by Proactive LTC Consulting | Dec 10, 2025 | Care Planning, Clinical, Coding, Dietary, Documentation, MDS, Medicaid, Medicare, Nursing, PDPM, Physicians
Q: Can I code Malnutrition (Section I5600) on the MDS based on a dietary assessment that identifies the resident as at risk for malnutrition? A: No. Dietitian assessments alone do not provide sufficient documentation for coding of this item on the MDS. ...
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 26, 2025 | Care Planning, Clinical, Documentation, Education, Falls, Nursing, Quality, Restorative, Survey
Restorative Nursing Recordkeeping A strong Restorative Nursing Program is one of the most powerful tools in long-term care for maintaining resident function, reducing falls and hospitalizations, and supporting quality of life. Even excellent restorative programming...
by Proactive LTC Consulting | Nov 19, 2025 | Documentation, MDS, Medicaid, Nursing, PDPM, Quality, Regulatory, Reimbursement
Medicaid Case Mix Index Under PDPM: What LTC Facilities Need to Know As of October 1, 2025, the nationwide transition away from RUG-based Medicaid systems marks a major shift for long-term care. With more states moving to PDPM-based methodologies—and many...
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 | Care Planning, Documentation, Medication, Pain, QAPI, Quality, Survey
F697 Pain Management Updates: What SNFs Need to Know Managing pain effectively isn’t just about comfort — it’s a core component of quality care and compliance in post-acute care environments. The Centers for Medicare & Medicaid Services (CMS) recently updated F697...
