CMS Will Take New Risk-Based Survey Approach Effective Sept. 8, 2026

The Centers for Medicare & Medicaid Services (CMS) is introducing a more streamlined review process for higher-performing nursing homes as well as an easier way for consumers to discover them when searching the CMS website. Released today, the Quality, Safety, & Oversight (QSO) Memo outlines this risk-based survey (RBS) process that strategically …

CMS QSO Memo: PBJ Transition to iQIES Effective Aug. 17, 2026

Memo # QSO-26-12-NH Posting Date 2026-07-14 Fiscal Year 2026 Memorandum Summary • The Payroll-Based Journal (PBJ) system will transition into the Internet Quality Improvement & Evaluation System (iQIES) on August 17, 2026. • Beginning August 17, 2026, all PBJ staffing data must be submitted through iQIES. Reporting requirements and quarterly deadlines will not …

LTCSP Survey Resources: Surveyor Tools Updated

This ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going into facilities, including, for example, a document detailing their principles of documentation, a document showing …

Reportable Incident Tool

The director of nursing services (DNS) and leadership team must identify, document, and manage incidents that may require internal review or external reporting. Use AAPACN’s Reportable Incident Tool to ensure timely response, regulatory compliance, and thorough investigation while supporting resident safety and quality of care. This AAPACN resource is copyright …

Incident Investigations That Stand Up to Survey Scrutiny

Listen to this article Your browser does not support the audio element. Almost every director of nursing services (DNS) has experienced it. A staff member reports an unusual bruise. A resident falls without injury. A medication error is discovered during a chart audit. A family member alleges neglect. Within minutes, …

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 …

OIG: NY Nursing Home Background Check Compliance

New York Should Improve Its Oversight of Nursing Homes’ Compliance With Background Check Requirements Issued on 07/01/2026 | Posted on 07/06/2026 | Report number: A-02-24-01012 Report Materials Why OIG Did This Audit What OIG Found New York did not ensure that 6 of the 10 selected nursing homes complied with Federal requirements that prohibit the employment …

SNFs Must Accurately Report Related Party Costs

From MLN Connects eNews In a report, the Office of Inspector General found that some skilled nursing facilities (SNFs) didn’t comply with Medicare requirements for reporting related party costs. These SNFs failed to report related parties on their Medicare Cost Reports or reported the costs inaccurately, resulting in overstated costs to …

What to Expect: PBJ Data Submission and Reporting in iQIES

On August 17, 2026, the Centers for Medicare & Medicaid Services (CMS) will launch the Internet Quality Improvement and Evaluation System (iQIES) functionality for Payroll-Based Journal (PBJ) data submission and reports. Here’s what you need to know about the transition. Prepare Your iQIES Account You must register for PBJ roles in iQIES before you …

OIG to do Nationwide Analysis of Antipsychotic Drug Use in Nursing Homes

Announced on 06/29/2026 | Last Modified on 06/29/2026 | Project Number: OEI-02-23-00202 Status Active Agency Centers for Medicare and Medicaid Services OBJECTIVE The overuse of antipsychotic drugs presents a risk to nursing home residents, particularly those with dementia.  These drugs are not approved to treat dementia, and the Food and Drug Administration has warned that …