Need Behavioral Health Training Help? Check Out the COE-NF

The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF), which opened its online doors in December 2022 thanks to a three-year grant from the Substance Abuse and Mental Health Services Administration (SAMHSA), is a centralized hub where any Medicare- or Medicaid-certified nursing home can access trainings, tools, and …

Discharge Planning Best Practices to Avoid Hospital Readmissions

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Dr. Nancy Kusmaul, PhD, MSW, associate professor in the baccalaureate social work program at the University of Maryland, Baltimore County, discuss discharge planning best practices to avoid hospital readmissions.

FY 2024 SNF PPS Final Rule Initial Timeline for NACs: How/When the MDS Takes Center-Stage

Breathing room will be in short supply for nurse assessment coordinators (NACs) and other interdisciplinary team members who need to implement and monitor the multitude of changes to the Skilled Nursing Facility Quality Reporting Program (SNF QRP) and the Skilled Nursing Facility Value-Based Purchasing Program (SNF VBP) that are in …

NACs Like a Reasonable Challenge: 2023 AAPACN NAC Work Study and Salary Report

Over the last few years, nurse assessment coordinators (NACs) are being hired with less long-term care experience, being paid more, and facing a multitude of challenges including stress and burnout, staffing shortages, and increased workloads. The 2023 AAPACN NAC Work Study and Salary Report received responses from 632 NACs. The …

Proposed Staffing Rule: CMS Focuses on a Comprehensive Approach

In the long-awaited Minimum Staffing Standards for Long-Term Care (LTC) Facilities and Medicaid Institutional Payment Transparency Reporting proposed rule, the Centers for Medicare & Medicaid Services (CMS) proposes a three-pronged, comprehensive staffing approach for Medicare- and Medicaid-certified skilled nursing facilities (SNFs) and nursing facilities (NFs): “Literature evidence [e.g., here, here, …

2022 Nursing Home Staffing Study Final Report

In February 2022, the Biden-Harris Administration announced a comprehensive set of reforms aimed at improving quality and safety for residents in nursing homes. One aspect of this initiative was conducting a new Nursing Home Staffing Study to help inform CMS’s approach to developing minimum staffing standards. The 2022 study final …

How the Director of Nursing Services Can Support the MDS Process

The Minimum Data Set (MDS) determines Medicare and often state Medicaid reimbursement; prompts initial and MDS-assessment-based care planning; provides data that the Centers for Medicare & Medicaid Services (CMS) uses to calculate Quality Measures (QMs) included in the Five-Star Quality Rating System, Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program, …

Behavioral Health: Eight Ways to Boost Compliance—and Help Residents—Under F740

F740 (Behavioral Health Services) is not a frequently cited F-tag so far in calendar year (CY) 2023, according to QCOR data posted on Aug. 13, 2023. However, the consequences can be severe—surveyors often issue this citation at the level of immediate jeopardy (IJ) when it does occur. Specifically, F740 is …

Section GG 3-Day Assessment Periods and Algorithm

Effective Oct. 1, 2023, section GG will be required on all OBRA and PPS assessments for all long-term care residents. This results in many different section GG assessment periods depending on the assessment type(s). The Section GG 3-Day Assessment Periods tool (Page 1) will guide the nurse assessment coordinator (NAC) …