Q&A: If a mechanically altered diet is being trialed during a speech therapy visit to facilitate oral intake, could K0510C, mechanically altered diet, be coded on the MDS?

Question: We are seeking clarification on MDS item K0510C, mechanically altered diet. If a resident is being trialed on a mechanically altered diet or given thickened liquids provided during a speech therapy visit to facilitate oral intake, could K0510C, mechanically altered diet, be coded on the MDS if it was …

TIP: CMS Will Begin Posting Staffing Data on the Care Compare Website

Weekend Staffing: The level of total nurse and registered nurse (RN) staffing on weekends provided by each nursing home over a quarter. Staff Turnover: The percent of nursing staff and number of administrators that stopped working at the nursing home over a 12-month period. This information will be added to …

Nurse-Driven Antibiotic Stewardship – Nursing In-service Education

Participants will learn to define antibiotic stewardship and recognize nurse-driven efforts that support antibiotic stewardship, including nursing assessment and infection-specific interventions. Download now. For permission to use or reproduce this tool in full or in part, please complete a permissions form. 

Q&A: What are the changes affecting SNFs in the updated blanket waiver that was recently released?

The COVID-19 Emergency Blanket Waivers for Health Care Providers that was updated and released on Nov 29, 2021 adds a new waiver that allows more flexibility in the education and training requirements for individuals serving as Directors of Food and Nutrition Services. Want to read more Q&As? Visit the AAPACN …

Q&A: Has anyone encountered surveyors requesting consents for assist bars/enabler bars used for functional mobility not posing as a restraint per the interdisciplinary team assessment?

Question: Has anyone encountered surveyors requesting consents for assist bars/enabler bars used for functional mobility not posing as a restraint per the interdisciplinary team assessment? Answer by Carol Maher, RN-BC, CPC, RAC-MT : A restraint assessment should be done when there are rails or “assist bars” on the bed. Depending …

Q&A: Is there a waiting period to continue therapy services when a resident transitions from Medicare Part A to Medicare Part B therapy services?

Question: Is there a waiting period to continue therapy services when a resident transitions from Medicare Part A to Medicare Part B therapy services? Answer by Kim Steele RN, WCC, RAC-CT, RAC-CTA: There is no waiting period for this transition. However, therapy should complete an evaluation to transition from Medicare …

New Admission Sample Questionnaire

This conversation started will help your team learn more about a new residents’ interests, routines, and goals and engage the resident in their care planning right from admission. AAPACN’s Admission Sample Questionnaire tool (print) can be utilized by direct care staff to get to know the resident and enhance other …

Q&A: Where can I find the CMS Quality Safety and Oversight (QSO) memos?

Question: Where can I find the CMS Quality Safety and Oversight (QSO) memos? Answer from Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT AAPACN Curriculum Development Specialist: QSO memos issued from CMS can be found on their webpage. Want to read more Q&As? Visit the AAPACN Connect community, where 15,000+ of …

SNF VBP and SNF QRP MUC List Includes VBP Nursing Hours Measure (12/21)

The annual Measures Under Consideration (MUC) List from CMS includes four SNF VBP measures and two SNF QRP measures. 2021 MUC List (PDF) from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityMeasures/Pre-Rulemaking See Appendix A for measure specifications. MUC ID Measure Title Description Measure Type Measure Steward CMS Program(s) MUC2021 -095 CoreQ: Short Stay Discharge Measure The …