TIP: CMS Released Updated MDS 3.0 Quality Measures User’s Manual v18.0

The Centers for Medicare & Medicaid Services (CMS) recently released the Minimum Data Set (MDS) 3.0 Quality Measures (QM) User’s Manual, version (V)18.0, which will go into effect Jan. 1, 2026. This update contains the re-specification of the Long Stay Antipsychotic Measure to include Medicare and Medicaid claims and encounter data, in …

Simplifying the SNF ABN: Helping Residents Understand Their Options

When a resident’s Medicare Part A skilled stay ends, two types of resident notification processes may be required under the Beneficiary Notices Initiative: the standard denial process and the expedited appeal process. In the standard appeal process, the Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage (SNF ABN) is an …

2026 Goal Setting for the Director of Nursing Services

In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, discuss goal setting for directors of nursing services in 2026. Additional Resource:

Is It Time to Roll Out the SBAR Again?

The SBAR (Situation, Background, Assessment/Analysis, and Recommendation/Request) tool is a standardized, structured communication framework that has been consistently promoted by such quality-focused organizations as the Agency for Healthcare Research and Quality, the Institute for Healthcare Improvement, the American Society for Quality, and the Joint Commission to improve communication in multiple …

Respiratory Virus Vaccination Toolkit

Respiratory viruses carry the potential for serious illness and can lead to hospitalization. Vaccination is an integral part of a proactive infection control program that combats these viruses. Nurse leaders can use this toolkit to audit and track influenza, pneumococcal, COVID-19, and respiratory syncytial virus (RSV) vaccinations. Updated: Dec. 9, …

Wearable Translation Tech: Convenience, Risks, and the Critical Role of DNS Leadership

Effective communication is essential for safe person-centered care. But even the most dedicated caregivers can face significant challenges when language barriers arise. As resident demographics shift and the post-acute care workforce has grown more diverse, communication with both residents and coworkers whose native language is not English can be daunting. …

Moments of Grace: Leading Compassionate Care for Residents with Parkinson’s Disease

In the cadence of long-term care, few diagnoses demand as much coordination, patience, and understanding as Parkinson’s disease (PD). This progressive neurological disorder affects every aspect of a resident’s life, from movement and mobility to cognition, communication, and emotional well-being. For the director of nursing services (DNS), ensuring that nurses …

TIP: CMS Releases New Technical Specification Report for Falls with Major Injury Measure

The Centers for Medicare & Medicaid Services (CMS) has released the official Long-Stay Nursing Home – Falls with Major Injury Respecification: 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, …

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 …

Weight Loss/Gain Calculation Worksheets and Documentation Tip Sheets to Support MDS Coding

AAPACN’s Weight Loss/Gain Calculation Worksheets and Documentation Tip Sheets to Support MDS Coding helps clinicians accurately calculate and document weight changes to support compliant MDS section K coding. This easy-to-use resource outlines how to identify the correct 30- and 180-day weights, apply required calculation formulas, determine physician-prescribed weight changes, and …