by Proactive LTC Consulting | Jun 3, 2026 | Compliance, Documentation, DON, Legal, Nursing Home Consultant, Staffing
Q: We have an employee who has had multiple attendance issues and performance concerns. We’ve documented counseling sessions, provided coaching, and issued written warnings, but the employee has not improved. What steps should we take before terminating...
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 14, 2026 | Home Health, Staffing
The major Medicare change announced on May 13, 2026, is a nationwide temporary freeze on new Medicare enrollments for home health agencies and hospice providers. The action was announced by the U.S. Centers for Medicare & Medicaid Services (CMS) as part of a broad...
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 | Mar 19, 2026 | Home Health, Staffing
In today’s competitive healthcare landscape, retaining qualified home health staff has become more challenging than ever. High turnover not only affects team morale but also compromises the continuity of care and increases operational costs. For home health agencies,...
by Proactive LTC Consulting | Feb 4, 2026 | 5-Star, Audits, Nursing Home Consultant, Staffing
Q: After submitting our quarterly PBJ file we discovered there were hours for agency nursing staff that we omitted. Are we able to correct this omission? Will the omission impact our Five Star rating? A: The ability to correct depends on whether the submission...
