by Proactive LTC Consulting | Apr 29, 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 | Apr 29, 2026 | Care Planning, F-Tag, Nursing, Person Centered Care, Quality, Resident Rights, Safety, Survey
Q: What should be considered when assessing a resident’s safety with hot liquids? A: Several factors that should be considered for all residents in determining safe ingestion of hot liquids including: Is there any history of spills or injuries related to hot...
by Proactive LTC Consulting | Apr 29, 2026 | 5-Star, Behavioral Health, Care Planning, Documentation, Nursing Home Consultant, Psychotropics, QAPI, Quality, Quality Measure
In long-term care, behaviors are often one of the earliest signs that something has changed with a resident. Agitation, wandering, refusal of care, exit-seeking, verbal outbursts, sleep disruption, repetitive questioning, or sudden withdrawal are rarely “just...
by Proactive LTC Consulting | Apr 22, 2026 | 5-Star, Antipsychotics/Psychotropics, Audits, Coding, MDS, Medication, Nursing Home Consultant, Quality, Quality Measure
Q: My facility Long-Stay antipsychotic percentage increased on my 2026 Quality Measures. What are some best practices for reviewing Psychotropic medications? A: It is possible the increase in your QM percentage is not due to a true increase in antipsychotic...
by Proactive LTC Consulting | Apr 22, 2026 | 5-Star, Antipsychotics/Psychotropics, Coding, Documentation, Falls, MDS, Nursing Home Consultant, QAPI, Quality, Quality Measure, Weight Loss
The Engine Behind Outcomes: Quality Measure Systems Many facilities focus on Quality Measure scores after they decline. High-performing facilities build systems that prevent decline before it happens. Improving Quality Measures (QMs) in skilled nursing...
by Proactive LTC Consulting | Apr 15, 2026 | 5-Star, Care Planning, Dietary, Falls, Legal, Medication, Nursing Home Consultant, Pharmacy, Quality, Regulatory, Survey
Top Survey Deficiencies Q1-2026 The top survey tag for Quarter 1 of 2026 was F880 Infection Prevention and Control, followed by F689 Free of Accident Hazards/Supervision/Devices. Read on for details on the most commonly cited issues in these tags…. Top...
by Proactive LTC Consulting | Apr 15, 2026 | Clinical, Education, Facility Assessment, Facility Assessment Tool, Nursing, Nursing Home Consultant, Quality, Regulatory
Q: What is a good way to gauge the current competency level of my staff? A: A practical and effective way to gauge the current competency level of your staff is to combine your Facility Assessment with hands-on skills validation. Start by ensuring your Facility...
by Proactive LTC Consulting | Apr 8, 2026 | Compliance, Falls, Nursing, Nursing Home Consultant, QA, QAPI, Regulatory, Weight Loss
Risk Management in Action: Effective Meeting Strategies for Long-Term Care Leaders Risk management meetings area a cornerstone of safe, high-quality care in long-term care facilities. They provide a structured forum to identify trends, reduce harm, and strengthen...
by Proactive LTC Consulting | Apr 8, 2026 | Audits, Compliance, MDS, Medicare, PDPM, QRP, Quality, Quality Measure, Reimbursement, Staffing, VBP
FY 2027 SNF Proposed Payment Rule: What SNFs Need to Know On April 2, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for updates to Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing...
by Proactive LTC Consulting | Apr 8, 2026 | 5-Star, Clinical, Nursing, Nursing Home Consultant, Pressure Ulcers, Quality, Quality Measure, Wound
From Risk to Results: Pressure Ulcer QM Improvement Pressure Ulcer and injury Quality Measures (QMs) are no longer just indicators of care; they are performance drivers that directly impact your Five-Star rating, public reporting, and reimbursement. Yet many...
