Post-Acute Care News
The Post-Acute Care News page is where you’ll find the latest alerts and information from the post-acute care field, including notices from CMS, the CDC, and other post-acute care stakeholders. Then find deeper analyses from AAPACN’s team of nurse experts in articles, webinars, and podcasts.
- FY 2027 SNF PPS Proposed RuleProspective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2027 Filed on: 04/02/2026 at 5:15 pm Scheduled Pub. Date: 04/07/2026 PDF 114 Pages (397 …
- PaltMED Ethics ToolkitFrom 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, …
- MDS 3.0 Quality Measures (QM) User’s Manual v18.0 Effective Jan. 1, 2026 and Associated FilesThe Centers for Medicare & Medicaid Services (CMS) is publishing an errata change table document to the Minimum Data Set (MDS) 3.0 Quality Measures (QM) User’s Manual v18.0, related to the clarification of details for …
- CMS Nursing Home Data Sets UpdatedMedicare Claims Quality Measures Quality measures that are based on Medicare claims data. Each row contains a specific quality measure for a specific nursing home and includes the risk-adjusted score. Last Modified: March 1, 2026 Released: March …
- South Central QIN QIO: Nursing Facility Discharge Planning ToolA discharge planning tool to help educate residents and/or representatives about ongoing health and medication needs and follow-up care post-discharge. Nursing Facility Discharge Planning Tool
- Prevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide Prevention RecommendationsPrevention and Treatment of Pressure Ulcers/Injuries: Quick Reference Guide Prevention Recommendations The International Guideline Fourth edition Updated 25 February 2026 https://static1.squarespace.com/static/6479484083027f25a6246fcb/t/699ba2b43f12157598b99c71/1771807412881/QRG-abridged-25Feb2026.pdf or https://www.internationalguideline.com/the-international-guideline
- CMS Finalized Standards for Claims Attachments and Electronic Signatures to Phase Out Fax Machines, Snail Mail for Claims-Related DocumentationThe Centers for Medicare & Medicaid Services (CMS), on behalf of the U.S. Department of Health and Human Services (HHS), is making our shareholders aware of the “Adoption of Standards for Health Care Claims Attachments …
- ABN (Form CMS-R-131) for Part B SNF ServicesThe Office of Management and Budget (OMB) has approved the control number for the Advance Beneficiary Notice of Non-coverage (ABN) (CMS-R-131). CMS is notifying the industry through our website, and the Medicare Learning Network and …
- OIG: Nursing Homes’ Inappropriate Use of Antipsychotic Drugs Poses a Risk to ResidentsReport Materials Why OIG Did This Review What OIG Found OIG’s comprehensive review of 40 focused nursing home inspections completed by CMS found alarming instances of inappropriate use of antipsychotic drugs and revealed vulnerabilities in …
- OIG: Nursing Homes Inappropriately Diagnosed Residents with Schizophrenia to Mask the Misuse of Antipsychotic DrugsReport Materials Why OIG Did This Review What OIG Found OIG’s comprehensive review of 40 nursing home inspections completed by CMS found instances of nursing homes inappropriately diagnosing residents with schizophrenia. Specifically, our review of …
- Bite-Sized Antibiotic Stewardship & Infection Prevention Training for Nursing HomesFrom the CDC: Developed by the Society for Healthcare Epidemiology of America (SHEA), this CDC-funded course is a compilation of short modules built specifically for frontline nursing home staff (CNAs, LPNs, RNs, and bedside staff). …
- SouthCentral QIO: Preventable Readmissions Top Ten ChecklistSNF checklist for reducing hospital readmissions: Preventable Readmissions Top Ten Checklist
- CMS iQIES Reports User Manual UpdateThis user manual provides information for CMS, Providers, Vendors, Accrediting Organizations, Contractors, and State Agencies to effectively perform Reports functions and the processes necessary to request, view, download, and save reports in iQIES. From https://qtso.cms.gov/software/iqies/reference-manuals
- CDC Water-related Healthcare Outbreak Response ToolIn 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 …
- 2026 Clinical Practice Guideline on the Management of DyslipidemiaFree access 2026 ACC/AHA/AACVPR/ABC/ACPM/ADA/AGS/APhA/ASPC/NLA/PCNA Guideline on the Management of Dyslipidemia: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines This guideline retires and replaces the 2018 Guideline on the …
