CMS Nursing Home Data Sets Updated

Five-Star, NHQI, SNF QRP, SNF VBP, PBJ data Announcement: January 2023: Data have been refreshed for January 2023. Because of COVID-19 reporting exceptions, the claims-based measures were calculated excluding Q1 and Q2 2020.  For additional information, visit the Skilled Nursing Facility Center and view the SNF QRP COVID-19 Public Reporting Tip Sheet …

Five-Star Technical User’s Guide Plus Claims-Based Measures Appendix (Updated)

CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Nursing Home Compare Web site features a quality rating system that gives each nursing home a rating of between 1 and 5 stars. Nursing homes with 5 stars are considered …

SNF Medicare Provider Enrollment, Change of Ownership, and Revalidation Procedures Updated

The CY 2023 PFS Final Rule contains provisions concerning Medicareprovider enrollment. These principally involve the following: (1) Moving skilled nursingfacilities (SNFs), various provider enrollment ownership changes, and certain other providersand suppliers into the “high” level of categorical screening; and (2) expanding several of provider enrollment denial and revocation reasons. This …

Q&A: Where can I find information about iQIES?

Question: Where can I find information about iQIES? Answer from Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT: The Centers for Medicare & Medicaid Services (CMS) recently released the new iQIES Reports User Manual. This manual includes instructions on how to get started, along with how to manage reports in the …

TIP: CMS Releases QSO Memo with Updates to Care Compare and Quality Measure Ratings

The Centers for Medicare & Medicaid Services (CMS) released a memo last week containing updates to Care Compare and Quality Measure ratings. These changes include: CMS will consider a lesser action to the star ratings for facilities that admit miscoding prior to the survey such as suppression of the QM …

How the DNS Can Lead Risk Mitigation for Schizophrenia Diagnoses

2015—the year that the Centers for Medicare & Medicaid Services (CMS) added antipsychotic medication use quality measures (QMs) to the Five-Star Quality Rating System—marked the beginning of some difficult trends in the potentially inappropriate diagnosis of schizophrenia for long-stay nursing home residents, according to the November 2022 report Long-Term Trends …

How to Lead the Team When Everyone is Tired

With a long-lasting pandemic, staff shortages, increased federal reporting requirements, and survey changes in 2022, and new MDS changes in the year to come, one thing is certain—everyone is tired. Amid all this, the director of nursing services (DNS) has the daunting challenge of leading and motivating the team, even …

Don’t Be at a Loss: Effective Resident Weight Loss Management

Members: Free |  Non-members: $105Continuing Education: 1.0 CE hour Date: February 16, 2023Time: 2 pm ET, 1 pm CT, Noon MT, 11 am PTDuration: 60 minutesSpeakers: Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT and Jessie McGill, RN, RAC- MT, RAC-MTA Significant unplanned weight loss in a resident can be a challenging clinical concern that …

OIG: Over 1,000 Nursing Homes Reached 75 Percent Infection Rates in COVID-19 Pandemic’s First Year

More Than a Thousand Nursing Homes Reached Infection Rates of 75 Percent or More in the First Year of the COVID-19 Pandemic; Better Protections Are Needed for Future Emergencies (OEI-02-20-00491) Nursing homes had a surge of COVID-19 cases during the spring of 2020 and a greater surge during the fall, well …

Five-Star Preview Reports Available Jan. 23; Help Line, Jan. 23 – 27

The Five Star Preview Reports will be available on January 23, 2023. To access these reports, select the CASPER Reporting link located on the CMS QIES Systems for Providers page. Once in the CASPER Reporting system, select the ‘Folders’ button, then select ‘My Inbox’ or the Inbox beginning with ‘LTC’ …