CMS QSSAM memo: Reminder: Upcoming Deadline for Sprinkler System Requirement

Reminder: Upcoming Deadline for Sprinkler System Requirement for Existing Health Care Occupancies in High-Rise Buildings Memo # QSSAM-26-02-ALL Posting Date 2026-03-09 Fiscal Year 2026 Downloads Memorandum Summary • This memorandum is intended to remind CMS-certified facilities classified by the Life Safety Code (LSC) as existing heath care occupancies and located …

Nurse Leaders: It’s Time to Take on the Role of Data Detective

Listen to this article Your browser does not support the audio element. While the director of nursing services (DNS) and other nurse leaders should keep residents at the heart of every decision, data should provide the framework for those decisions to help residents achieve the best possible quality of care …

CMS Healthcare Provider Guidance: Emergency Preparedness Frequent Citations

Emergency Preparedness for Every Emergency Effective Health Care Provider Emergency Planning Sound, timely planning provides the foundation for effective emergency management. The response to an emergency can impact an entire community and can involve numerous medical and public health entities, including health care provider systems, public health departments, emergency medical services, …

Defensive Documentation: Protecting Residents, Protecting Care

Listen to this article Your browser does not support the audio element. In today’s regulatory environment, accurate and timely nursing home documentation is more than dutifully recounting what occurred to a resident on a given day. Rather it is a legal record that ideally describes resident care, assures regulatory compliance, …

Wound Rounds Template

Interdisciplinary wound rounds evaluate the effectiveness, appropriateness, and compliance of wound management. This Wound Rounds Template supports interdisciplinary review, ensures treatments are consistent with physician orders, facility policy, and current standards of practice. It also identifies opportunities for timely intervention to promote wound healing, prevent complications, and reduce the risk …

TIP: CMS Adds Falls to Special Focus Facility Selection Criteria

In late January, the Centers for Medicare & Medicaid Services (CMS) revised the memo QSO-23-01-NH, changing the selection criteria for the Special Focus Facility (SFF) program from staffing to falls. In the memo, CMS noted: CMS is revising the focus area for selection to emphasize the prevalence of falls among …

Survey Readiness: Critical Element Pathways, Observations, Reviews, and Policy Calendar Tool

Surveyors use critical element pathways (CEPs) to work through the steps of their investigation and to determine compliance with several federal regulations. In addition to CEPs, other tools including observational guides are also used to direct the surveyors’ review of the facility. These same tools are available for facility leaders …

Why Directors of Nursing Services Must Be Well-Versed in PDPM and How to Ensure Documentation Accuracy

Listen to this article Your browser does not support the audio element. In today’s skilled nursing facility (SNF) landscape, the director of nursing services (DNS) is critical not only in overseeing resident care but also in supporting the organization’s financial stability and regulatory compliance. Both goals require a strong understanding …

Navigating Resident/Representative Notifications About Care Plan and Condition Changes

Listen to this article Your browser does not support the audio element. Mandates to notify or inform the resident and/or their representative about an array of clinical and service issues are woven throughout the resident rights F-tags and other surveyor guidance in Appendix PP, “Guidance to Surveyors for Long-Term Care …