Ensuring that nursing staff have the “appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident” is embedded at 42 Code of Federal Regulations (CFR) §483.35. Discussion of staff competencies …
PRN Medication Use is one of the few sections of the revised F605 (Right to Be Free From Chemical Restraints/Unnecessary Psychotropic Medications) in Appendix PP of the State Operations Manual that does not have changes that went into effect on April 28, 2025. However, the updated examples of F605 noncompliance …
Sensory impairments, such as loss of vision, hearing, taste, smell, or touch, are common among older adults, and significantly affect their quality of life. These impairments often go unnoticed or may be mistaken for cognitive decline, leading to missed opportunities for interventions, or worse, a decline in function. Residents with …
Vision and hearing loss, as well as diminished taste, touch, or smell, can significantly impact residents’ ability to communicate, navigate their environment, and engage in daily activities. By implementing individualized care plans, utilizing assistive devices, and fostering an inclusive atmosphere, certified nursing assistants can enhance residents’ quality of life and …
Question: When a resident returns from an interrupted stay, is an IPA required or any kind of readmission assessment if no change? Answer from Jeff Taylor: IPAs are always optional. In an interrupted stay, no new Medicare MDS is required. You would do the required OBRA Discharge assessment and an …
Question: A resident on a Medicare Part A stay discharged return not anticipated. His last covered day of Medicare was the day before. Can I combine the Part A PPS Discharge with the OBRA discharged return not anticipated? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: Yes, when a …
Question: For section GG documentation, the direct care staff was given the wrong dates. It was supposed to be the ARD and the two days before, but they did the first 3 days of the look-back period. Am I able to use any of the GG documentation they completed? Answer …
In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss the Medicare appeals process in skilled nursing facilities. Additional Resources:
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The Centers for Medicare & Medicaid Services (CMS) recently released the updated draft Minimum Data Set (MDS) 3.0 Item Sets version (v)1.20.1v3-Section and updated Matrix. The newly added section R has been removed with this update. CMS noted that this version of the MDS v1.20.1 item sets (v3) does not …
In the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2026, the Centers for Medicare & Medicaid Services (CMS) does not reveal any firm proposals for new quality measures (QMs). However, CMS does serve up a simple reminder for nurse …
