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Administrator

AAPACN Resources for the Administrator

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  • OIG to do Nationwide Analysis of Antipsychotic Drug Use in Nursing Homes
    Announced on 06/29/2026 | Last Modified on 06/29/2026 | Project Number: OEI-02-23-00202 Status Active Agency Centers for Medicare and Medicaid Services OBJECTIVE The overuse of antipsychotic drugs presents a risk to nursing home residents, particularly those with dementia.  These drugs …
  • State Operations Manual Update: Chapter 7
    Transmittal # R244SOMA Issue Date 2026-06-26 Subject Revisions to State Operations Manual (SOM), Chapter 7 Implementation Date r2026-06-26 CR # N/A Publication # 100-07 Transmittal Year 2026 Downloads I. SUMMARY OF CHANGES: CMS updated and revised guidance in …
  • OIG: CMS’s Processes Didn’t Ensure Accuracy of PBJ-Reported Staffing Data
    Report number: A-09-24-02005 Report Materials Why OIG Did This Audit What OIG Found Not all nursing homes’ RN staffing hours reported in CMS’s PBJ were supported in accordance with Federal requirements. On the basis of …
  • Food Is Medicine Toolkit
    New Online Toolkit Helps Clinicians Put Food is Medicine into Practice Resource offers practical guidance for all aspects of integrating nutrition-based care into health systems Press release: Newswise — A new online resource aims to …
  • FY 2027 SNF VBP: June 2026 Quarterly Confidential Feedback Reports Available
    The June 2026 Quarterly Confidential Feedback Reports for the FY 2027 SNF VBP Program are now available for download via the Internet Quality Improvement and Evaluation System (iQIES). These reports provide SNFs their facility-level measure results …
  • SNF VBP FY 2027 Fact Sheet and Incentive Payment Multiplier Infographic
    From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing/scoring-methodology-payment-adjustment
  • SNF PEPPER Relaunch: Get Ready Now
    From MLN Connects eNews: CMS will relaunch the Program for Evaluating Payment Patterns Electronic Report (PEPPER) in the coming months for all Medicare facility types, including hospitals, post-acute care providers, and specialty facilities. PEPPER is …
  • State Operations Manual Exhibit Changes: CMS Transmittal
    Transmittal # R242SOMA Issue Date 2026-05-29 Subject Revisions to the State Operations Manual (SOM) Chapter 9 Exhibits. I.  SUMMARY OF CHANGES: CMS is revising Chapter 9 of the SOM to remove many model letters or links to exhibits …
  • What the Wildlife Taught Me About Nursing
    Written by Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, Chief Nursing Officer, AAPACN Lessons from My Backyard: Thrive. Evolve. Lead. As the Chief Nursing Officer at AAPACN, I spend much of my time thinking …
  • Everything You Need to Know About the AAPACN Podcasts—LTC DON Chat and LTC NAC Chat
    The AAPACN Podcasts—LTC DON Chat and LTC NAC Chat—offer tips, strategies, updates, advice, and breaking news on the most important topics in long-term and post-acute care. Regular hosts and AAPACN staff members provide their own …
  • QSO Memo on Nurse Aide Training Competencies
    Clarification regarding Nurse Aide Training Competency Evaluation Program (NATCEP) and Nurse Aide Competency Evaluation Program (CEP) requirements and allowable flexibilities Memo # QSO-26-08-NH Posting Date 2026-04-08 Fiscal Year 2026 Memorandum Summary Clarification of NATCEP Requirements and allowable flexibilities: …
  • CMS QSO Memo: Updates to Chapters 5 and 7 of the State Operations Manual (Revised)
    Memo # QSO-26-03-NH REVISED Posting Date 2026-04-03 Fiscal Year 2026 Downloads AAPACN note: Some of the key revisions in red from the memo are excerpted below. There are a number of significant changes to the chapters themselves, including …
  • PaltMED Ethics Toolkit
    From the Introduction: “This toolkit aims to [provide] an overview of fundamental ethical principles and decision-making frameworks tailored to PALTC settings. Designed for nursing home medical directors and other members of the interdisciplinary care team, …
  • SouthCentral QIO: Preventable Readmissions Top Ten Checklist
    SNF checklist for reducing hospital readmissions: Preventable Readmissions Top Ten Checklist
  • CDC Water-related Healthcare Outbreak Response Tool
