PRN Psychotropic Medications for Behaviors: Learn How to Document to Survive Survey

PRN Medication Use is one of the few sections of the revised F605 (Right to Be Free From Chemical Restraints/Unnecessary Psychotropic Medications) in Appendix PP of the State Operations Manual that does not have changes that went into effect on April 28, 2025. However, the updated examples of F605 noncompliance …

Enhancing Resident Well-Being: A Nursing Leadership Approach to Sensory Impairments

Sensory impairments, such as loss of vision, hearing, taste, smell, or touch, are common among older adults, and significantly affect their quality of life. These impairments often go unnoticed or may be mistaken for cognitive decline, leading to missed opportunities for interventions, or worse, a decline in function. Residents with …

TIP: CMS Revised F641, Accuracy of Assessment, Among Other Tags

The Centers for Medicare & Medicaid Services (CMS) recently confirmed the revisions to the State Operations Manual (SOM), Appendix PP, which went into effect April 28, 2025. The revisions are redlined here. While many revisions were made, nurse assessment coordinators should especially note changes in F641, Accuracy of Assessment. The …

iQIES Nursing Homes – Surveys Workbook for Surveyors

This workbook simulates the survey functions in iQIES and may provide a bare-bones (i.e., basic) walkthrough of how surveyors will approach survey using iQIES. To access, go to https://qtso.cms.gov/software/iqies/reference-manuals Then go to the section titled iQIES Training Environment Access Instructions for State Agencies and CMS Locations Then you can download the …

Appendix PP Updates: Admission, Transfer, and Discharge

In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, discuss the new Appendix PP updates related to admission, transfer, and discharge going into effect April 28, 2025. …

The Keys to Develop a Past Noncompliance Plan

The director of nursing services (DNS) received a call in the middle of the night that a resident with a diagnosis of dementia had eloped, and it appeared she had been missing for several hours—a conversation no DNS wants to have. She immediately enacted the missing resident protocol. Luckily, staff …

MDS 3.0 QM User’s Manual V17.0 and Risk Adjustment Appendix

The Minimum Data Set (MDS) 3.0 Quality Measures (QM) User’s Manual Version (V)17.0 is now available. The MDS 3.0 QM User’s Manual V17.0 contains detailed specifications for the MDS 3.0 QMs and includes a Notable Changes section that summarizes the major changes from MDS 3.0 QM User’s Manual V16.0. Changes …

NOMNC and DENC: New Forms Must Be Used Starting Jan. 1, 2025; Different Start Date for DENC Only for Medicare Advantage

FFS & MA NOMNC/DENC What’s New 11/18/2024: New NOMNC and DENC for Original Medicare and Medicare Advantage  The Office of Management and Budget (OMB) has approved a revised Notice of Medicare Non-Coverage (NOMNC / CMS-10123) and Detailed Explanation of Non-Coverage (DENC / CMS-10124). Please note the updated NOMNC and DENC …

Why Getting MDS Right Is Non-Negotiable: The Importance of MDS Accuracy

Written by Kristine Martinez BSN, RN, RAC-CTA, QCP Completing a Minimum Data Set (MDS) correctly is no small task. With approximately 510 answers or choices on a comprehensive MDS (not including CAA investigation), and approximately530 answers or choices on a 5-day MDS, the potential for missed or miscoded information on any …