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 …

PBJ fatal edit -4019: Errata V4.00.2/ PBJ Data Submission Specifications

PBJ updated the fatal edit -4019 in data specification versions 2.00.0, 2.00.3, and 4.00.0. Previously, optional hire and termination dates could not exceed December 31, 2025. This restriction has been extended to December 31, 2050.  Additional information and examples can be found on the QTSO Payroll Based Journal (PBJ) Vendors …

F641: The Importance of Accurate MDS Coding

F641, Accuracy of the Minimum Data Set (MDS), remains one of the most frequently cited F-Tags during surveys, for good reason. The MDS is a critical foundation of resident assessment, care planning, reimbursement, and quality measurement. When the assessment is inaccurate, everything that flows from it is at risk. The …

Medicare and Medicaid: Repeal of Minimum Staffing Standards for LTC Facilities Interim Final Rule

Interim final rule with comment period. SUMMARY: This interim final rule with comment period repeals provisions of the final rule titled “Medicare and Medicaid Programs; Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting.” This action is taken in view of changes made by by public …

Falls With Major Injury (FMI) NHQI Technical Specification Report

The Centers for Medicare & Medicaid Services (CMS) has released the official Technical Specification Report for the Falls with Major Injury (FMI) measure. This report incorporates feedback received during the cross-setting Technical Expert Panel (TEP) held on May 12 and 14, 2025. The report provides an overview of the measure, …

7 Tips for Avoiding F656 Care Plan Citations and Building a Culture of Proactive Care Planning

F656, Comprehensive Care Plans, is one of the most commonly cited F-tags during survey in nursing homes; however, with intentional processes in place, these citations are largely preventable. A proactive approach to care planning ensures that each resident’s plan is accurate, up to date, and reflective of their individual needs …

TIP: Updated QSO Memo on the Government Shutdown

The Centers for Medicare & Medicaid Services (CMS) released an updated memo regarding “Contingency Plans – State Survey & Certification Activities in the Event of Federal Government Shutdown,” QSO-26-01-ALL Revised, on Oct. 31, 2025. CMS had previously clarified that, “during a lapse in appropriation, it is not legal for CMS …

Survey 101: What Every Staff Member Should Know

Empower the whole team with this quick-reference guide designed to build confidence and readiness for the survey process. Survey 101: What Every Staff Member Should Know provides all team members—from nursing to housekeeping—with a clear, high-level overview of how surveys work, how residents are selected for review, and how to …

CMS QSO Memo: Civil Money Penalty Reinvestment Program (CMPRP) Updates

Memo # QSO-25-26-NH Posting Date 2025-09-29 Fiscal Year 2025 Memorandum Summary CMS is committed to reinvesting civil money penalty (CMP) funds in projects thatsupport nursing home residents and protect or improve their quality of care and life.Therefore, we are updating the Civil Money Penalty Reinvestment Program (CMPRP), including: • CMPRP Application – CMS …