    In the Water-related Healthcare Outbreak Response Tool, you will find key considerations for investigating an outbreak and identifying possible exposures, coordinating with essential partners, and implementing targeted interventions to stop transmission. This tool is hospital-focused but …
  • Moving Forward Video: Strengthening Nursing Home Leadership Lessons
    From Moving Forward: Nursing homes continue to face real challenges building leadership capacity and sustaining meaningful Quality Assurance and Performance Improvement (QAPI) work amid staffing shortages, leadership turnover, and competing demands. The Moving Forward Michigan …
  • iQIES Onboarding Process – Provider Security Official Update
    Overview This job aid provides the steps involved to onboard the Provider Security Official (PSO) Role in iQIES. ● For detailed information on onboarding, refer to iQIES Onboarding Guide. ● For detailed information about user …
  • AAPACN Tools for the Director of Nursing Services
    Every month, AAPACN experts design tools that help our members perform their jobs with more ease, breaking down processes, synthesizing information, and aiding in ways to track required data. To help directors of nursing services …
  • CMS QSSAM memo: Reminder: Upcoming Deadline for Sprinkler System Requirement
    Reminder: Upcoming Deadline for Sprinkler System Requirement for Existing Health Care Occupancies in High-Rise Buildings Memo # QSSAM-26-02-ALL Posting Date 2026-03-09 Fiscal Year 2026 Downloads Memorandum Summary • This memorandum is intended to remind CMS-certified …
  • CMS Healthcare Provider Guidance: Emergency Preparedness Frequent Citations
    Emergency Preparedness for Every Emergency Effective Health Care Provider Emergency Planning Sound, timely planning provides the foundation for effective emergency management. The response to an emergency can impact an entire community and can involve numerous medical …
  • iQIES User Roles Matrix Job Aid
    This job aid outlines the user roles and privileges in iQIES. All users must have a role in iQIES. iQIES User Roles Matrix Job Aid v5.0 (posted 03/03/2026) From https://qtso.cms.gov/software/iqies/reference-manuals
  • NHSN LTCF UTI Healthcare-Associated Infection Module Updates
    January 2026 Updates UTI Events Learn more: https://www.cdc.gov/nhsn/ltc/uti/index.html
  • CMS QSO Memo: REVISED: Revisions to the Special Focus Facility (SFF) Program
    Memo # QSO-23-01-NH REVISED Fiscal Year 2026 Downloads
  • 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 …
  • OIG: First SNF PDPM Audit Report
    Nearly All Skilled Nursing Services Provided by Pinnacle Multicare Nursing and Rehabilitation Center Did Not Meet Medicare Payment Requirements Issued on 11/14/2025 | Posted on 11/18/2025 | Report number: A-02-22-01017 Report Materials Why OIG Did This Audit What OIG Found What …
  • Interview About QCP Certification Integration with Jennifer Pyne at Genesis Healthcare
    In skilled nursing facilities across the country, quality care is not just a standard—it is a promise to residents and families who place their trust in dedicated caregivers. At Genesis Healthcare, that promise is being …
  • CY 2026 Medicare Physician Fee Schedule Final Rule
    The Centers for Medicare & Medicaid Services (CMS) is increasing quality of care for Medicare beneficiaries while significantly reducing unnecessary spending and promoting payment accuracy. The calendar year (CY) 2026 Medicare Physician Fee Schedule (PFS) final rule advances primary …
  • 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 …
  • AAPACN Resources to Help Prepare for Oct. 1, 2025, MDS Changes
    AAPACN Resources to Help Prepare for Oct. 1, 2025, MDS Changes The Long Term-Care Facility Resident Assessment Instrument (RAI) 3.0 User’s Manual version 1.20.1 from the Centers for Medicare & Medicaid Services (CMS) goes into …
  • Body of Knowledge for the Role of Director of Nursing Services in Long-Term Care
    What does it take to be a successful DNS? AAPACN’s Body of Knowledge for the Role of Director of Nursing Services in Long-Term Care identifies, defines, and measures the core competencies required of DNSs practicing …
  • CMS Fiscal Year Mission & Priorities Document (MPD) – Transition to Web-Based Updates
    Memo # Admin Info-25-11-ALL Posting Date 2025-09-12 Fiscal Year 2025 Summary Memorandum Summary The Quality, Safety & Oversight Group (QSOG) and Survey & Operations Group (SOG) remain dedicated to ensuring the health and safety of …
