by Proactive LTC Consulting | Sep 23, 2026 | Antipsychotics/Psychotropics, Behavioral Health, Care Planning, Documentation, Nursing Home Consultant
Beyond the Behavior Log: Turning Behavioral Documentation Into Action Behavior logs are a familiar part of long-term care. Staff document episodes of agitation, resistance to care, wandering, yelling, aggression, anxiety, or other behavioral symptoms—often shift after...
by Proactive LTC Consulting | Aug 19, 2026 | Behavioral Health, Care Planning, Coding, Compliance, Depression, Documentation, MDS, Medicaid, Medicare, PDPM, Reimbursement
Q: What process should we follow to capture an accurate depression score and support the PDPM depression end split? A: Start the Resident Mood Interview early in the assessment window. The RAI Manual directs us to attempt the interview with all residents who...
by Proactive LTC Consulting | Aug 12, 2026 | 5-Star, Antipsychotics/Psychotropics, Behavioral Health, Care Planning, Documentation, MDS, Medication, Nursing, Pharmacy, Physicians, Quality, Quality Measure, Survey
OIG Expectations–Antipsychotics Back in the Spotlight The Office of Inspector General (OIG) recently emphasized their continued attention on antipsychotic use in nursing homes based on the identification of several concerning trends. The key takeaway for nursing...
by Proactive LTC Consulting | Jun 10, 2026 | Activities, Behavioral Health, Care Planning, Dementia Care, Nursing, Pain, Quality
Q: We have a resident with dementia who becomes restless and repeatedly attempts to leave the unit during the late afternoon. As part of care planning, what non-pharmacological interventions should we consider? A: Effective person-centered care focuses on...
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 | Jan 14, 2026 | 5-Star, Admissions, Antipsychotics/Psychotropics, Behavioral Health, Coding, MDS, Nursing, Physicians, Quality, Quality Measure
The MDS 3.0 Quality Measures User’s Manual v18.0, effective January 1, 2026, includes some notable changes to QM specifications and reporting expectations. In addition, MDS‑driven QMs are becoming increasingly impactful across Care Compare, Five‑Star Ratings, SNF QRP,...