by Proactive LTC Consulting | Apr 29, 2026 | 5-Star, Behavioral Health, Care Planning, Documentation, Nursing Home Consultant, Psychotropics, QAPI, Quality, Quality Measure
In long-term care, behaviors are often one of the earliest signs that something has changed with a resident. Agitation, wandering, refusal of care, exit-seeking, verbal outbursts, sleep disruption, repetitive questioning, or sudden withdrawal are rarely “just...
by Proactive LTC Consulting | Apr 22, 2026 | 5-Star, Antipsychotics/Psychotropics, Audits, Coding, MDS, Medication, Nursing Home Consultant, Quality, Quality Measure
Q: My facility Long-Stay antipsychotic percentage increased on my 2026 Quality Measures. What are some best practices for reviewing Psychotropic medications? A: It is possible the increase in your QM percentage is not due to a true increase in antipsychotic...
by Proactive LTC Consulting | Apr 22, 2026 | 5-Star, Antipsychotics/Psychotropics, Coding, Documentation, Falls, MDS, Nursing Home Consultant, QAPI, Quality, Quality Measure, Weight Loss
The Engine Behind Outcomes: Quality Measure Systems Many facilities focus on Quality Measure scores after they decline. High-performing facilities build systems that prevent decline before it happens. Improving Quality Measures (QMs) in skilled nursing...
by Proactive LTC Consulting | Apr 8, 2026 | Audits, Compliance, MDS, Medicare, PDPM, QRP, Quality, Quality Measure, Reimbursement, Staffing, VBP
FY 2027 SNF Proposed Payment Rule: What SNFs Need to Know On April 2, 2026, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule for updates to Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing...
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 | Apr 1, 2026 | 5-Star, Coding, Compliance, Documentation, MDS, Nursing, Nursing Home Consultant, Quality, Quality Measure, Regulatory, Reimbursement, Survey
Q: I am a Director of Nursing Services (DNS) juggling many responsibilities. What is the best way to support and oversee the MDS department? A: The most effective approach to overseeing MDS is to balance support, accountability, and clinical involvement with a...
