by Proactive LTC Consulting | May 20, 2026 | Compliance, Documentation, Emergency Preparedness, Nursing Home Consultant, QA, QAPI, Quality, Safety, Staffing, Survey
Emergency Preparedness Plan Drills & Tabletop Exercises Emergency preparedness can no longer be treated as a “binder on the shelf” requirement. Surveyors increasingly expect Skilled Nursing Facilities to demonstrate that emergency preparedness programs are active,...
by Proactive LTC Consulting | May 13, 2026 | 5-Star, Care Planning, Clinical, Falls, Nursing, Nursing Home Consultant, Quality, Quality Measure, Restorative, Safety, Survey, Therapy
Fresh Take on Repetitive Falls Falls remain one of the most challenging quality and safety concerns in skilled nursing facilities with one in three residents experiencing recurrent falls each year[i]. While many falls do not result in major injury, repetitive falls...
by Proactive LTC Consulting | May 6, 2026 | Care Planning, F-Tag, Nursing, Person Centered Care, Quality, Resident Rights, Safety, Survey
Q: I have a resident that was originally admitted to our facility with a stage 2 pressure ulcer who went out to the hospital for three days and returned with a stage 2 pressure ulcer in the same location. How would this be coded on the MDS? A: Completing a...
by Proactive LTC Consulting | Apr 29, 2026 | Care Planning, F-Tag, Nursing, Person Centered Care, Quality, Resident Rights, Safety, Survey
Q: What should be considered when assessing a resident’s safety with hot liquids? A: Several factors that should be considered for all residents in determining safe ingestion of hot liquids including: Is there any history of spills or injuries related to hot...
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...