by Proactive LTC Consulting | Jul 30, 2025 | Coding, ICD.10, MDS, Medicare, Nursing, SNF
Q: A resident was admitted with a diagnosis of acute on chronic respiratory failure requiring a new tracheostomy. The trach was placed during the hospital stay and the resident continues to require suctioning, respiratory monitoring, and oxygen therapy here in the... by Proactive LTC Consulting | Jul 30, 2025 | Care Planning, Compliance, F-Tag, Nursing, Survey
F695—Respiratory & Tracheostomy Care in LTC In today’s skilled nursing environment, respiratory and tracheostomy care isn’t just a specialized service—it’s an essential competency. With increasing acuity among residents and heightened... by Proactive LTC Consulting | Jul 23, 2025 | Compliance, F-Tag, Nursing, Regulatory, Safety, Survey, Training
F678—CPR Appendix PP Revisions CMS revisions to F 678 Cardiopulmonary Resuscitation were significant in bringing the regulations to align with current nationally accepted standards for CPR training. Here’s what you need to know to bring your training and... by Proactive LTC Consulting | Jul 16, 2025 | 5-Star, Antipsychotics/Psychotropics, Behavioral Health, Compliance, F-Tag, Nursing, Psychotropics, Quality, Regulatory, Survey
F605 Gradual Dose Reduction Updates for Nursing Homes Earlier this year, the Centers for Medicare & Medicaid Services (CMS) issued revised guidance under F605, sharpening its focus on the misuse of psychotropic medications as chemical restraints and... by Proactive LTC Consulting | Jul 2, 2025 | Compliance, Nursing, Quality
Q: Our facility is thinking about implementing flexible time ranges for medications rather than a specific time to help us stay in compliance with our heavy morning and evening medication passes. What are the pros and cons of making this change? A: Deciding... by Proactive LTC Consulting | Jun 11, 2025 | Clinical, Compliance, MDS, Nursing, Wound
Q: We are caring for a resident who recently admitted with a new G-tube. Can I code the G-tube site as a surgical wound in Section M? A: The RAI describes surgical wounds as any healing and non-healing, open or closed surgical incisions, skin grafts, or...