Monthly DNS/Medical Director Meeting Template

The Monthly DNS/Medical Director Meeting Template is a practical tool designed to support structured, action-oriented collaboration between the director of nursing services (DNS) and the medical director. This template helps guide focused monthly discussions by prompting review of prior action items, quality metrics and trends, high-risk resident concerns, medication and …

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 …

What to Expect at the AAPACN 2026 Conference: Highlights, What’s New, Can’t-Miss Sessions, and More

In the LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification for AAPACN, and Lauren Stenson, MSN, RN, CNDLTC, QCP, DNS-CT, curriculum development for AAPACN, share some of the …

Falls with Major Injury: Updated Definitions, Quality Measure Impacts, and an AAPACN Conference Session Sneak Peak

In this LTC NAC Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, discuss falls with major injury and a sneak peek into McGill’s breakout session at the AAPACN 2026 …

TIP: Consolidated Billing Updates for 2026

Consolidated billing specifies that the SNF is the responsible party for the billing of the entire package of care the resident receives during a covered Part A SNF stay, as well as identifies a limited number of services specifically excluded from consolidated billing, and therefore, separately payable. The Centers for …

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 …

Five-Star and Care Compare MDS 3.0 Quality Measure Data Periods

Care Compare refreshes MDS 3.0 Quality Measure (QM) data quarterly in January, April, July, and October with the most recent four full quarters of data. AAPACN’s Five-Star and Care Compare MDS 3.0 Quality Measure Data Periods tools identify exactly which quarters will be publicly reported and used in Five-Star with each Care …

iQIES MDS Error Message Reference Guide and Message List v1.1

This user guide addresses Minimum Data Set (MDS) error messages and troubleshooting. iQIES MDS Error Message Reference Guide v1.1 (posted 12/29/2025) iQIES MDS Error Messages v1.1 (posted 12/29/2025) From https://qtso.cms.gov/providers/nursing-home-mdsswing-bed-providers/reference-manuals