CMS Minimum Staffing Final Rule: Staffing Mandates Only Set the Baseline

The Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting final rule adopts the Centers for Medicare & Medicaid Services’ (CMS) proposed three-pronged, comprehensive staffing approach for Medicare- and Medicaid-certified skilled nursing facilities (SNFs) and nursing facilities (NFs) as part of the federal requirements for …

CDC NHSN HCP & Resident Vaccination Module

Long-term care facilities can track weekly vaccination data for residents and healthcare personnel (HCP) through NHSN. April 2024 Updates Person-Level COVID-19 Vaccination Forms – Instructions and Guidance Documents INSTRUCTIONS FOR REPORTING PERSON-LEVEL VACCINATION DATA Person-Level COVID-19 Vaccination Data – CSV Data Import VARIABLE DESCRIPTION AND FILE LAYOUT FOR RESIDENTS AND …

FY 2026 SNF VBP Program Early Look Performance Score Reports

The Early Look Performance Score Reports for the FY 2026 SNF VBP Program are now available for download via the Internet Quality Improvement and Evaluation System (iQIES). Beginning in the FY 2026 Program year, the SNF VBP Program is expanding to assess performance on multiple quality measures rather than a single measure. …

CMS Minimum Staffing Rule and Medicaid Rules Released

Biden-Harris Administration Takes Historic Action to Increase Access to Quality Care, and Support to Families and Care Workers Nursing home minimum staffing standards promote resident care and safety  Medicaid and CHIP to have historic access standards, advance fair compensation for direct care workers The U.S. Department of Health and Human …

Draft MDS v1.19.1 Data Specs: What to Know and How to Prepare for Oct. 1, 2024

Nurse assessment coordinators (NACs) and other interdisciplinary team members can breathe a little easier as they look ahead to the Oct. 1, 2024 implementation of the MDS version 1.19.1 item sets. The MDS 3.0 Item Set Change History for October 2024 v1.19.1 in the Jan. 12, 2024 release of the …

Q&A: If a resident goes to the emergency room and gets IV fluids, and the IV is removed prior to returning to a non-overnight visit during the ARD period, is O0110O1, IV Access, checked on the MDS? 

Question: If a resident goes to the ER and gets IV fluids, and the IV is removed prior to returning to a non-overnight visit during the ARD period, is O0110O1, IV Access, checked on the MDS?  Answer from Scott Heichel RN, RAC-MT, RAC-CTA, DNS-CT, QCP, ICC, IPCO:If there was no …

Q&A: For what situation would we use the activity not attempted code “10” in section GG?

Question: For what situation would we use the activity not attempted code “10” in section GG? We have therapy staff coding “10” when they are not able to complete a task during their session. In the instance I am referring to, it was during the first 3 days of the …

Q&A: I found two assessments with outdated dementia ICD-10 codes that do not map to PDPM. How do I update these codes?

Question: Recently, I found two assessments that had a dementia diagnosis that does not map to a PDPM category, including F01.C2 for vascular dementia.  How do I update these codes? Answer from Jeff Taylor:There are two parts to this. The first is that the available codes for dementia were updated to …

Documentation Template: Isolation for Active Infectious Disease

The strict coding criteria for O0110M1, Isolation or quarantine for active infectious disease, requires precise documentation to support the MDS. AAPACN’s new Documentation Template: Isolation for Active Infectious Disease tool can help nurse assessment coordinators (NACs) educate nurses on the key areas of required documentation for residents in isolation. Want …