Encore Keynote - October 2021

View PDF Version

- Encore Rehabilitation’s monthly publication, designed to give you updates on trends we are seeing in the SNF/LTC industry. - 




Falls Prevention

Osteoparosis: Minimizing Risk for Falls and Fall-Related Fractures

The world will be celebrating World Osteoporosis Day on October 20th.  Osteoporosis is the most common bone disease and is characterized by the weakening of bone tissue, structure, and bone length, all of which can lead to an increased risk for fractures.  

Although bone fractures do not result from every fall, individuals who have experienced falls, particularly those whose falls have previously resulted in a fracture, can become highly fearful of falling again.

Reasons Falls May Occur

  • Tripping
  • Footwear
  • Wet or slippery floors
  • Curbs
  • Floor elevation changes
  • Throw rugs
  • Poor lighting
  • Impaired vision
  • Medications
  • Slower reflexes
  • Medical conditions
Falls and Fall-Related Fracture Prevention
  • Muscle strengthening
  • Weight-bearing and resistance exercise
  • Balance training
  • Eye exam
  • Medication review
  • Consuming adequate amounts of calcium and vitamin D
  • Proper footwear, rubber-soled shoes for traction
  • Keep rooms free of clutter
  • Grab bars on bathroom walls, tubs, showers
  • Nighttime lighting
  • Therapy screens are performed regularly to identify changes in function
Did You Know?
  • Tall people have an increased risk of fracture when they fall due to their height and amount of force when they hit the floor
  • The angle at which individuals fall increases their risk of fracturing a hip
  • Falling backward is riskier than falling sideways or straight down
  • Falling is not a normal part of aging
  • Falls prevention should be done using a collaborative, Interdisciplinary Team approach
  • Therapy interventions can minimize the risk for falls and potentially prevent future falls from occurring
  • Therapists can train caregivers on strategies to utilize with residents who are at a greater risk for falls

Reach out to your Encore Regional Vice President or Therapy Program Manager for information related to our Falls Prevention clinical programs.




Director of Care Coordination
Encore is pleased to announce Noell Cleveland as our Director of Care Coordination. Most recently serving as Regional Vice President of Operations, Noell has been a member of the Encore team for four years and has an extensive background in serving our geriatric population throughout numerous settings.  As a RAC-Certified member of our management team and a Certified Case Manager, Noell will bring additional expertise centered around case management and coordination throughout the rehabilitation spectrum.  

We are excited for this new addition to our leadership team as we continue to partner together to achieve a comprehensive level of care coordination for our organization, the residents/patients that we are privileged to serve, and our communities.

Committed to Advocacy 
In 2021, we continued our support for our state and national association partners by participating in virtual and in-person conventions across the nation.

Proud Sponsors of: 

  • NARA Spring Conference
  • NASL 32nd Annual Meeting
  • 72nd AHCA/NCAL Convention & Expo Gala & PAC Concert
  • AHCA/NCAL Fall Multifacility CEOs & Senior Executive Leaders

Encore is Presenting in D.C. at AHCA/NCAL Convention & Expo

Picking Up the Pieces: Healing from the Post-Pandemic Impact and Post-COVID Fatigue

  • Monday, October 11th @ 3:15 PM – 4:15 PM EDT
  • Presenters:  Drita Vulaj & Kathleen Simenton



HRSA Releases New PRF Phase 4 and Rural Distribution Application Information

On September 29, 2021, health care providers will be able to apply for $25.5 billion in relief funds, including $8.5 billion in American Rescue Plan (ARP) resources for providers who serve rural patients covered by Medicare, Medicaid, or the Children’s Health Insurance Program (CHIP) and $17 billion for Provider Relief Fund (PRF) Phase 4 for a broad range of providers with changes in operating revenues and expenses.  The application will be open for a period of four weeks.  Providers must submit their completed application by the final deadline of October 26 at 11:59 p.m. ET.  Providers who have previously created an account in the Provider Relief Fund Application and Attestation Portal and have not logged in for more than 90 days will need to first reset their password before starting a new application.

Below is a brief summary of the HRSA announcement from today as well as other helpful information for you to consider as you submit your applications beginning September 29th:

New Distributions

In order to streamline the application process and minimize administrative burdens, providers will apply for both programs in a single application and HRSA will use existing Medicaid, CHIP, and Medicare claims data in calculating portions of these payments.

  • Phase 4 General Distribution — $17 billion based on providers’ changes in operating revenues and expenses from July 1, 2020 to March 31, 2021.
    • To promote equity and to support providers with the most need, HRSA will:
      • Reimburse smaller providers for changes in operating revenues and expenditures at a higher percentage compared to larger providers.
      • Provide "bonus" payments based on the amount of services they provide to Medicaid, CHIP, and Medicare patients, priced at the generally higher Medicare rates.
  • American Rescue Plan (ARP) Rural — $8.5 billion based on the amount of services providers furnish to Medicaid/CHIP and Medicare beneficiaries living in Federal Office of Rural Health Policy (FORHP)-defined rural areas.
    • To promote equity, HRSA will price payments at the generally higher Medicare rates for Medicaid/CHIP patients.
Source: National Association for the Support of Long Term Care (NASL).



For more information:
[email protected]