Practice Makes Perfect: Get Nursing Staff Locked in for Positive Surveyor Interactions

Resident care observations and staff interviews are both core components of the long-term care survey process, so surveyors have multiple opportunities to interact with all levels of nursing staff, says Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, NHA-MT, director of education and certification strategy for AAPACN. “Teaching staff the survey …

CDC NHSN LTCF Respiratory Pathogens Module

May 2026 Updates Long-Term Care Respiratory Pathogens Person-Level – Data Collection Forms and Instructions LTCF Resident Optional Person Level Reporting for Long Term Care Residents (Form 57.216) [PDF – 264 KB] – January 2026 Person-Level – CSV Data Import Person-Level Vaccination Form for Residents of Long-Term Care Facilities: How to Guide [PDF – 2 …

State Operations Manual Exhibit Changes: CMS Transmittal

Transmittal # R242SOMA Issue Date 2026-05-29 Subject Revisions to the State Operations Manual (SOM) Chapter 9 Exhibits. I.  SUMMARY OF CHANGES: CMS is revising Chapter 9 of the SOM to remove many model letters or links to exhibits no longer used for program operation. For Forms used for program operation, the download area …

Preparing Psychotropic Practices for Survey: Strengthening Oversight Before It Becomes a Deficiency

Psychotropic medication use continues to be one of the most heavily scrutinized areas in long-term care, for good reason. At this juncture, clinical decision-making, resident quality of life, and regulatory compliance all come together. The goal is not just to avoid unnecessary medications. Rather it’s to show clearly that every …

**Reminder** FileSpec Version 4.10.0 Now Required for PBJ Submissions

Current Submission RequirementsAs of April 1, 2026, fileSpecVersion 4.10.0 is REQUIRED for all Payroll Based Journal (PBJ) file submissions. Old versions (2.00.0, 2.00.3, and 4.00.0) are no longer accepted. Any files submitted using these versions will be rejected. You must use fileSpecVersion 4.10.0 for all submissions. Daily Hours LimitVersion 4.10.0 …

Cross-Setting: Falls with Major Injury (FMI) QM Respecification Training

The Centers for Medicare & Medicaid Services (CMS) is offering a Web-Based Training that provides the latest information about the respecification of the Falls with Major Injury (FMI) Quality Measure (QM) for the Post-Acute Care (PAC) Settings. The training provides an overview of the legacy and respecified FMI Measure, discusses …

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 …

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 …

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

Listen to this article Your browser does not support the audio element. 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 …