Leading the Shift: Psychotropic Stewardship in Nursing Practice

Clinical Care Solutions / DNS / Podcast

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 Lauren Stenson, MSN, RN, CNDLTC, QCP, DNS-CT, curriculum development specialist with AAPACN, discuss how the director of nursing services (DNS) can advocate for resident-centered care by navigating Appendix PP updates, reducing …

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Nursing Staff Competencies: Keys to Staying Compliant

Article / DNS / Leadership and Management / Survey and Regulatory Compliance

Ensuring that nursing staff have the “appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident” is embedded at 42 Code of Federal Regulations (CFR) §483.35. Discussion of staff competencies …

PRN Psychotropic Medications for Behaviors: Learn How to Document to Survive Survey

Article / DNS / Survey and Regulatory Compliance

PRN Medication Use is one of the few sections of the revised F605 (Right to Be Free From Chemical Restraints/Unnecessary Psychotropic Medications) in Appendix PP of the State Operations Manual that does not have changes that went into effect on April 28, 2025. However, the updated examples of F605 noncompliance …

Enhancing Resident Well-Being: A Nursing Leadership Approach to Sensory Impairments

Article / Clinical Care Solutions / DNS / Survey and Regulatory Compliance

Sensory impairments, such as loss of vision, hearing, taste, smell, or touch, are common among older adults, and significantly affect their quality of life. These impairments often go unnoticed or may be mistaken for cognitive decline, leading to missed opportunities for interventions, or worse, a decline in function. Residents with …

Know the Rules, Win the Fight: Inside SNF Medicare Appeals

Billing and Reimbursement / NAC / Podcast

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 Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC, curriculum development specialist with AAPACN, discuss the Medicare appeals process in skilled nursing facilities. Additional Resources:

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TIP: CMS Released Updated Draft MDS Item Sets for Oct. 2025

MDS 3.0 and the RAI Process / NAC / Tip

The Centers for Medicare & Medicaid Services (CMS) recently released the updated draft Minimum Data Set (MDS) 3.0 Item Sets version (v)1.20.1v3-Section and updated Matrix. The newly added section R has been removed with this update. CMS noted that this version of the MDS v1.20.1 item sets (v3) does not …

SNF VBP Reminder: Performance-Period MDS Data Collection Is Now Ongoing

Article / Billing and Reimbursement / NAC / QAPI and Quality Initiatives

In the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2026, the Centers for Medicare & Medicaid Services (CMS) does not reveal any firm proposals for new quality measures (QMs). However, CMS does serve up a simple reminder for nurse …

AAPACN Responds: FY 2026 SNF PPS Proposed Rule

Article / Billing and Reimbursement / NAC

Every spring, the American Association of Post-Acute Care Nursing (AAPACN) anticipates the Skilled Nursing Facility Prospective Payment System (SNF PPS) proposed rule. The Centers for Medicare & Medicaid Services (CMS) provides a 60-day comment period. After a review of the comments, the Final Rule is published in late summer. Historically, …

Outbreak Management in Long-Term Care – June 26, 2025

DNS / NAC / On-demand Webinar

Members and Non-members: FreeContinuing Education: 1 CE hourRecording Date: June 26, 2025 Duration: 60 minutesSpeakers: Joan N. Hebden, MS, RN, CIC, FAPIC, FSHEA, and Marko Predic, MS, CIC, FAPIC Outbreaks may represent a single case of a disease (e.g., legionella) or an increase in the occurrence of a particular illness above what is expected …