TIP: Updated MDS 3.0 RAI User’s Manual Changes – New Definitions for Fall, Injury, and Major Injury

The Centers for Medicare & Medicaid Services (CMS) released the final version of the RAI User’s Manual, version 1.20.1, which went into effect Oct. 1, 2025. CMS made several changes, including a new definition for a fall, injury (except major), and major injury, which are as follows: This AAPACN resource is …

How the DNS Can Use HRSN to Improve Care and Reduce Hospital Readmissions

The Centers for Medicare & Medicaid Services (CMS) ultimately chose not to implement MDS section R (Health-Related Social Needs) on Oct. 1, 2025. Each skilled nursing facility (SNF) will have to make an individual decision whether to do off-MDS data collection of the HRSN data that would have been captured …

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 …

NIOSH: PPE and Respirator Approval Program Web Updates

The NIOSH Personal Protective Equipment and Respirator Approval Program web pages have been updated and moved. These pages provide information about NIOSH Approved® respirators, including how to identify approved products, types of respiratory protection, tips for use, and information for respirator approval holders. Please update your bookmarks to Personal Protective Equipment and Respirator …

Respiratory Therapy MDS Coding Checklist

Respiratory therapy, coded at O0390D and O0400D, must meet definitions and complex instructions per the Long-Term Care Facility Resident Assessment Instrument 3.0 User’s Manual (RAI User’s Manual). AAPACN’s Respiratory Therapy MDS Coding Checklist tool delineates the requirements to validate that all required aspects have been met before coding the Minimum Data Set …

QAPI Focus: Section GG

AAPACN’s QAPI Focus: Section GG tool can be used at quality assurance and performance improvement (QAPI) meetings to focus specifically on concerns regarding section GG documentation and coding accuracy. This tool identifies specific section GG key performance indicators (KPIs) that can be used to demonstrate progress toward a data-driven proactive …

TIP: CMS Released Additional Updates to RAI User’s Manual v1.20.1

On Sept. 24, 2025, the Centers for Medicare & Medicaid Services (CMS) released an updated RAI User’s Manual version 1.20.1 and updated MDS item sets v1.20.1v4. The last-minute updates aligned the MDS item sets with the revisions to item J1900, which changed the definitions of injury (except major) and major …

Should SNFs Collect Removed Section R MDS Data—and Why Do HRSN Even Matter?

MDS section R (Health-Related Social Needs) did not go into effect on Oct. 1, 2025. The Centers for Medicare & Medicaid Services (CMS) followed through on its proposal and eliminated—prior to implementation—items R0310 (Living Situation), R03020A (Within the Past 12 Months, You Worried That Your Food Would Run Out Before …

Section O Overhaul: Changes to Therapy Coding

The Long-Term Care Resident Assessment Instrument (RAI) 3.0 User’s Manual (RAI User’s Manual) version 1.20.1, effective Oct. 1, 2025, will bring major changes to section O of the MDS 3.0. The most significant update introduces item O0390, Therapy Services, replacing most of the current O0400 (Therapies) and removing O0420 (Distinct …

PDPM Grouper JAR Package V2.4000

This release was updated to support FY2026 ICD-10 codes which are used with MDS assessments with a target date on or after October 1, 2025. As part of this release, 487 clinical category mappings were added, 28 clinical category mappings were removed, and 34 clinical category mappings were modified. Additionally, 3 …