Safe Injection, Infusion, Medication Vial, and Point-of-Care Testing Practices in Healthcare (2025)

Clinical Care Solutions / DNS / Post-Acute Care News / Survey and Regulatory Compliance

The Association for Professionals in Infection Control and Epidemiology (APIC) has released an updated position paper titled “Safe Injection, Infusion, Medication Vial, and Point-of-Care Testing Practices in Health care (2025),” published in the American Journal of Infection Control (AJIC). This update builds upon APIC’s 2016 position paper and reflects advancements in science, updated regulatory …

LTCSP Survey Resources: Surveyor Tools Updated

DNS / NAC / Post-Acute Care News / Survey and Regulatory Compliance

This ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going into facilities, including, for example, a document detailing their principles of documentation, a document showing …

Prepared and Compliant: A Proactive Approach to Enteral Feeding Care Management

Article / DNS / Survey and Regulatory Compliance

The director of nursing services (DNS) is preparing for her first annual survey. She wants to take a proactive approach regarding facility residents with enteral feedings. However, as a relatively new DNS, she is unsure where to begin. Sound familiar? This article will provide a process to assist the DNS …

Five-Star Technical User’s Guide Plus Claims-Based Measures Appendix (Updated)

DNS / NAC / Post-Acute Care News / QAPI and Quality Initiatives / Survey and Regulatory Compliance

CMS created the Five-Star Quality Rating System to help consumers, their families, and caregivers compare nursing homes more easily. The Nursing Home Compare Web site features a quality rating system that gives each nursing home a rating of between 1 and 5 stars. Nursing homes with 5 stars are considered …

Payroll-Based Journal (PBJ) Policy Manual V2.7

Administrator / DNS / Post-Acute Care News / Survey and Regulatory Compliance / Workforce Solutions

This manual provides general background and information about the submission requirements, such as sample submission screens, submission deadlines, and definitions of job categories. Note: Changes from the previous version of this policy manual are identified in red/italics. PBJ Policy Manual Final – V2.7 – 06.30.2025 (PDF) From https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/NursingHomeQualityInits/Staffing-Data-Submission-PBJ

CMS QSO Memo: Release of CMS-2567: Statement of Deficiencies and Plan of Correction

Administrator / DNS / Post-Acute Care News / Survey and Regulatory Compliance

Release of CMS-2567: Statement of Deficiencies and Plan of Correction Memo # QSO-25-19-All Fiscal Year 2025 Memorandum Summary • CMS is committed to the transparency of quality of care findings, so that patients, residents, and their families can make informed health care decisions. • The official Form CMS-2567: Statement of …

CMS QSO Memo: Update to Nursing Home Compare

DNS / NAC / Post-Acute Care News / QAPI and Quality Initiatives / Survey and Regulatory Compliance

Memo # QSO-25-20-NH Posting Date 2025-06-18 Fiscal Year 2025 Memorandum Summary • Post Performance Data for Nursing Home Chains – “Chains” refers to groups of Medicare-certified nursing homes that are connected through common owners, and operators (also called “affiliated entities”). CMS will begin posting aggregated performance information for these nursing homes on …

AHRQ Revised Surveys on Patient Safety Culture (SOPS) Nursing Home Survey Version 2.0

Administrator / Clinical Care Solutions / DNS / Post-Acute Care News / Survey and Regulatory Compliance

AHRQ has released an updated Surveys on Patient Safety Culture (SOPS) Nursing Home Survey Version 2.0. This revised survey is designed to help nursing homes assess staff perceptions of resident safety culture in their organizations. The survey was developed using a comprehensive process, including feedback from nursing home staff and technical experts, …

OIG to Monitor Nursing Homes’ Engagement of Medical Directors

Administrator / Clinical Care Solutions / DNS / Post-Acute Care News / Survey and Regulatory Compliance

Medical directors at nursing homes are responsible for implementing resident care policies, coordinating medical care, and participating in quality assessment and assurance activities. Nursing homes are required to report hours worked by medical directors to CMS’s Payroll-Based Journal (PBJ). The reported hours have raised concerns about nursing homes’ employment and …

Nursing Staff Competencies: Keys to Staying Compliant

Article / DNS / Leadership and Management / Survey and Regulatory Compliance

Ensuring that nursing staff have the “appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident” is embedded at 42 Code of Federal Regulations (CFR) §483.35. Discussion of staff competencies …