by Proactive LTC Consulting | Apr 8, 2026 | 5-Star, Clinical, Nursing, Nursing Home Consultant, Pressure Ulcers, Quality, Quality Measure, Wound
From Risk to Results: Pressure Ulcer QM Improvement Pressure Ulcer and injury Quality Measures (QMs) are no longer just indicators of care; they are performance drivers that directly impact your Five-Star rating, public reporting, and reimbursement. Yet many...
by Proactive LTC Consulting | Oct 29, 2025 | 5-Star, MDS, Nursing, Pressure Ulcers, Quality, Quality Measure
Q: I have a resident with an in-house acquired Stage 2 pressure injury. He went out to the hospital for three days and upon return, it was documented as Stage 4. How should this be coded on the MDS? A: The RAI User’s Manual (v1.18.11, effective Oct. 1, 2025)...
by Proactive LTC Consulting | Sep 3, 2025 | Nursing, Pain, Pressure Ulcers, Quality, Wound
Q: I struggle with identifying Moisture Associated Skin Damage (MASD) from some pressure injuries. How can MASD and pressure injury be differentiated? A: Differentiating between Moisture Associated Skin Damage (MASD) and pressure injuries can be challenging,...
by Proactive LTC Consulting | Jul 9, 2025 | Care Planning, Compliance, Documentation, Pressure Ulcers, Quality, Quality Measure
Q: What is the difference between avoidable and unavoidable pressure injuries? A: The determination of whether a pressure injury is avoidable versus unavoidable depends on the facility meeting the following criteria. The facility must ensure the following:...
by Proactive LTC Consulting | Jun 4, 2025 | Compliance, Elopement, Falls, Pressure Ulcers, QAPI, Quality, Regulatory, Survey
Learning from Adverse Events & Incidents Studies show that nearly one in three skilled nursing facility residents experience an adverse event during their stay, with approximately 60% of these events being potentially preventable. Adverse events in skilled...
by Proactive LTC Consulting | Apr 22, 2025 | Compliance, MDS, Nursing, Pressure Ulcers
Q: Are wounds not otherwise classified on the MDS supposed to be coded at M1040D. Open lesion(s) other than ulcers, rashes, cuts? A: Accurate coding of skin conditions on the MDS must begin with determining the underlying cause (etiology) of the skin issue....
