by Proactive LTC Consulting | Feb 11, 2026 | Home Health
Home Health Turnover: Causes, Costs, and Practical Solutions Employee turnover is one of the biggest challenges facing home health agencies today. Whether you provide skilled home health, personal care, or private duty services, keeping quality caregivers and...
by Proactive LTC Consulting | Feb 11, 2026 | Education, Nursing Home Consultant, Survey
Q: What is CMS Directed In-Service Training? A: CMS Directed In-Service Training (DIT) is a regulatory enforcement remedy used when surveyors identify serious or systemic noncompliance in a nursing facility. Rather than relying solely on corrective action...
by Proactive LTC Consulting | Feb 11, 2026 | 5-Star, Audits, Education, Mock Survey, Nursing Home Consultant, Survey
Daily Survey Readiness: The Foundation of Successful Survey Outcomes The key to a successful survey outcome is maintaining survey readiness every day. Achieving this requires consistent, intentional actions embedded into daily operations. Consider these critical...
by Proactive LTC Consulting | Feb 4, 2026 | 5-Star, Audits, Nursing Home Consultant, Staffing
Q: After submitting our quarterly PBJ file we discovered there were hours for agency nursing staff that we omitted. Are we able to correct this omission? Will the omission impact our Five Star rating? A: The ability to correct depends on whether the submission...
by Proactive LTC Consulting | Feb 4, 2026 | 5-Star, CMS, Compliance, Nursing Home Consultant, Survey
State Operation Manual Revisions to Chapters 5 and 7 On January 30, 2026 CMS released QSO-26-03-NH which announces the revisions to Chapter 5 and Chapter 7 of the State Operations Manual. CMS indicates that these updates were to “align instructions and guidance with...
