Inspection-Ready, Every Day
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The ICE Dementia Care Framework keeps your nursing home aligned with CMS and HIQA standards — with all the evidence inspectors expect, organised and ready to show.
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Turn inspection pressure into confidence - with everything organised, evidenced and ready to show.
Inspections want to see evidence of quality patient care. When they meet with you, they want to see:
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That psychotropic drugs are reviewed and reduced unless clinically necessary
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That behavioural interventions are attempted before medication
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That staff are trained and supported to deliver person-centred dementia care
Without a clear system, you may find it challenging to pull together paperwork, policies, and audit trails.
The ICE Dementia Care Framework was built to solve this problem. Every step is tied directly to compliance requirements, so you’re always inspection-ready.
“Residents who use psychotropic drugs receive gradual dose reductions, and behavioural interventions, unless clinically contraindicated.” — CMS, F758
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This single sentence drives much of the regulatory focus. ICE Dementia Framework ensures your team can prove compliance through training, audits, and documented care plans.
ICE Dementia Framework Mapped to Regulations
Our compliance checklist shows exactly how the ICE framework meets each requirement.
For every CMS standard, the crosswalk highlights the step in ICE training that addresses it and points to the evidence you’ll have in your binder.
| Rule or Standard | What It Means for Your Nursing Home | How the ICE Dementia Framework Helps | Status |
|---|---|---|---|
| CMS F-Tag 758 – Unnecessary Medications | Avoid unnecessary medications, especially antipsychotics. If used, you must document why, try non-drug strategies first, and review regularly to reduce or stop. |
ICE gives staff a step-by-step process: 1) Identify unmet needs, 2) Try non-drug solutions, 3) Record everything, 4) Work with prescribers to reduce medication safely. |
✅ Built into Step 1–3 |
| OBRA ’87 Nursing Home Law | Residents have the right to safe, effective care, including protection from unnecessary psychotropic drugs, with ongoing monitoring and review. | ICE builds in regular reviews and team discussions, ensuring consent, documentation, and care planning are clear and consistent. | ✅ Supported by Binder |
| California State Rules (Medi-Cal) | Must follow OBRA rules. Medi-Cal facilities may face additional medication review requirements. |
ICE aligns staff, prescribers, and pharmacists, ensuring every medication review meets both Medi-Cal and federal standards. |
âś… Compliant |
| California Department of Public Health (CDPH) | Inspectors check medication records for proof that non-drug options were tried first. | ICE provides staff training and documentation tools that show which approaches were tried, what worked, and next steps. | âś… Evidence in Binder |
Your Inspection-Ready Binder Includes:
Column 1 – Resident Level
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Documented review for every resident on antipsychotics
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Unmet needs identified before prescribing
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Updated care plans reflecting behaviour analysis
Column 2 – Team Level
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Staff training logs (10 modules complete)
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STAR exercise practice sheets
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Notes from staff huddle or implementation sprints
Column 3 – Manager Level
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Traffic-light dashboard (baseline and post-training)
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Quarterly review summaries
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Compliance crosswalk with matching evidence
Explanation:
When inspectors open your ICE folder, they won’t just see loose notes — they’ll see a structured, complete record of safe, person-centred dementia care.
Stay Survey-Ready, Every Day
With ICE, you’re not just training staff — you’re building a compliance system that proves your care meets national standards. Managers gain confidence, staff gain clarity, and inspectors gain assurance.
