Ask Proactive – The Medicare and Medicaid Services (CMS) updated the surveyor guidance found in Appendix PP of the State Operations Manual on June 29, 2022. Surveyors will use critical element (CE) pathways to aid in the investigation of many of the federal tags. When will the new guidance begin?

Q: The Medicare and Medicaid Services (CMS) updated the surveyor guidance found in Appendix PP of the State Operations Manual on June 29, 2022. Surveyors will use critical element (CE) pathways to aid in the investigation of many of the federal tags. When will the new...

MDS Completion: Death During Therapeutic Leave

Q: I have a resident who went home this past week to spend a few hours with family. While on her therapeutic leave she expired. Do I complete a Discharge Return Not Anticipated assessment or death in facility? A: A Death in Facility assessment would be completed. RAI...

Ask Proactive – Our therapy contract company recently notified us that their therapy staff will no longer be able to help cover nurse aide / CNA responsibilities. We don’t agree with this. The regulation did not change and there hasn’t been recent activity with waiver updates. Please help.

Q: Our therapy contract company recently notified us that their therapy staff will no longer be able to help cover nurse aide / CNA responsibilities. We don’t agree with this. The regulation did not change and there hasn’t been recent activity with waiver updates....