  • CMS iQIES S&C User Manual: Manage a Survey LTC Facilities v1.2
    Information on how surveyors currently manage the nursing home survey process: CMS iQIES S&C User Manual: Manage a Survey LTC Facilities v1.2 (Posted 09/03/2025) From https://qtso.cms.gov/software/iqies/reference-manuals
  • FY 2026 SNF VBP Resources
    From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing/confidential-feedback-reporting-review-and-corrections From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing/scoring-methodology-payment-adjustment
  • 2025 AAPACN NAC Work Study and Salary Report Highlights
    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 Jessie McGill, RN, BSN, RAC-MT, RAC-MTA, senior curriculum development specialist for AAPACN, discuss key findings …
  • 2025 NAC Work Study and Salary Report: Support NACs and Determine FTE Needs
    The American Association of Post-Acute Care Nursing (AAPACN) surveys nurse assessment coordinators (NACs) every other year on aspects of their work, salary, and time. The 2025 AAPACN NAC Work Study and Salary Report offers valuable …
  • iQIES S&C Provider Electronic Plan of Correction (ePOC) Administrator Role User Manual
    This user manual addresses the processes necessary to perform Survey & Certification (S&C) Electronic Plan of Correction (ePOC) functions in iQIES. CMS iQIES S&C User Manual: ePOC – Provider ePOC Admin Role v1.2 (Posted 07/22/2025) …
  • How Eventide Is Investing in Nurses, Building Resilience, and Supporting Leadership
    At Eventide Senior Living, people come first. From residents to staff, the organization understands that delivering high-quality care starts with a confident, well-supported team. That’s why Eventide has taken a thoughtful and proactive approach to …
  • PBJ Policy Manual FAQs Updated
    CMS has updated its Payroll-Based Journal Frequently Asked Questions. PBJ Policy Manual FAQ 06.30.2025 (PDF) From https://www.cms.gov/medicare/quality/nursing-home-improvement/staffing-data-submission
  • Payroll-Based Journal (PBJ) Policy Manual V2.7
    This manual provides general background and information about the submission requirements, such as sample submission screens, submission deadlines, and definitions of job categories. Note: Changes from the previous version of this policy manual are identified …
  • CMS QSO Memo: Release of CMS-2567: Statement of Deficiencies and Plan of Correction
    Release of CMS-2567: Statement of Deficiencies and Plan of Correction Memo # QSO-25-19-All Fiscal Year 2025 Memorandum Summary • CMS is committed to the transparency of quality of care findings, so that patients, residents, and …
  • AAPACN CEO Highlights Growth and Opportunities
    The American Association of Post-Acute Care Nursing (AAPACN) CEO and President, Tracey Moorhead, took the stage at the AAPACN 2025 Conference in Louisville, Kentucky, to deliver the annual CEO address to a packed room of …
  • Leading with Learning: How National Health Care Associates Strengthens Teams and Transforms Care with AAPACN Organizational Membership
    In a complex care environment where workforce development and regulatory demands are constantly evolving, National Health Care Associates is setting a new standard. With a sharp focus on equipping staff at every level with the …
  • FY 2026 SNF VBP Program Fact Sheet and Incentive Payment Multiplier Calculation Infographic
    FY 2026 SNF VBP Program Fact Sheet (PDF) From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing (also updated with FY 2026 information) SNF VBP Program: FY 2026 Incentive Payment Multiplier Calculation Infographic (PDF). From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing/scoring-methodology-payment-adjustment
  • CMS Nursing Home Staffing Campaign Website
    Improving Care Through Increased Staffing Nursing home staffing has a significant impact on the quality of care that residents receive. Feedback from both nursing home staff and residents consistently highlights staffing as their primary concern. …
  • CMS QSO Memo: Nursing Home Residents’ Right to Vote
    Compliance with Residents’ Rights Requirement related to Nursing Home Residents’ Right to Vote Memo #QSO-24-21-NH Posting Date 2024-09-26 Fiscal Year 2024 Memorandum Summary• The Centers for Medicare & Medicaid Services (CMS) is affirming the regulatory …
