Better Healing, Fewer Citations: The Power of Wound Rounds

Listen to this article Your browser does not support the audio element. Wounds are a significant clinical, regulatory, and financial concern in nursing homes. One of the most effective strategies to improve wound care is implementing structured wound rounds by an interdisciplinary team (IDT). When conducted consistently and thoroughly, wound …

Quality Measure IQ Series: The Re-Specified Long-Stay Antipsychotic Measure

Listen to this article Your browser does not support the audio element. For years, nurse assessment coordinators (NACs) managed the long-stay (LS) antipsychotic quality measure largely through section N of the Minimum Data Set (MDS). Accurate 7-day look-back coding was the primary lever that facilities could pull to reflect their …

Crack the Code: P0100, Physical Restraints

Listen to this article Your browser does not support the audio element. Few Minimum Data Set (MDS) items carry as much regulatory weight and ethical considerations as physical restraints. The decision to use any device that restricts a resident’s movement or access to his or her own body must balance …

ICD-10-CM Coding Spotlight Series – Part 1: Coding with Heart: Navigating ICD-10-CM Cardiac Coding in Long-Term Care

Listen to this article Your browser does not support the audio element. February’s designation as American Heart Month offers an important opportunity to reflect on the role of cardiovascular health in long-term care (LTC). Cardiac conditions such as heart disease, hypertension (HTN), and heart failure are among the most frequently …

Care Planning MDROs: What the NAC Needs to Know

Listen to this article Your browser does not support the audio element. A strong infection prevention and control plan should serve as the foundation of the comprehensive care plan for any resident with a multidrug-resistant organism (MDRO), says Carol Maher, RN, GERO-BC, RAC-MTA, RAC-MT, RAC-CTA, RAC-CT, CPC, director of education …

Strengthening Quality Through the Director of Nursing Services/Medical Director Partnership

Listen to this article Your browser does not support the audio element. In long-term and post-acute care (LTPAC), few leadership relationships have as much influence on clinical outcomes, regulatory compliance, and organizational culture as the partnership between the director of nursing services (DNS) and the medical director. When these roles …

How to Handle Difficult Conversations with Staff: A Leadership Guide

Listen to this article Your browser does not support the audio element. One of your nurses struggles with timely, accurate documentation, but you dread talking with her about the situation. She is a valuable team member who shows up promptly and also willingly picks up overtime, but the documentation issues …

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 …

Major Changes on Falls with Major Injury QMs

Listen to this article Your browser does not support the audio element. The Oct. 1, 2025, update to the definitions of “fall” and “major injury” in the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual (RAI User’s Manual) has left many nurse assessment coordinators (NACs) with questions about what …

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 …