Compliance in Diagnosis Selection for Skilled Rehabilitation

For skilled nursing facilities (SNFs), diagnosis selection and accurate ICD-10-CM coding are essential for both quality resident care and compliance with regulations. For therapists providing skilled rehabilitation services, the ability to choose the correct diagnosis code is not only crucial for resident outcomes but also ensures proper reimbursement and avoids …

Care Conference: How Do Resident Rights Connect to Care Planning?

Some nurse assessment coordinators (NACs) may believe that having a care conference (aka care plan meeting) with the resident and/or their responsible party or family member is a regulatory requirement. “However, no regulations actually use the term care conference,” says Scott Heichel, RN, RAC-MT, RAC-CTA, DNS-CT, IPCO, QCP, ICC, director …

Self-Care and Why It Matters in Healthcare

In this podcast, Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, and Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, discuss self-care and the importance of taking a break.

Past Noncompliance Corrective Action Template

Past noncompliance occurs when noncompliance previously existed, but the facility has already corrected the deficiency and is in substantial compliance at the time of a current survey (CMS, 2024). Facility leadership can use this template to assist during the correction process to show surveyors sufficient evidence that past noncompliance has …

The Keys to Develop a Past Noncompliance Plan

The director of nursing services (DNS) received a call in the middle of the night that a resident with a diagnosis of dementia had eloped, and it appeared she had been missing for several hours—a conversation no DNS wants to have. She immediately enacted the missing resident protocol. Luckily, staff …

A New Method for Auditing PDPM

In this podcast, 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 with AAPACN, discuss a new method for auditing the Patient-Driven Payment Model (PDPM).  Additional Resource:PDPM Audit by MDS Section 

Uncomplicating Drug Classifications

Medications are an essential part of the care and interventions provided to residents in a skilled nursing facility. These medications may be used to manage chronic conditions, slow disease progress, ease symptoms, or even prevent a condition. With each medication, the associated risks and benefits must be considered. High-risk medications …

MDS 3.0 Quality Measure Assessment Selection Methods 

The MDS 3.0 Quality Measure Assessment Selection Methods tool simplifies the assessment selection logic used for MDS 3.0 Quality Measures (QMs) in nursing facilities. The assessment selection logic is used to identify which assessments are used in the measure calculation. For detailed measure specifications, refer to the corresponding tables in …

PDPM Overview for Supporting SNF Staff

The Centers for Medicare & Medicaid Services (CMS) implemented the Patient-Driven Payment Model (PDPM) in October 2019 for residents receiving Medicare Part A coverage in the skilled nursing facility (SNF). PDPM replaced the previous legacy payment model, the Resource Utilization Group (RUG-IV) system, still used by some state Medicaid agencies …