Consulting Services for Skilled Nursing Facilities (SNF)

& Long-Term Care (LTC)

Proactive provides proven solutions to advance regulatory compliance, reimbursement accuracy and measurable care excellence. Our nurse consulting partnerships, tools and training allow your team to focus on your care mission.

Proactive LTC Consulting Services

5 - Star Quality

Partnerships to drive Quality Measures, Health Inspection results and appropriate Staffing through remote and onsite support plans and clinical consultation for key programs of care by LTC expert nurse consultants.

Survey Management

Survey preparedness consulting through Mock Surveys, as well as survey support for Plans of Correction, Directed Inservice Training and Monitoring, and the IDR/IIDR process.

MDS Support

AAPACN RAC-certified MDS nurse consultants offer MDS training, audits, consulting, and interim staffing. Remote MDS coding analysis for optimal PDPM, CMI and QM accuracy and annual support work plans are available, as well as ICD.10-CM training.


Medicare, Medicaid, and insurance reimbursement support including PDPM and CMI validation audits and operational process improvement consulting for payment accuracy, supportive documentation quality and compliance.


Compliance & Ethics Program implementation and support services including policies, training, investigations and HCCA certified interim Compliance Officer partnerships


LTC experts assist the achievement of clinical quality goals through short-term projects and long-term work plans with regular onsite visits combined with remote assistance and monitoring activities.


Quality Assurance Performance Improvement programming, tools, training and partnerships including remote and onsite nurse consulting to promote consistent quality of care and services.

Medical Review

Complete ADR and Appeals management services, FCA investigation support, voluntary disclosures, as well as consulting to drive successful outcomes with reduced overpayment liability for providers involved in RAC, UPIC/ZPIC, TPE, SMRC and commercial payer reviews.


Certified Legal Nurse Consultants provide case evaluation, deposition and trial support and expert witness testimony services for medically related litigation and legal matters


Live workshops, live and on-demand webinars and collaborative training partnerships with provider organizations and associations, as well as Staff Competency training toolkits

Training and Education

Proactive provides education through live workshops, webinars, and in partnership with provider organizations and associations throughout the US. Our on-demand trainings are a convenient way to gain the knowledge that allows you to bring value to your senior care team, while meeting individual CE requirements. Staff Competency toolkits meet requirements of participation standards and are customizable to meet your staff development needs.

On-Demand Training
Workshop Registration
Competency Based Training
Training Partnerships
What our clients say about us…

Your success is our success. Proactive’s proven results in achieving 5-star survey outcomes, recovering denied reimbursement under medical review, and driving systems for care quality and compliance speak for themselves. Click here to read more testimonials.

SNF OPERATIONS & SURVEY PREP: Proactive has been instrumental in keeping us informed and compliant with the ever-changing regulations and requirements related to skilled nursing care. Specifically, they have helped us properly document and provided exceptional tools and education for our nursing and therapy departments. Additionally, they work closely with nursing in all facets of their daily responsibilities including the development and revision of facility policies and procedures. Thanks to their expertise, we were able to obtain a deficiency free survey. They have been a great addition to our team.
Rick Foley

Owner and CFO, Parkway Rehabilitation and Nursing Center - Louisville, KY

TOOLS, TRAINING & SURVEY: Proactive is simply outstanding in my book.  Shelly and Amie are the epitome of professionalism.  Their expertise in all the complex and ever changing issues that we deal with in long-term care has been invaluable to us.  I don’t know what we would have done without the templates, policy review, guidance and training they were able to provide. They went above and beyond to help us through a very serious and urgent matter with a State Survey and for that I will be eternally grateful.  On top of all that, each time I have contacted Proactive with a question or a need, their response time has been downright impressive.  We will not hesitate to call on Proactive any time we are faced with a challenge that requires more expertise or resources than we have in-house.
Kevin McKeever, HFA

Director of Operations, Grace Village Retirement Community - Fort Wayne, IN

QAPI: I felt compelled to contact you to express my heartfelt thanks for the wonderful training you provided … Yesterday I embarked on the journey to institute a real QAPI program, though actually I had been attempting this for the past 14 months. Your lecture along with the resources you made available during your presentation are the best tools I have ever been given. Your mentoring will go a long way in my attempt to conduct a quality QA/QAPI program.
Dave McMahan

Administrator, River Terrace Retirement Community - Bluffton, IN

Less than 90% of skilled nursing facilities have missed PDPM coding opportunities—are you one of them?

Schedule a Proactive PDPM Audit to Ensure Accurate Reimbursement! Proactive provides PDPM coding audits to identify potential MDS errors, missed coding opportunities, and to assess the quality of SNF supportive documentation. Contact us to schedule a budget-friendly pre-submission audit sample today!

50% of LTC Mock Survey clients had a deficiency free annual survey*

*50% of facilities who had mock and survey in 2021 had deficiency free annual survey following the mock