The Challenge: Effective Overactive Bladder Treatment

Effectively managing overactive bladder (OAB) in your facility can help you meet important objectives:

  • Minimize the risks associated with incontinence, including falls, wounds, and infections
  • Address regulatory requirements of the Centers for Medicare & Medicaid Services (CMS) F315 to maintain reimbursement rates1
  • Demonstrate to state surveyors that additional focus is being placed on improving care planning with regard to F315 and to meet QAPI plan measures
  • Reduce time spent on toileting, laundry and housekeeping, freeing up time to focus on quality of care
  • Reduce the implication of incontinence with regard to your CMS star rating

The intent of the F315 requirement is to ensure that “each resident who is incontinent of urine is identified, assessed, and provided appropriate treatment and services to achieve or maintain as much normal urinary function as possible.”1

Managing OAB is challenging, and finding treatments for the elderly is difficult, but not impossible.

Why should senior living facilities take steps to address Overactive Bladder and urinary incontinence among senior residents?

Sue Nall, RN, LNHA, explains the need to address urinary incontinence in a senior living facility. Ms. Nall is the executive director of The Village at Marymount in Cleveland, Ohio.
More information (see more)Less information (see less)

The Benefits of the RESTORE: Medtronic Senior Living Overactive Bladder Program

Dan Storey, LNHA, CEAL, describes the benefits of the RESTORE program from his perspective. Mr. Storey is an administrator at The Village at Marymount in Cleveland, Ohio.
More information (see more)Less information (see less)

The Solution: The RESTORE Program

Karen Headshot

Our Senior Living OAB Program — called RESTORE — is a program designed to help senior living facilities improve the treatment and management of OAB and urinary incontinence in residents. The three components of the program are:

  1. Resources for facility staff and residents/caretakers
  2. Education and training
  3. Percutaneous tibial neuromodulation (PTNM) delivered by the NUROTM system

View next steps for signing up for the RESTORE OAB Program.

Bring Therapy Directly to Residents

PTNM can easily be performed in long-term care and assisted living facilities. Providers trained in PTNM come to your facility, perform the treatment, and bill for the service. For each session, the clinician inserts a 34-gauge needle slightly above the ankle and uses an external neurostimulator to deliver an adjustable electrical pulse to the sacral nerve plexus via the tibial nerve. Treatment protocol involves:

  • 30-minute sessions once a week for 12 weeks
  • Monthly maintenance therapy thereafter
  • Residents can rest, read, or listen to music while the therapy is administered

Patients have been treated with PTNS (also known as PTNM) therapy for nearly an decade. The Medtronic NURO device was launched in the US in 2016.


Urinary incontinence brings serious health risks like urinary tract infections, poor sleep, skin problems, and falls.1

Long-term care facilities spend significant time helping residents who have incontinence. Typically, this means managing the issue with adult undergarments and timed voiding. Treatment offers a much stronger approach. Bringing this therapy to senior living facilities allows treatment for a population previously without access to advanced OAB treatment options. With effective treatment delivered through a comprehensive program, facilities can turn a familiar burden into a true competitive differentiator.


To order the Senior Living Program, you’ll need to be registered with Medtronic.

Once you’ve received a confirmation via email of your registration, you can order the Senior Living Program from Medtronic MyOrders, our online ordering system.

For more information about the program, contact Medtronic.


CMS Manual System. Department of Health and Human Services. Dec 2016. Pgs 291-326.