TIP: CMS Audits and Surveys Expected to Ramp Up

With the federal government now reopened after the 43-day shutdown, the Centers for Medicare & Medicaid Services (CMS) is expected to move quickly from the contingency plans outlined in the QSO-26-01-ALL REVISED memo and back to routine survey and oversight activity, including the validation audits. The data validation audits were expected …

Interview About QCP Certification Integration with Jennifer Pyne at Genesis Healthcare

In skilled nursing facilities across the country, quality care is not just a standard—it is a promise to residents and families who place their trust in dedicated caregivers. At Genesis Healthcare, that promise is being strengthened through intentional investment in nursing excellence. As AAPACN celebrates the 10-year anniversary of the …

Q&A: Is there a specific table that shows which items if dashed will count against us for the Skilled Nursing Facility Quality Reporting Program (SNF QRP)?

Question: Is there a specific table that shows which items if dashed will count against us for the Skilled Nursing Facility Quality Reporting Program (SNF QRP)? Answer from Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, CPC: Yes, CMS releases a document for each fiscal year (FY). The current document, Skilled Nursing …

How the DNS Can Use HRSN to Improve Care and Reduce Hospital Readmissions

The Centers for Medicare & Medicaid Services (CMS) ultimately chose not to implement MDS section R (Health-Related Social Needs) on Oct. 1, 2025. Each skilled nursing facility (SNF) will have to make an individual decision whether to do off-MDS data collection of the HRSN data that would have been captured …

QAPI Focus: Section GG

AAPACN’s QAPI Focus: Section GG tool can be used at quality assurance and performance improvement (QAPI) meetings to focus specifically on concerns regarding section GG documentation and coding accuracy. This tool identifies specific section GG key performance indicators (KPIs) that can be used to demonstrate progress toward a data-driven proactive …

SNF QRP Measure Calculations and Reporting User’s Manual V7.0, Change Table, Risk Adjustment and Imputation Appendix Files, and HCC ICD-10 Crosswalks

The Skilled Nursing Facility Quality Reporting Program (SNF QRP) Measure Calculations and Reporting User’s Manual v7.0 and accompanying files are now available. These materials serve as an update to the specifications used to calculate quality measures that are included in the SNF QRP and will be effective beginning October 1, 2025.  The …

TIP: CMS Delayed Long-Stay Antipsychotic Measure Changes

The Centers for Medicare & Medicaid Services (CMS) released a revised memo, QSO-25-20-NH REVISED, on Sept. 10, 2025, delaying the changes to the long-stay (LS) Antipsychotic Measure. CMS had previously announced the measure would be expanded to include Medicare and Medicaid claims and encounter data, in addition to Minimum Data …

CMS: Updated Long-Stay Antipsychotic Measure due in January 2026 Nursing Home Compare

QSO-25-20-NH REVISED Memorandum Summary • Post Performance Data for Nursing Home Chains – “Chains” refers to groups of Medicare-certified nursing homes that are connected through common owners, and operators (also called “affiliated entities”). CMS will begin posting aggregated performance information for these nursing homes on Nursing Home Care Compare in …

TIP: SNF VBP Performance Score Reports Available

The Centers for Medicare & Medicaid Services (CMS) recently announced the August 2025 Performance Score Reports for the fiscal year (FY) 2026 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are available for download via the Internet Quality Improvement and Evaluation System (iQIES). Access this report to review the performance information …

May 2025 Falls With Major Injury Technical Expert Panel (TEP) Summary Report

The Centers for Medicare & Medicaid Services (CMS) convened a Technical Expert Panel (TEP) on May 12 and 14, 2025, to obtain input on potential cross-setting updates to the Falls with Major Injury (FMI) measure. The TEP was held in response to concerns regarding potential underreporting on the current measure …