  • Moving Forward Coalition: Resident Rights Fact Sheet
    Two-page nursing home resident rights summary: https://movingforwardcoalition.org/wp-content/uploads/2024/08/CV_NHrights_factsheet_final.pdf
  • SNF VBP Early Look Performance Score Report Webinar and Materials
    Overview of the Early Look Performance Score Report for the SNF VBP Program The Centers for Medicare & Medicaid Services (CMS) developed and published the Overview of the Early Look Performance Score Report for the Skilled …
  • Dementia Care: A View from the Other Side
    Dementia robs our loved ones of precious memories and their ability to communicate. My 82-year-old stepfather has Alzheimer’s disease and has had a steady decline. My 80-year-old mother, who is also a nurse, has been …
  • Minimum Staffing Standards Rule: Correction
    Medicare and Medicaid Programs: Minimum Staffing Standards for Long-Term Care Facilities and Medicaid Institutional Payment Transparency Reporting; Correction     SUMMARY: This document corrects typographical and technical errors in the final rule that appeared in …
  • Updated Medicare Enrollment Guide for Institutional Providers, Including SNFs
    This site includes access to a provider enrollment and certification roadmap: https://www.cms.gov/medicare/provider-enrollment-and-certification/enroll-as-an-institutional-provider
  • CDC/CMS Nursing Home Infection Preventionist Training
    https://www.cdc.gov/long-term-care-facilities/hcp/training/index.html AT A GLANCE ON THIS PAGE Course link: https://www.train.org/cdctrain/training_plan/3814 Training resources
  • CDC Considerations for Reducing Risk: Water in Healthcare Facilities
    https://www.cdc.gov/healthcare-associated-infections/php/toolkit/water-management.html KEY POINTS ON THIS PAGE
  • HHS Office of Civil Rights: Nondiscrimination in Health Programs and Activities Final Rule
    AGENCY: Office for Civil Rights, Office of the Secretary, Department of Health and Human Services; Centers for Medicare & Medicaid Services, Department of Health and Human Services. ACTION: Final rule and interpretation. SUMMARY: The Department …
  • OIG General Compliance Program Guidance (GCPG) Updated
    The GCPG is a reference guide for the health care compliance community and other health care stakeholders.  The GCPG provides information about relevant Federal laws, compliance program infrastructure, OIG resources, and other items useful for understanding health …
  • CMS QSO Memo: Civil Money Penalty Reinvestment Program Revisions
    Memo # QSO-23-23-NHs Posting Date 2023-09-25 Fiscal Year 2023 Title Memorandum Summary CMS is committed to reinvesting civil money penalty (CMP) funds for projects to support the quality of care and life for nursing home …
  • Need Behavioral Health Training Help? Check Out the COE-NF
    The Center of Excellence for Behavioral Health in Nursing Facilities (COE-NF), which opened its online doors in December 2022 thanks to a three-year grant from the Substance Abuse and Mental Health Services Administration (SAMHSA), is …
  • 2022 Nursing Home Staffing Study Final Report
    In February 2022, the Biden-Harris Administration announced a comprehensive set of reforms aimed at improving quality and safety for residents in nursing homes. One aspect of this initiative was conducting a new Nursing Home Staffing …
  • Minimum Data Set (MDS) 3.0 Frequency Report Website
    Effective August 21, 2023, MDS 3.0 Frequency data will be available from a new location on the data.cms.gov website (https://data.cms.gov/quality-of-care/minimum-data-set-frequency). This new website replaces the previous MDS 3.0 Frequency Report webpage which was decommissioned on …
  • NETEC Long-Term Care Special Pathogens Infection Prevention and Control Workbook Available
    The National Emerging Special Pathogen Training and Education Center (NETEC) has released a workbook for “assessing operational elements for special pathogen preparedness, response, and recovery unique to the long-term care setting.” The workbook is designed …
  • Five Strategies for Recruiting and Retaining MDS Coordinators
    Written by Michael Daniels, RN, DNS-CT, QCP, RAC-CT, RAC-CTA All one needs to do is peruse the long-term care (LTC)/skilled nursing facility (SNF) job openings online for a few minutes to realize that something is …
  • Burnout: How Can Nurse Leadership Help?
