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 …

CMS Maps Out Four Years of Big Changes and Forecasts Even More

In the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2027, officially published on April 7, 2026, the Centers for Medicare & Medicaid Services (CMS) proposes some earth-shaking revisions to the Skilled Nursing Facility Quality Reporting Program (SNF QRP) related …

QSO Memo on Nurse Aide Training Competencies

Clarification regarding Nurse Aide Training Competency Evaluation Program (NATCEP) and Nurse Aide Competency Evaluation Program (CEP) requirements and allowable flexibilities Memo # QSO-26-08-NH Posting Date 2026-04-08 Fiscal Year 2026 Memorandum Summary Clarification of NATCEP Requirements and allowable flexibilities: The Centers for Medicare & Medicaid Services (CMS) is clarifying NATCEP/CEP requirements and permissible flexibilities …

FY 2027 SNF PPS Proposed Rule: Associated Resources

From https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/list-federal-regulations/cms-1843-p DRAFT SNF QRP New and Modified Items with a Proposed Effective Date of October 1, 2031: FY27_Proposed_Rule_SNF_All_Payer_draft_mockups_MDS__508.pdf (PDF) From https://www.cms.gov/medicare/quality/snf-quality-reporting-program/measures-and-technical-information Draft MDS re: proposed removal of MDS item O0350 on Oct. 1, 2027: CMS-10387 from https://www.cms.gov/regulations-and-guidance/legislation/paperworkreductionactof1995/pra-listing-items/cms-10387

Falls with Major Injury: New CMS Guidance, Coding Clarity, and QAPI Strategies for SNFs

In this LTC NAC Chat podcast episode, Sarah Becker, RN, Director of Clinical Reimbursement for Proactive LTC Consulting, and Christine Twombly, RN, RAC-MT, RAC-MTA, CQP, CRC, break down the updated CMS guidance on Falls with Major Injury and what it means for MDS coding, Quality Measures, survey outcomes, and resident …

How to Discuss Your SNF’s Quality Measure Outcomes with External Parties

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 how to have a conversation about your quality measure outcomes with external parties. …

Sustainable DNS Leadership: How to Lead Without Losing Yourself

The role of leadership can’t be turned on and off at the end of a shift. For the director of nursing services (DNS), the work can feel continuous, intense, and deeply personal. Regulatory pressure, staffing challenges, resident acuity, and the emotional weight of caring for both residents and team members …

Incentive Spirometry: A Win-Win for Residents, Nursing Teams, and PDPM Accuracy

Article contributed by AAPACN Solution Provider Limitlessli By Mary-Beth Newell, RN, BSN, MS, SVP of Clinical Reimbursement at Limitlessli In skilled nursing facilities, the most effective clinical interventions are not always the most complex. Often, they are the ones that are appropriately assessed, clinically justified, and consistently documented. Incentive spirometry …

Ancillary Billing Review: Why the DNS Must Lead the Financial-Clinical Conversation

As the clinical leader of the largest operational department in a skilled nursing facility, the director of nursing services (DNS), in tandem with the administrator, plays a key role in financial oversight. Ancillary charges are rooted in nursing-driven systems, so reviewing financials and billing is a shared responsibility. This article …

How to Access the Learner Dashboard, and Other AAPACN Education FAQs

More than 15,000 nursing professionals working in long-term care take AAPACN education online courses each year. One of the common questions AAPACN receives from new students is, “How can I access my Learner Dashboard?” The Learner Dashboard is the main online education hub where learners can review and start their …