- Project Firstline Environmental Services Micro-Learns: Essentials for Infection ControlProject Firstline recognizes that environmental services (EVS) workers are vital members of the healthcare team and are crucial in maintaining a clean and safe healthcare environment. Because EVS workers are the first line of defense …
- Moving Forward Video: Strengthening Nursing Home Leadership LessonsFrom 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 …
- American Society of Nephrology Clinical Practice Guideline: Conservative Management in People with Kidney FailureNew ASN Kidney Health Guidance on Conservative Management in People with Kidney Failure and Executive Summary now available. Press release Newswise — Washington, DC (March 18, 2026) —The American Society of Nephrology (ASN) today released its latest Kidney Health …
- iQIES Onboarding Process – Provider Security Official UpdateListen to this article Your browser does not support the audio element. Overview This job aid provides the steps involved to onboard the Provider Security Official (PSO) Role in iQIES. ● For detailed information on …
- CMS QSSAM memo: Reminder: Upcoming Deadline for Sprinkler System RequirementReminder: 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 …
- FY 2027 SNF VBP March 2026 Quarterly Reports AvailableThe March 2026 Quarterly Confidential Feedback Reports for the fiscal year (FY) 2027 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are now available to download via the Internet Quality Improvement and Evaluation System (iQIES). …
- CDC Project Firstline Health Professions Infection Control Education ToolkitCDC’s Project Firstline released a new resource to support teaching faculty in bringing infection control concepts into the classroom. The new toolkit includes adaptable educational resources, including a journal club with discussion guides and learning …
- CMS Healthcare Provider Guidance: Emergency Preparedness Frequent CitationsEmergency 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 …
- PBJ Technical Information Call Minutes with Q&As- February 26, 2026CMS hosted an PBJ Technical informational Call for Software Vendors and Developers on Thursday, February 26, 2026. Please see the attached minutes. Downloads PBJ Tech Call Minutes 02/26/2026 https://qtso.cms.gov/news-and-updates/pbj-technical-information-call-minutes-qas-february-26-2026
- PBJ Data Specifications (Version 4.10.0) Implementation Required by April 1, 2026The NEW FileSpecVersion 4.10.0 was originally scheduled to be effective on March 22, 2026. The NEW effective date is April 1, 2026. If you submit files using fileSpecVersion 4.10.0 before April 1st, the file will …
- iQIES User Roles Matrix Job AidThis 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
- CMS Deletes Appendix R from State Operations ManualRevisions to State Operations Manual (SOM), Appendix R Implementation Date 2026-02-27 CR # N/A Publication # 100-07 Transmittal Year 2026 Downloads Appendix R: Resident Assessment Instrument for Long-Term Care Facilities – Deleted (see Appendix PP …
- CDC NHSN LTCF Respiratory Pathogens ModuleFebruary 2026 Updates Person-Level – Data Collection Forms and Instructions LTCF Healthcare Personnel Optional Person Level Reporting for Healthcare Personnel (Form 57.217) [PDF – 270 KB]– February 2026 Person-Level – CSV Data Import LTCF Healthcare Personnel …
- BFCC-QIO Medicare Advantage Appeals in SNFs Slide Set and Webinar RecordingMedicare Advantage Plan Appeals in Skilled Nursing Facilities Date presented: January 21, 2026 In this webinar, Acentra Health provices a look at a recent focus study on how Medicare Advantage plans use NOMNCs in SNFs. During …
- Sleep Medication Linked to Safer Outcomes Than Antipsychotics For Older Adults With DeliriumPress release Nationwide study finds lower risk of death and rehospitalization among older adults treated with trazodone after hospital admission. A large U.S. study suggests that older adults hospitalized with delirium may experience better outcomes …
- Geriatric Fast Facts WebsiteSite description: This site includes accessible, concise, and clinically relevant educational reports and podcasts on Geriatric topics. Geriatric Fast Facts (GFFs) are designed to provide concise, practical, evidence-based summaries of key health care issues important …
