by Proactive LTC Consulting | Jan 14, 2026 | 5-Star, Admissions, Antipsychotics/Psychotropics, Behavioral Health, Coding, MDS, Nursing, Physicians, Quality, Quality Measure
The MDS 3.0 Quality Measures User’s Manual v18.0, effective January 1, 2026, includes some notable changes to QM specifications and reporting expectations. In addition, MDS‑driven QMs are becoming increasingly impactful across Care Compare, Five‑Star Ratings, SNF QRP,...
by Proactive LTC Consulting | Nov 26, 2025 | Clinical, MDS, Nursing, Quality, Quality Measure, RAI Manual, Weight Loss
Q: Our facility has been flagged on the Weight Loss Quality Measure (QM. Upon reviewing the clinical records of residents identified with unplanned weight loss, we found several cases where a previous monthly weight documented on the prior MDS was likely inaccurate....
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 | Oct 29, 2025 | Compliance, Falls, Legal, MDS, Quality, Quality Measure, Regulatory, SNF
Unreported Falls in Nursing Homes: OIG Study Findings In September 2025, the U.S. Department of Health and Human Services Office of Inspector General (OIG) released a concerning report related to a study with findings indicating that falls with major injury were...
by Proactive LTC Consulting | Oct 15, 2025 | Care Planning, Compliance, MDS, Medicaid, Medicare, PDPM, Quality, Quality Measure, Reimbursement, Survey
Q: Your MDS Coordinator could come to you at any time needing an emergency medical leave, giving notice, or simply deciding that the role is no longer a good fit. What potential challenges could arise if you don’t have an experienced person to fill the position, and...
by Proactive LTC Consulting | Sep 10, 2025 | 5-Star, Compliance, Falls, MDS, QAPI, Quality Measure, VBP
BIG Changes to the Falls with Major Injury QM: What Changed and Why it Matters In the ever changing environment of quality reporting in healthcare, few metrics carry more weight than the Falls with Major Injury (FMI) measure. The Falls with Major Injury (FMI)...
