State RAI Coordinator and State Contact List / Appendix B, RAI User’s Manual Update (1/22)

The January update of Appendix B to the RAI 3.0 User’s Manual contains changes to the list of State RAI Coordinators, MDS Automation Coordinators, RAI Panel members, and CMS locations and contacts. To ensure accurate formatting, use a current version of Adobe Acrobat Reader to view this PDF. Web-based or mobile browser plug-ins …

SNF QRP’s SNF Provider Preview Reports – Now Available (1/22)

The Skilled Nursing Facility (SNF) Provider Preview Reports have been updated and are now available. These reports contain provider performance scores for quality measures, which will be published on Care Compare and Provider Data Catalog (PDC) during the April 2022 refresh of the websites. The data contained within the Preview Reports are based on quality assessment data …

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 …

Q&A: A resident developed a new pressure ulcer while on leave of absence with family for Christmas. Is this considered “present on admission” or “in-house acquired”?

Question: A resident developed a new pressure ulcer while on leave of absence with family for Christmas. Is this considered “present on admission” or “in-house acquired”? Answer: Since we do not complete an OBRA Discharge assessment for LOAs, the resident remains “yours”, so any falls or development of problems, including …

MDS Section Q: Unlock the Full Potential of This Foundational Section

Section Q (Participation in Assessment and Goal Planning) is not a high-powered section of the MDS that drives payment or any of the quality measures (QMs). As a result, nurse assessment coordinators (NACs) sometimes may gloss over section Q, which is often completed by social services staff. However, section Q …

jRAVEN Free MDS Software Updated to v1.8.0 (1/22)

The Resident Assessment Validation and Entry System (jRAVEN) was developed by the Centers for Medicare & Medicaid Services (CMS). jRAVEN is a free Java based software application which provides an option for facilities to collect and maintain MDS Assessment data for subsequent submission to the appropriate state and/or national data …

Admission Sample Questionnaire Tool

This conversation starter 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 …

TIP: CY 2022 OBRA Scheduling Tools Now Available

AAPACN offers two great tools to assist nurse assessment coordinators (NACs) schedule OBRA assessments. Be prepared for 2022 with these two tools that are free to members: The Static OBRA Scheduling Tool is a 4-page tool that counts out day 92 for every calendar day – know when that next assessment is …

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 …

Avoid Costly SNF QRP Coding Mistakes

Misunderstandings about the Skilled Nursing Facility Quality Reporting Program (SNF QRP) can involve everything from the risk adjustments to the quality measure (QM) calculations to how to use certain reports. These issues can cause headaches for nurse assessment coordinators (NACs) when they are surprised by either quarterly notifications of noncompliance …