TIP: CDC Releases New Sepsis Prevention Tool

Nursing home residents are at risk of developing infections that can lead to sepsis, which is a medical emergency requiring immediate attention to prevent severe morbidity and mortality. The Sepsis Prevention Assessment Tool (SPAT) for Nursing Homes released by the Centers for Disease Control and Prevention (CDC), identifies gaps in …

TIP: CMS Clarifies Data Used in the Delayed January Refresh

The January 2026 Care Compare refresh was originally scheduled for Jan. 28, 2026, but was delayed due to an issue with one of the data sets until Feb. 5, 2026. This refresh also brought updated Five-Star Provider Reports, even though the date and time stamp on the reports did not …

TIP: New Definition for COVID-19 Vaccination “Up to Date”

The Centers for Disease Control and Prevention (CDC) has provided a new definition for what “Up to Date” means regarding the COVID-19 vaccination. Effective for the reporting period that began on Dec.  29, 2025, the new criteria to be “Up to Date” include the following: Individuals aged 65 years and …

TIP: January Five-Star Provider Reports Updated and Reposted

The January Care Compare refresh, scheduled for Jan. 28, 2026, was delayed. In an email response, the Centers for Medicare & Medicaid Services (CMS) BetterCare stated “[they] identified an issue with one of the data files scheduled for the January 28, 2026, Nursing Home Care Compare refresh. As a result, …

TIP: CMS Adds Falls to Special Focus Facility Selection Criteria

In late January, the Centers for Medicare & Medicaid Services (CMS) revised the memo QSO-23-01-NH, changing the selection criteria for the Special Focus Facility (SFF) program from staffing to falls. In the memo, CMS noted: CMS is revising the focus area for selection to emphasize the prevalence of falls among …

TIP: SNF QRP Validation Audits and Resources

On Jan. 12, 2026, the first wave of Skilled Nursing Facility Quality Reporting Program (SNF QRP) validation audits notifications arrived in the iQIES MDS 3.0 Provider Preview Reports folder for some facilities. While 1,500 randomly selected facilities will receive this audit, not all were included in this first wave. For …

TIP: CMS Has New Resource Available on Data Validation Process for the SNF Assessment-Based Measures

The Centers for Medicare & Medicaid Services (CMS) is offering a recorded presentation that describes the new data validation process. This training will support skilled nursing facilities (SNFs) in understanding the purpose and structure of the data validation process including the notification and submission process, required activities for selected SNFs, …

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 …