- NHSN LTCF UTI Healthcare-Associated Infection Module UpdatesJanuary 2026 Updates UTI Events Learn more: https://www.cdc.gov/nhsn/ltc/uti/index.html
- NHSN Healthcare Personnel (HCP) Flu Vaccination Module for SNF QRP ReportingThe HCP Flu Vaccination Module, which is part of the HCP component in NHSN, is used to input required NHSN data for the SNF QRP. This site provides access to the HCP Vaccination Module: Influenza …
- LTCSP Survey Resources: Surveyor Tools UpdatedThis ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going …
- CMS QSO Memo: Updates to Chapters 5 and 7 of the State Operations ManualRevisions to the State Operations Manual (SOM) Chapters 5 and 7 Memo # QSO-26-03-NH Posting Date 2026-01-30 Fiscal Year 2026 Memorandum Summary CMS is releasing the following guidance in Chapter 5 of the SOM: • Revisions to Immediate …
- CMS QSO Memo: REVISED: Revisions to the Special Focus Facility (SFF) ProgramMemo # QSO-23-01-NH REVISED Fiscal Year 2026 Downloads
- Respiratory Pathogens Resources Update From CDC NHSNJanuary 2026 Updates General Resources Analysis and Report Resources From https://www.cdc.gov/nhsn/ltc/covid19/rpv-resources.html
- CMS: Impact of Combined Assessments on SNF APU for SNF QRPImpact of Combined Assessments on SNF APU: How Medicare 5-Day and PPS Discharge Combined Assessments Affect Your Facility’s APU Calculation The Centers for Medicare & Medicaid Services (CMS) has released a one-page resource for SNF …
- NHSN LTCF MDRO & CDI Module ResourcesMultidrug-Resistant Organism & Clostridioides difficile (MDRO/CDI) Infection Event Reporting Module Using Laboratory-identified Event Methodology January 2026 updates Data Collection Forms & Instructions All Data Collection Forms are Print-only MDRO/CDI Events See more at https://www.cdc.gov/nhsn/ltc/cdiff-mrsa/index.html
- Infection Prevention Course at NETEC UpdatedInfection Prevention Learning Journey Description The Infection Prevention Learning Journey introduces learners to concepts found in the Hierarchy of Controls that will enhance infection prevention and control knowledge and skills. Learning modules in the course …
- CMS FY 2025 Improper PaymentsKey report excerpts re: SNFs: Within the Traditional Medicare program, reducing improper payments remains a challenge. The improper payment rate reported in FY 2024, 7.66 percent, has not decreased from the rates reported in FYs …
- QTSO: **Action Required** A PBJ System Update Occurred in DecemberThe PBJ system has been updated to accept optional hire and termination dates up to 12/31/2050. CMS helpdesk is starting to get tickets regarding this update, so we are following up with clarifications. Please ensure that …
- Five-Star Technical User’s Guide Plus Claims-Based Measures Appendix (Updated)CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Nursing Home Compare Web site features a quality rating system that gives each nursing home …
- iQIES MDS Error Message Reference Guide and Message List v1.1This user guide addresses Minimum Data Set (MDS) error messages and troubleshooting. iQIES MDS Error Message Reference Guide v1.1 (posted 12/29/2025) iQIES MDS Error Messages v1.1 (posted 12/29/2025) From https://qtso.cms.gov/providers/nursing-home-mdsswing-bed-providers/reference-manuals
- SNF QRP/SNF VBP: CMS Video Offers MDS Data Validation Process OverviewThe Centers for Medicare & Medicaid Services (CMS) is offering a recorded presentation which describes the new data validation process. This training will support facilities in understanding the purpose and structure of the data validation …
- AHRQ Toolkit for Improving Skin Care and MDRO Prevention in LTC Includes Tabletop GameFrom AHRQ: A new tabletop game turns infection prevention training into a collaborative, story-driven escape room. When players notice a change in a resident’s skin, they work together to interact with environmental services staff, a …
- PBJ fatal edit -4019: Errata V4.00.2/ PBJ Data Submission SpecificationsPBJ updated the fatal edit -4019 in data specification versions 2.00.0, 2.00.3, and 4.00.0. Previously, optional hire and termination dates could not exceed December 31, 2025. This restriction has been extended to December 31, 2050. …
- Consolidated Billing HCPCS Code List Update: 2026 Part A MAC UpdateADD – EFFECTIVE 01/01/2026 Major Category I. B. – Cardiac Catheterization Major Category III. A. – Chemotherapy Major Category III. C. -Radioisotopes and their Administration TERMINATE – EFFECTIVE 01/01/2026 Major Category III. A. – Chemotherapy …
