Steven Littlehale

Dear baby boomers,  Thank you, thank you, thank you! You made my ugly-as-sin, chunky, deep-cut, orthopedic “sneakers” acceptable to wear with my fancy tailored business suit. I don’t have to...

My happy place is standing in front of nursing home providers and honoring them through education. Shining a loving light on these special people and honoring their commitment to better care feeds my soul....

It’s a curious day when I lift a lyric from the Spice Girls to title an article. The Spice Girls’ first single, “Wannabe,” was released in 1996 and rocketed to the top of the British singles chart....

As the Biden administration marches toward some type of minimum staffing requirement for nursing homes, it’s easy for providers to feel like helpless, angry victims. Even as a proponent of acuity-based...

On a recent flight, I sat next to an attorney whose principal focus was compliance. It turned out that we were both on our way to speak at events in the same popular Florida conference destination. She...

While shopping for my first condo in 1993, I was initially drawn to new and shiny developments in an area of Boston that was “up and coming.” I visited one abode that seemed promising at first. Its...

Recently my colleague Ken Kelley, MS, OTR/L, RAC-CT, a clinical consultant/reimbursement specialist, posited something about Five-Star ratings that I hadn’t considered.  He suggested that, in general,...

To solve our staffing shortage, we must address the issue of gender parity in leadership. And to do that, we must embrace our fear, speak up, and act; we must start the tough conversations.

Tying reimbursement to investments in quality is a good idea, but it won’t work with the current Five-Star system.

The Centers for Medicare & Medicaid Services, through its consumer‐facing website, has made additional nursing home staffing data available. Doing so during a public health emergency, when the industry...