How to Advance Your Career as a Director of Nursing Services (DNS) – Part Two: Competent Level

The career path of a director of nursing services (DNS) is both challenging and rewarding. Long-term care nurses who choose to take on the DNS role can have success with the right resources. Part two of this DNS Career Advancement blog series will focus on tips for competent DNSs and …

SNF ABN: When to Use This Medicare Beneficiary Notice and Why

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN discuss when and why the SNF Advanced Beneficiary Notice should be used.

Q&A: A resident has a healing pressure ulcer that was described as “100% epithelial, with slow blanching erythema” during the ARD window. Would this still be coded as a pressure ulcer?  

Question: A resident has a healing pressure ulcer that was described as “100 % epithelial, with slow blanching erythema” during the ARD window. Would this still be coded as a pressure ulcer?   Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: Code the ulcer as present unless completely healed …

Q&A: If a resident is losing weight and ordered supplements as an intervention, can we code as a therapeutic diet?

Question: If a resident is losing weight and ordered supplements as an intervention, can we code as a therapeutic diet? Answer from Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC:If the supplements were ordered by a physician or physician extender (as allowed in your state) to increase nutrients in the diet …

Q&A: If a resident on Medicare Part A admits and discharges to home on the same day, can we bill Medicare for that day?

Question: If a resident on Medicare Part A admits and discharges to home on the same day, can we bill Medicare for that day? Answer from Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, QCP, ICC, IPCO: If a Medicare resident discharges to a non-Medicare participating location (home, expires) the same day …

SNF Validation Audit Checklist

The Centers for Medicare & Medicaid Services (CMS) initiated data validation audits to evaluate the accuracy of quality measure data elements used in the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) and the Value-Based Purchasing (VBP) program. The SNF Validation Audit Checklist guides SNFs through the data validation audit …

TIP: CMS Released Updated MDS 3.0 Quality Measures User’s Manual v18.0

The Centers for Medicare & Medicaid Services (CMS) recently released the Minimum Data Set (MDS) 3.0 Quality Measures (QM) User’s Manual, version (V)18.0, which will go into effect Jan. 1, 2026. This update contains the re-specification of the Long Stay Antipsychotic Measure to include Medicare and Medicaid claims and encounter data, in …

2026 Goal Setting for the Director of Nursing Services

In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, discuss goal setting for directors of nursing services in 2026. Additional Resource:

Respiratory Virus Vaccination Toolkit

Respiratory viruses carry the potential for serious illness and can lead to hospitalization. Vaccination is an integral part of a proactive infection control program that combats these viruses. Nurse leaders can use this toolkit to audit and track influenza, pneumococcal, COVID-19, and respiratory syncytial virus (RSV) vaccinations. Updated: Dec. 9, …

Caring for Residents with Parkinson’s Disease – Nursing Assistant In-Service Education

Caring for residents with Parkinson’s disease requires insight, empathy, and teamwork. The Caring for Residents with Parkinson’s Disease in-service provides CNAs and care staff with practical strategies for recognizing symptoms, supporting safe mobility, improving communication, and ensuring safe mealtimes. With an emphasis on observation, timely reporting, and strong interdisciplinary collaboration, …