- FY 2026 ICD-10-CM Code Updates Effective April 1, 2026These files include updates for FY 2026. Use these codes for discharges occurring from April 1, 2026 – September 30, 2026, and for patient encounters occurring from April 1, 2026– September 30, 2026. https://www.cms.gov/medicare/coding-billing/icd-10-codes
- SNF QRP and SNF VBP MDS Data Validation Program FAQs UpdatedOverview What is the SNF Validation Program? The SNF Validation Program is an audit-driven initiative aimed at evaluating the accuracy of quality measure data elements derived from the Minimum Data Set (MDS), which are used …
- Medicare and Medicaid: Repeal of Minimum Staffing Standards for LTC Facilities Interim Final RuleInterim 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 …
- Falls With Major Injury (FMI) NHQI Technical Specification ReportThe Centers for Medicare & Medicaid Services (CMS) has released the official Technical Specification Report for the Falls with Major Injury (FMI) measure. This report incorporates feedback received during the cross-setting Technical Expert Panel (TEP) …
- Part B Therapy Transmittals: 2026 Annual Update to the Therapy Code List and Per-Beneficiary ThresholdsImplementation Date 2026-01-05 CR # 14250 Publication # 100-04 Transmittal Year 2025 Downloads
- AHRQ Toolkit: Skin Care for Infection Prevention in Nursing HomesAHRQ’s new Toolkit for Improving Skin Care and MDRO Prevention in Long-Term Care strengthens infection prevention in nursing homes, addressing the unique needs of residents and the care environment they live in. The toolkit outlines four evidence-based …
- OIG: First SNF PDPM Audit ReportNearly 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 …
- Updated FY 2028 SNF VBP Performance StandardsThis communication pertains to the Fiscal Year (FY) 2028 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program performance standards for the Number of Hospitalizations per 1,000 Long Stay Resident Days (Long Stay Hospitalization) measure which …
- iQIES Assessment Management: Assessment Submitter ManualThis document shows how to upload assessments, create and manage assessments, complete change requests, and review Final Validation Reports (FVR) in iQIES. Nov 18, 2025 CMS iQIES Assessment Management for Assessment Submitter v2.2 From https://qtso.cms.gov/software/iqies/reference-manuals
- 2026 Medicare Parts A & B Premiums and DeductiblesOn November 14, 2025, the Centers for Medicare & Medicaid Services (CMS) released the 2026 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2026 Medicare Part D …
- CY 2026 Medicare Physician Fee Schedule Final RuleThe 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) UpdatesMemo # 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 …
- NIOSH: PPE and Respirator Approval Program Web UpdatesThe 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 …
- PDPM Grouper JAR Package V2.4000This 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, …
- SNF QRP Measure Calculations and Reporting User’s Manual V7.0, Change Table, Risk Adjustment and Imputation Appendix Files, and HCC ICD-10 CrosswalksThe Skilled Nursing Facility Quality Reporting Program (SNF QRP) Measure Calculations and Reporting User’s Manual v7.0 and accompanying files are now available. These materials serve as an update to the specifications used to calculate quality measures that …
- OIG: Nursing Homes Failed To Report 43 Percent of Falls With Major Injury and Hospitalization Among Their Medicare-Enrolled ResidentsIssued on 09/15/2025 | Posted on 09/18/2025 | Report number: OEI-05-24-00180 Report Materials Why OIG Did This Review What OIG Found Nursing homes failed to report 43 percent of falls with major injury and hospitalization among Medicare-enrolled residents, as required, in …
- FY 2028 (CY 2026 Data) SNF QRP Reporting Requirements and Data Submission DeadlinesSNF QRP Data Collection and Final Submission Deadlines The SNF QRP Data Collection and Final Submission Deadlines have been updated to provide the data collection time frames and final submission deadlines for the FY 2028 …
- FY 2027 (CY 2025 Data) Revised SNF QRP MDS Reporting Requirements and Data Submission DeadlinesSNF QRP Data Elements Used for Reporting Assessment-Based QMs and Standardized Patient Assessment Data Elements Affecting FY 2027 APU Determination and Data Collection and Final Submission Deadlines for FY 2027 posted The Skilled Nursing Facility …
