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 | 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 8, 2026 | Care Planning, Coding, Documentation, ICD.10, Infection Prevention, MDS, Physicians
Q: How do I determine if a diagnosis is active and can be coded on the MDS? A: Determining whether a diagnosis can be coded on the MDS involves a two-step process. A diagnosis must meet both criteria to be coded as an active diagnosis. Step 1: Was the...
by Proactive LTC Consulting | Jun 17, 2026 | Care Planning, Clinical, Dietary, Documentation, Education, Nutrition, Person Centered Care, Quality, Resident Rights
Q: One of the residents at my facility was recently put onto a fluid restriction for ESRD, what should I be concerned about for documentation and care planning? A: Fluid restrictions, and any dietary restrictions, are not uncommon, but can present some...
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...
