurting a frail elder physically or emotionally is very easy to do, and can land you in court or jail whether or not you meant the harm.  Learning how to properly care for a frail senior can be done in person at bricks and mortar schools for lots more money (bricks and mortar are pricey overhead).  Check your local area for that option. Or, if you have a smartphone or access to a computer you can take a full program online, study and test at your own pace, and get certified and registered automatically at for less than $300.

Another good and unique thing about ‘The Org’ is that consumers and agencies check their registry for credentials verification and to find better qualified care aides.

Get affordable, convenient, comprehensive Certified Care Aide and Senior Care Auditing certification at

Did you know that you can go from being a CPCA to being a CSCA easily? This is a good idea from the long term view.  Eventually, most PCAs just do not want the physical demands of ADL care, so they can become SCAs and continue to work with the population they love.

Providing care for those Aging in Place is truly a 21st Century career path with long term life to it. And, the best thing is you do not have to sign up for a lifetime of debt to get into it!

Find out more about Senior Care Auditing here

FAQs about Senior Care Auditing


About Becoming a Personal Care Aide in the USA

By Cathleen V. Carr, JD PhD


Posted in Aging at home, Caregiving Career, Caring for a Veteran, Certified, Certified Caregiver, Certified Caregiving, Elder Care, Elder Care Goods and Services, Professional Eldercare, Senior Care Auditing | Tagged , , , , , , , , , , | 1 Comment

Elephants, Caregivers, and Elder Care

Elephants and eldercare?  Caregivers and elephants?

Got your attention?

Elephants Making Heart Shape with Trunks — Image by © Dianna Sarto/Corbis

I thought I would write about the unseen, yet apparent, bond that often develops between living intelligent beings when they experience life over time, and the journey toward the otherside.  The awareness that ‘this side’ of death involves a complex cooperation between closely living beings such as in the caregiving relationship between the caregiver, the person who is the focus of care, and the other family members.  This is how the dynamic of caregiving seems to me to be; it is the need for one to allow themselves to give much care to another in need, and the corresponding allowing of that care to be accepted by both the care recipient and the recipients extended family of loved ones.  In truth, the act of giving care is a deep experience shared by all.

This bond of care can be shared by human caregivers and their cared for person, whether they be related by blood, friendship, love, marriage or the quid pro quo of a business relationship.

So, what do elephants and humans have in common?

Did you know that elephants are known to develop strong, intimate bonds between friends and family members? There have been reports of elephants forming lifelong friendships with eachother, and they mourn the death of their loved ones. Elephants have been known to linger near loved ones at end of life.   They have been observed grieving over spots where their friends and family members faded and eventually, died.  They have been spotted returning to death locations and gently using their mighty trunks to respectfully fondle remains of dearly departed friends or relatives.

You might say that is interesting elephant trivia, but what does that have to do with human caregivers?  Well, it all goes back to that unseen bond I mentioned earlier.

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I believe many people, even caregivers themselves, under appreciate the unseen bond between caregivers and their charge.  Also, I think many people, including caregivers, underestimate that people with whom we have more than casual contact often influence the behavior of the people with whom we are living or caring for so intimately.  Caregivers can free up family members to sort out who will lead into the future.  Caregivers can inadvertently facilitate the awareness in others of just how much a senior family member means to the group  and how their passing will forever change many things.  Caregivers effect the the lives of other humans with whom they share a home or this type of experience.

The importance of elderly matriarch elephants to elephant societies is legendary: They are the leaders of their herd and the “social glue” for maintaining group cohesion.  The evidence is overwhelming that higher animal species have the same emotions humans do. The only animal species that modify their behavior due to familial bonds to accommodate the needs of an aging member of the family are Cetaceans (whales) and Pachyderms (elephants). 

Whales have been seen to buoy up an ailing member of the pod (an extended family) to keep it from sinking. Elephants have the closest family ties of all animals, the eldest surviving female, the matriarch of a herd, might be the great, great, great grandmother to the youngest; and the others in varying relationships, are mothers, grandmothers, children, sisters, aunts and cousins.  While the older always take care of and shelter the younger they also shelter and accommodate the oldest. 

When the matriarch is dying of old age, and the herd is in an area where food and water are abundant, the rest of the herd will stay with her, comfort her with their trunks, caressing her, talking to her, vocalizing over her, never leaving her side. If in an area where resources are more scarce, while some are foraging, there will always be a group around her comforting her and expressing their love.  

The herd will remain with her body, mourning, for several days, and even years later will still return to fondle her bones with their trunks. Eventually one of the matriarch’s daughters will be chosen as the new leader to follow.  While humans are not so decidedly matriarchal, human families do, even if it is unspoken, accept a new leader in the family and carry on with living.  What’s more, there is an entire industry humans have developed for grave maintenance,  and graveside visiting is even as a family ritual for many people.  I wonder if eons ago we humans learned how to grieve and pay respects from elephants?

It could be argued that the elephants have some humans beat in this regard of devoted elder care.  Nevertheless, this is why I believe caregivers, whether by blood,  love or commerce, have much in common with elephants.  They are (usually) lovingly care for their elder until the end. I find that kind of loyalty and devotion to be not enough acknowledged, let alone heralded.

So, to all you caregivers, hats off and thank you for paying it forward.  May you be blessed with compassionate care when your time comes.

And keep in mind…

Caregiving is an long term responsibility.  If you are interested in being the best elder care provider consider getting un upgraded education and career credentials.  From caregiving 101- day 1 through transitions, from dying and death and afterwards, there is much to know.  Click here for more information and a very special update.

Author: Dr. Cathleen V Carr

Get affordable comprehensive quality care education and credentials here

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