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 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 | 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 | Aug 27, 2025 | 5-Star, Audits, Compliance, Documentation, F-Tag, Legal, QAPI, Quality, Regulatory, Survey
When a deficiency is cited, the clock starts ticking. How you respond through your Plan of Correction can set the tone for your survey outcome—and your facility’s reputation. This week, we’re sharing practical tips to help you craft a PoC that not only meets...
by Proactive LTC Consulting | Jul 16, 2025 | ADR, Appeals, Audits, Documentation, Medical Review, Medicare, Reimbursement, SNF
Q: Do we need to obtain prior authorization for every managed care resident who requires skilled services, even if they clearly meet criteria? A: Unfortunately, yes — at least for now. Most managed care plans (including Medicare Advantage) still require prior...
