FY 2022 SNF PPS Proposed Rule Comments: AAPACN Highlights Impact of COVID-19 on SNFs

Jessie McGill, RN, RAC-MT, RAC-MTA Every spring, the Centers for Medicare & Medicaid Services (CMS) releases the notice of proposed rulemaking (NPRM) for the next fiscal year’s (FY’s) payment policies and rates. This provides an opportunity for stakeholders and providers to respond during the comment period. Each year, the American …

Pitfalls of Missing Shortness of Breath Documentation

Chronic conditions and comorbidities are common among both long-term residents and short-term patients in skilled nursing facilities (SNFs). However, when the symptoms from these chronic conditions become part of the resident’s normal routine, they may be under-charted—which could result in inaccuracies in MDS assessments, care plans, Quality Measures, and reimbursement. …

“Two” Many Cooks in the Kitchen: Where Dietary and MDS Mix

MDS accuracy is no joking matter, but who can resist a good dietary-related pun? I decided I would take a whisk and go for it. While nutrition has always played a key roll in the care planning process, the resident’s nutritional status carries a lot more weight since the October …

Making the Most of Resident Interviews

“Knock, knock?” “Who’s there?” When the nurse assessment coordinator (NAC) walks into the room, the resident rolls his eyes and unenthusiastically says, “Oh, it’s you. Blue. Sock. Bed.” The scripted resident interviews can be redundant for many residents, but they do not need to be. While the scripted interviews must …

Keeping Residents in Motion: A Common Goal of Activities and Restorative

It started with a rhythm band. At the time, I was the nurse assessment coordinator and the restorative nurse, and I watched as the activity director guided a small group of residents shaking tambourines and other noise makers. She led the group in shaking their instruments above their heads, below …

Don’t Delay Using Health Literacy in Your Care Planning and Discharge Planning Process

Mrs. Elderberry is ready to go home. It’s been five long weeks of rehabilitation following a broken hip from that clumsy slip on a rug. Home. She’s wondering if her son actually watered her house plants that she proudly kept vibrant for years. Home. The nurse called her attention back …