by Proactive LTC Consulting | Jan 28, 2026 | Antipsychotics/Psychotropics, ICD.10, Nursing Home Consultant, Pharmacy, Quality, Quality Measure, SNF
A Big Change Is Showing Up in Your QM Reports: Hybrid Long-Stay Antipsychotic Measure The new Hybrid Long-Stay Antipsychotic Quality Measure is now live and visible on MDS 3.0 QM reports resulting in dramatic shifts in scoring for some facilities. If you haven’t...
by Proactive LTC Consulting | Dec 30, 2025 | Clinical, Coding, MDS, Medicare, PDPM, Reimbursement, SNF
Q: One of our long-term residents fell and fractured their femur requiring a hip replacement. They returned to our facility on a skilled stay. The IDT met to discuss a primary diagnosis. Therapy insists we should use Z47.1 Aftercare following joint replacement...
by Proactive LTC Consulting | Dec 24, 2025 | 5-Star, Care Planning, Compliance, Education, F-Tag, MDS, Nursing, Quality, Regulatory, SNF, Survey, VBP
Top Deficiencies of 2025 & Compliance Trends Heading Into the New Year As we move into the new year, nursing homes continue to navigate an increasingly complex regulatory environment. While enforcement priorities remain consistent in many areas, how...
by Proactive LTC Consulting | Dec 3, 2025 | Nursing, Nursing Home Consultant, Quality, SNF, Staffing
The Power of Purposeful Morning Meetings In long-term care (LTC) communities, the first moments of the day set the tone for the team and everything that follows. A well-structured morning meeting is more than a daily huddle– it should service as an anchor...
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 | 5-Star, Nursing, Quality, SNF, Staffing
5 Minute Staff Retention Strategies for the Busy DON Most experts agree that the main reasons for high turnover in all areas of healthcare, especially nurses and nursing assistants, include burnout, aging of the workforce and fierce competition to attract...