by Proactive LTC Consulting | Aug 26, 2026 | Audits, Clinical, Compliance, Documentation, DON, Education, MDS, Medical Review, Nursing, QA, QAPI, Quality, Quality Measure
Q: As a Director of Nursing Services, what can I do to support the MDS department? A: As a Director of Nursing Services (DNS), one of the best ways to support the MDS department is to treat MDS as an interdisciplinary clinical function, not simply as an...
by Proactive LTC Consulting | Jul 22, 2026 | 5-Star, Audits, Compliance, Education, MDS, PBJ, Regulatory, Staffing, VBP
Is Your PBJ Data Telling the Right Story? Payroll-Based Journal reporting is often viewed as a quarterly payroll task. Submit the file, confirm it was accepted, and move on. But PBJ tells a much bigger story—reflecting the staffing your residents received, 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 | Apr 15, 2026 | Clinical, Education, Facility Assessment, Facility Assessment Tool, Nursing, Nursing Home Consultant, Quality, Regulatory
Q: What is a good way to gauge the current competency level of my staff? A: A practical and effective way to gauge the current competency level of your staff is to combine your Facility Assessment with hands-on skills validation. Start by ensuring your Facility...
by Proactive LTC Consulting | Apr 1, 2026 | 5-Star, Education, Falls, Nursing Home Consultant, QAPI, Quality, Quality Measure, Safety, SNF
Turning Fall Data into Action: Driving Meaningful Prevention Strategies Falls remain one of the most persistent and costly challenges in skilled nursing facilities. Yet despite ongoing prevention efforts, many facilities find themselves stuck in a cycle of...
by Proactive LTC Consulting | Mar 18, 2026 | 5-Star, Coding, Education, ICD.10, MDS, Medicaid, Medicare, Nursing Home Consultant, Quality, Quality Measure, Reimbursement, SNF
Impact of Primary Diagnosis Selection on the Quality Measures A well‑chosen primary diagnosis and accurate coding of all active diagnoses on the MDS does more than impact reimbursement. It shapes a resident’s clinical category, which in turn determines whether the...
