by Proactive LTC Consulting | Dec 3, 2025 | Compliance, Documentation, MDS, Nursing, Quality
Q: What types of services are included in the coding of Respiratory Therapy on the MDS? Can this be done by CMTs? What must be included in the documentation to code Respiratory Therapy? A: Appendix A of the RAI manual defines Respiratory Therapy as “Services...
by Proactive LTC Consulting | Nov 19, 2025 | Compliance, Documentation, Regulatory
Q: A resident tells you a personal item is missing. What steps should be taken? A: Start by staying calm and acknowledging their concern. Gather the key details — what’s missing, where was the item last seen, and when did they last have it? Document the report...
by Proactive LTC Consulting | Nov 12, 2025 | CAA, Care Planning, Compliance, MDS, Nursing, Person Centered Care, Quality
Q: How are residents and their families involved in the CAA process? A: The Care Area Assessment (CAA) process is the foundation for developing each residents individualized care plan. The information gathered during CAAs helps the interdisciplinary team...
by Proactive LTC Consulting | Nov 5, 2025 | Compliance, Dietary, Documentation, Nursing, Nutrition, Quality, Weight Loss
Q: Why is monitoring enteral feedings important in LTC? A: Monitoring ensures the resident is receiving the correct nutrition safely and effectively. It helps identify complications early, such as: Tube blockage or displacement Aspiration risk Intolerance...
by Proactive LTC Consulting | Nov 5, 2025 | Care Planning, Compliance, Discharge, Documentation, Physicians, Quality, Regulatory, Resident Rights
Capturing Required Transfer/Discharge Documentation Significant emphasis is placed on the need for comprehensive documentation to support that resident transfers/discharges are justified and in compliance with the regulations outlined in the April 28, 2025 update to...
by Proactive LTC Consulting | Oct 29, 2025 | Compliance, Falls, Legal, MDS, Quality, Quality Measure, Regulatory, SNF
Unreported Falls in Nursing Homes: OIG Study Findings In September 2025, the U.S. Department of Health and Human Services Office of Inspector General (OIG) released a concerning report related to a study with findings indicating that falls with major injury were...