- FY 2026 ICD-10 PDPM Mappings FileThis file can be used by NACs to determine how ICD-10-CM codes entered on the MDS “map” to PDPM payment components. https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/patient-driven-model
- FY 2026 SNF QRP FAQsAn update to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Frequently Asked Questions (FAQs) document is now available. This document has been updated to reflect the finalized policies for the SNF QRP in …
- CMS Fiscal Year Mission & Priorities Document (MPD) – Transition to Web-Based UpdatesMemo # 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 …
- 2025–26 Prevention and Control of Seasonal Influenza With Vaccines — ACIP RecommendationsSummary What is already known about this topic? Influenza vaccination protects against influenza and its potential complications. The Advisory Committee on Immunization Practices makes influenza vaccination recommendations for each influenza season. What is added by …
- CMS: Updated Long-Stay Antipsychotic Measure due in January 2026 Nursing Home CompareQSO-25-20-NH REVISED Memorandum Summary • Post Performance Data for Nursing Home Chains – “Chains” refers to groups of Medicare-certified nursing homes that are connected through common owners, and operators (also called “affiliated entities”). CMS will …
- CMS iQIES S&C User Manual: Manage a Survey LTC Facilities v1.2Information 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
- MDS Data Specifications V3.10.2 (FINAL) for Oct. 1, 2025The MDS Data Specifications V3.10.2 (FINAL) are now available for download. This version reflects changes finalized in the FY 2026 SNF PPS final rule (90 FR 37310). Note that there are some minor changes since DRAFT 3 …
- May 2025 Falls With Major Injury Technical Expert Panel (TEP) Summary ReportThe Centers for Medicare & Medicaid Services (CMS) convened a Technical Expert Panel (TEP) on May 12 and 14, 2025, to obtain input on potential cross-setting updates to the Falls with Major Injury (FMI) measure. …
- FY 2026 SNF VBP ResourcesFrom 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
- FY 2026 ICD-10-CM Code Updates and Coding Guidelines for Oct. 1, 2025 From CMS/CDCCDC announces new ICD-10-CM codes effective October 1, 2025. The October 1, 2025 diagnosis code update files are now available. Use these files for discharges occurring from October 1, 2025 – September 30, 2026, and for …
- iQIES S&C Provider Electronic Plan of Correction (ePOC) Administrator Role User ManualThis 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) …
- FY 2026 Final Rule ICD-10 Mapping File, Wage Index File, and Case-Mix RatesRegulation No. CMS-1827-F Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026; Final Rule Year 2026 Publication Date 2025-08-04 This rule …
- FY 2026 SNF PPS Final Rule PostedOn July 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for updates to Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment …
- Safe Injection, Infusion, Medication Vial, and Point-of-Care Testing Practices in Healthcare (2025)The Association for Professionals in Infection Control and Epidemiology (APIC) has released an updated position paper titled “Safe Injection, Infusion, Medication Vial, and Point-of-Care Testing Practices in Health care (2025),” published in the American Journal of Infection Control …
- Myers and Stauffer Medicaid LinksMyers and Stauffer provides documentation resources and training opportunities for several state Medicaid programs. Learn more below. State Clients Alabama Iowa North Carolina Arkansas Kentucky Ohio California Louisiana Oregon Colorado Maryland Tennessee Connecticut Minnesota Texas …
- PBJ Policy Manual FAQs UpdatedCMS 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 V2.7This 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 CorrectionRelease 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 …
- CMS QSO Memo: Update to Nursing Home CompareMemo # QSO-25-20-NH Posting Date 2025-06-18 Fiscal Year 2025 Memorandum Summary • Post Performance Data for Nursing Home Chains – “Chains” refers to groups of Medicare-certified nursing homes that are connected through common owners, and operators (also …