    By Melanie Tribe-Scott, BSN, RN, RAC-MT, RAC-MTA, QCP                        The U.S. Surgeon General recently issued an advisory highlighting the urgent need to address the health worker burnout crisis across the country (Office of the U.S. Surgeon …
  • Nurse Leaders, You Make a Noticeable Difference
    Nurse leaders are essential to any long-term and post-acute care facility. These nurses fearlessly take responsibility for the success of their team and for quality resident care delivery. They spearhead the nursing department, overcoming obstacles …
  • SNF VBP: FY 2026 Program Year Proposed Nurse Staffing Measure Technical Specifications (4/22)
    Proposed Specifications for the Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program: Total Nursing Hours per Resident Day Measure (PDF) From https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/SNF-VBP/Measure
  • Staffing Data Now Posted on Care Compare (1/22)
    Jan 26, 2022  As part of its commitment to improve transparency and help families and caregivers find the best quality of nursing home care for their loved ones, the Centers for Medicare & Medicaid Services …
  • CISA: Implement Cybersecurity Measures Now to Protect Against Potential Critical Threats (1/22)
    This CISA Insights is intended to ensure that senior leaders at every organization in the United States are aware of critical cyber risks and take urgent, near-term steps to reduce the likelihood and impact of …
  • Staff COVID-19 Cases Jump and Resident Cases Pick Up Steam (1/22)
    The last two weeks of data show steep increases in staff and resident COVID-19 cases, particularly staff cases: https://data.cms.gov/covid-19/covid-19-nursing-home-data
  • SNF DNS Indicted re: Fraudulent COVID Vaccine Cards and Lying to Federal Investigators (12/21)
    Case Marks First Charges Brought in District of South Carolina Related to Fraudulent Vaccine Cards Columbia, South Carolina — Acting United States Attorney M. Rhett DeHart announced today that a Federal Grand Jury in Columbia returned …
  • 5-Minute Learning Modules for Frontline Staff: Emotional and Organizational Support (12/21)
    These brief videos offer self-paced learning for those on the front lines of nursing home care. This includes nursing assistants, housekeeping, dietary, and maintenance staff, and others. Emotional and Organizational Support for Staff Series This …
  • OIG: Facility-Initiated Discharges in Nursing Homes Require Further Attention (11/21)
    The magnitude of facility-initiated discharges in nursing homes remains unknown. Many challenges exist to identifying and addressing inappropriate facility-initiated discharges, including that neither Administration for Community Living (ACL) nor Centers for Medicare and Medicaid Services …
  • Book: Making Healthcare Safe (10/21)
    Electronic access (PDF) to this book is free with IHI membership (also free). ​​​​​​​Leape LL. Making Healthcare Safe. Springer; 2021. Written by Lucian ​Leape, a pioneer of t​he patient safety movement, this book describes how patient safety became …
  • HHS Office of Civil Rights Alerts Healthcare Providers Against Ransomware Attacks (6/21)
    June 9, 2021 The U.S. Department of Health and Human Services Office of Civil Rights (OCR) is sharing the following alerts from the White House and Cybersecurity and Infrastructure Security Agency (CISA).  Organizations are encouraged …