by Proactive LTC Consulting | Aug 5, 2026 | Compliance, Emergency Preparedness, QAPI, Quality, Regulatory, Resident Rights, Safety
Ad Hoc QAPI Meetings – Why, When, and How? Q: Why Would a Facility Hold an Ad Hoc QAPI Meeting? A: An Ad Hoc QAPI Meeting is a valuable tool within a facility’s comprehensive Quality Assurance and Performance Improvement (QAPI) program. It provides a...
by Proactive LTC Consulting | Aug 5, 2026 | MDS, Medicare, Nursing Home Consultant, Quality Measure, Reimbursement, SNF
FY 2027 SNF Final Rule: What Facilities Need to Know Now CMS has issued the FY 2027 Skilled Nursing Facility Prospective Payment System (SNF PPS) Final Rule. The rule includes a payment update, Quality Reporting Program (QRP) changes, future all-payer MDS reporting...
by Proactive LTC Consulting | Aug 5, 2026 | 5-Star, Nursing, Nursing Home Consultant, Quality, Regulatory, Survey
Risk Based Survey (RBS) Process Starts Sept. 8th— What you Need to Know The long-awaited Risk Based Survey (RBS) process will be launched nationwide beginning September 8, 2026. CMS began testing this process in 2023 in 22 states with over 100 facilities and found...
by Proactive LTC Consulting | Aug 3, 2026 | Documentation, Home Health
One of the top denial reasons for home health claims is “services were not medically necessary”. Many home health agencies face challenges related to documenting medical necessity for both nursing and therapy services. Clinicians must “paint the picture” each visit to...
by Proactive LTC Consulting | Jul 29, 2026 | Abuse, Coding, Compliance, Fraud, Medicaid, Medicare, PDPM, Reimbursement, SNF
SNF PDPM Fraud and Abuse Risk Update: What Providers Need to Know The Patient-Driven Payment Model (PDPM) significantly changed skilled nursing facility (SNF) reimbursement under Medicare by shifting reimbursement from therapy service volume to residents’ clinical...
by Proactive LTC Consulting | Jul 29, 2026 | Clinical, Compliance, Medicaid, Medicare, Regulatory, Resident Rights, Safety
Q: Medical marijuana is legal in our state, and a new resident has a physician’s certification for its use. Are we required to allow the resident to use medical marijuana in our facility? A: This is a common question long-term care providers face as more...
by Proactive LTC Consulting | Jul 22, 2026 | Clinical, Falls, MDS, Nursing, Quality, Regulatory, Reimbursement, Resident Rights, Restorative
Q: What should be included in the note for periodic review of restorative nursing programs? A: As the nurse overseeing restorative nursing, when reviewing restorative documentation, ensure the note answers these questions: Was the restorative intervention...
by Proactive LTC Consulting | Jul 22, 2026 | 5-Star, Audits, Compliance, Education, MDS, PBJ, Regulatory, Staffing, VBP
Is Your PBJ Data Telling the Right Story? Payroll-Based Journal reporting is often viewed as a quarterly payroll task. Submit the file, confirm it was accepted, and move on. But PBJ tells a much bigger story—reflecting the staffing your residents received, the...
by Proactive LTC Consulting | Jul 15, 2026 | Abuse, Accidents/Incidents, Care Planning, Compliance, Falls, Family, Legal, Nursing Home Consultant, Person Centered Care, Quality, Safety
Family Communication Challenges: What should you do? Strong communication with families is essential to providing quality resident-centered care. Challenging conversations often occur during times of stress, unexpected changes, or misunderstandings. Effective...
by Proactive LTC Consulting | Jul 15, 2026 | 5-Star, Clinical, Compliance, Mock Survey, Nursing, Nursing Home Consultant, Plan of Correction, QAPI, Regulatory, Survey
Common Reasons Plans of Correction (PoCs) Are Rejected Receiving a Statement of Deficiencies (CMS-2567) is stressful enough. Writing a Plan of Correction (PoC) that satisfies your state survey agency can be equally intimidating. Under CMS regulations (42 CFR...
