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Richter ShareSource Blog

Celeste Rininger, RN RAC-CT

Recent Posts

Certifications and Recertifications – the Golden Ticket for Skilled Nursing Services

Posted by Celeste Rininger, RN RAC-CT on Nov 29, 2018 12:06:32 PM

Wouldn’t you hate to work hard all day, every day, only to have your employer tell you that you messed up and the paycheck you just received had to be turned back over to them? That is exactly what could happen to many long-term post-acute care (LTPAC) facilities in the case of an audit due to the status of the certification/recertification for skilled services. 

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Topics: Clinical Consulting

PointClickCare®’s Point of Care (POC) Experience: If It Isn’t Documented, It Didn’t Happen

Posted by Celeste Rininger, RN RAC-CT on Oct 6, 2017 8:51:29 AM

To some in the skilled nursing facility (SNF) arena, documentation can seem unnecessary and overly time consuming. However, when documentation isn’t completed, there is no proof that what happened, happened.  In SNF settings, documenting resident care is required from not only the licensed staff, but also nurse assistants.

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Topics: Implementation, PointClickCare

Capturing efficiencies with PointClickCare Workflow tools

Posted by Celeste Rininger, RN RAC-CT on Dec 15, 2016 6:00:00 AM

If asked, I would venture to say that almost every nurse would be able to state that they have either heard or been a party to a shift report that included; they’re ok, they’re ok…or no change, no change…

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Topics: Implementation, PointClickCare

Effective Compliance Program Guidelines for LTPAC Facilities

Posted by Celeste Rininger, RN RAC-CT on Sep 15, 2016 9:33:37 AM

Per the Merriam-Webster’s Learner’s Dictionary, the simple definition of compliance is “the act or process of doing what you have been asked or ordered to do: the act or process of complying”.

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Topics: Medicaid Consulting, Clinical Consulting, Financial Consulting

Elements of an Effective Health Care Facility Gatekeeper Program, Part 2

Posted by Celeste Rininger, RN RAC-CT on Jun 21, 2016 10:00:35 AM

In my last post, I discussed how important the admission process is for building trust with the new resident and their families/ loved ones. This rapport may help to avoid unnecessary hospital readmissions if the resident/ families can trust that the facility is carefully assessing the resident’s needs and working in their best interests. This trust building involves all staff and continues after admission. It requires consistent observation and communication by housekeeping staff, nurse assistants, dietary, nurses and therapists alike. The process includes the in-depth evaluations and assessments of the Interdisciplinary Team (IDT) members – forming an individualized plan of care. This plan culminates with the Nurse Practitioner (NP)/ Physician Assistant (PA) and physicians, orchestrating the team via orders and close direction to meet the identified needs of the resident in order to truly be successful. It takes the whole team!

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Topics: Clinical Consulting

The Benefits of Spring Cleaning Your Computer

Posted by Celeste Rininger, RN RAC-CT on May 13, 2016 12:59:04 PM


Spring is here (finally!) which for many of us brings thoughts of spring-cleaning.  I grew up with spring-cleaning chores; in the house, outside in the yard, garden, flowerbeds, etc.  As an adult, the spring-cleaning chores seemed to have multiplied; we didn’t realize all of the duties our parents were completing while we complained that we had to help with the few they could partially delegate to us.  

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Topics: Clinical Consulting

Cert/Re-cert Strategies for LTPAC Providers

Posted by Celeste Rininger, RN RAC-CT on May 12, 2016 12:50:38 PM


Rodney Dangerfield was famous for saying “I get no respect”.  That saying should be the motto for the skilled services Certification/Re-certification requirements (you may know it as Cert/Re-cert).  With each audit I complete, I realize there is a significant lack of education and follow through regarding the skilled Certification/Re-certification process, not to mention - no respect.

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Topics: Medicaid Consulting, Clinical Consulting

Ensuring Quality Care and Patient Experiences -- A Personal Account

Posted by Celeste Rininger, RN RAC-CT on Apr 22, 2016 12:40:45 PM


When you hear the words “patient experience” it may evoke thoughts of a survey reviewing either your own or a family member’s experience. How would you review, if given the opportunity, a stay in an LTPAC facility? Would you evaluate the care, the environment or physical plant, the caring or education of the staff – or all of the above? What were your expectations? Were they met? No matter to whom you speak, the resident or the family, the constant expressed desire/need is for personalized quality of care. Of course, personalized quality care can be subjective just as a review is subjective.

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Topics: Clinical Consulting