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...
by Proactive LTC Consulting | Apr 1, 2026 | 5-Star, Coding, Compliance, Documentation, MDS, Nursing, Nursing Home Consultant, Quality, Quality Measure, Regulatory, Reimbursement, Survey
Q: I am a Director of Nursing Services (DNS) juggling many responsibilities. What is the best way to support and oversee the MDS department? A: The most effective approach to overseeing MDS is to balance support, accountability, and clinical involvement with a...