- AHRQ Revised Surveys on Patient Safety Culture (SOPS) Nursing Home Survey Version 2.0AHRQ has released an updated Surveys on Patient Safety Culture (SOPS) Nursing Home Survey Version 2.0. This revised survey is designed to help nursing homes assess staff perceptions of resident safety culture in their organizations. The survey …
- OIG to Monitor Nursing Homes’ Engagement of Medical DirectorsMedical directors at nursing homes are responsible for implementing resident care policies, coordinating medical care, and participating in quality assessment and assurance activities. Nursing homes are required to report hours worked by medical directors to …
- CDC Project Firstline Measles ResourcesCDC’s Project Firstline and the American Medical Association (AMA) recently hosted a webinar to share important measles updates and help providers and clinics stay prepared for measles. The recording is now available to watch and share. The webinar featured a panel …
- SNF QRP Quick Reference GuideAn updated Quick Reference Guide is now available. The Quick Reference Guide provides high-level information on the SNF Quality Reporting Program, including frequently asked questions and helpful links. PAC-SNF-QuickReferenceGuide-20250508 (PDF) From https://www.cms.gov/medicare/quality/snf-quality-reporting-program/submission-deadlines
- AHRQ Launches New Survey to Assess End-of-Life Care ExperiencesThe Agency for Healthcare Research and Quality (AHRQ) has released the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) End-of-Life Care Survey. The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) End-of-Life Care Survey assesses …
- FY 2026 SNF VBP Program Fact Sheet and Incentive Payment Multiplier Calculation InfographicFY 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
- COE-NF for Behavioral Health Resources: Mental Health Awareness Training Plan, Schizophrenia, and Substance Use RecoveryThe following resources are now available: Mental Health Awareness Training Plan Schizophrenia in Nursing Facilities: Validating Diagnosis and Planning for Appropriate Care Schizophrenia Fact Sheet 4 Ways Nursing Homes Can Promote Substance Use Recovery See …
- iQIES Nursing Homes – Surveys Workbook for SurveyorsThis workbook simulates the survey functions in iQIES and may provide a bare-bones (i.e., basic) walkthrough of how surveyors will approach survey using iQIES. To access, go to https://qtso.cms.gov/software/iqies/reference-manuals Then go to the section titled iQIES …
- 20 “Choosing Wisely” Recommendations From PALTmed“1. Don’t insert percutaneous feeding tubes in individuals with advanced dementia. Instead, offer oral assisted feedings: Strong evidence exists that artificial nutrition does not prolong life or improve quality of life in patients with advanced dementia. …
- NOMNC and DENC: New Forms Must Be Used Starting Jan. 1, 2025; Different Start Date for DENC Only for Medicare AdvantageFFS & MA NOMNC/DENC What’s New 11/18/2024: New NOMNC and DENC for Original Medicare and Medicare Advantage The Office of Management and Budget (OMB) has approved a revised Notice of Medicare Non-Coverage (NOMNC / CMS-10123) …
- CMS Nursing Home Staffing Campaign WebsiteImproving 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. …
- SNF PPS MedPAC Payment Basics Fact Sheet / Educational ToolUpdated November 2025 Skilled nursing facility services payment system Additional payment basics here: https://www.medpac.gov/document-type/payment-basic/
- OIG: Nursing Facility Industry Segment-Specific Compliance Program GuidanceFrom https://oig.hhs.gov/compliance/nursing-facility-icpg/ The Nursing Facility ICPG—together with OIG’s General Compliance Program Guidance (GCPG) that applies to all individuals and entities involved in the health care industry—serves as OIG’s updated and centralized source of voluntary compliance program guidance for …
- Diabetes Management in Post-Acute and Long-Term Care: JAMDA Clinical Practice GuidelineThe newly revised Clinical Practice Guideline for Diabetes Management in the Post-Acute and Long-Term Care (PALTC) Setting provides (1) new information on overall goals in diabetes care, (2) detailed information on how to use and …
- Moving Forward Coalition Guide to Addressing Resident Goals, Preferences, and PrioritiesThe Moving Forward Coalition, in partnership with A.G. Rhodes, Kansas State University (KSU), Dash Media, and The John A. Hartford Foundation, presents “The Foundation of Our Work: What Matters Most to Residents”! Why do we …