TIP: Updated MDS 3.0 RAI User’s Manual Changes – New Definitions for Fall, Injury, and Major Injury

The Centers for Medicare & Medicaid Services (CMS) released the final version of the RAI User’s Manual, version 1.20.1, which went into effect Oct. 1, 2025. CMS made several changes, including a new definition for a fall, injury (except major), and major injury, which are as follows: This AAPACN resource is …

TIP: CMS Released Additional Updates to RAI User’s Manual v1.20.1

On Sept. 24, 2025, the Centers for Medicare & Medicaid Services (CMS) released an updated RAI User’s Manual version 1.20.1 and updated MDS item sets v1.20.1v4. The last-minute updates aligned the MDS item sets with the revisions to item J1900, which changed the definitions of injury (except major) and major …

TIP: CMS Delayed Long-Stay Antipsychotic Measure Changes

The Centers for Medicare & Medicaid Services (CMS) released a revised memo, QSO-25-20-NH REVISED, on Sept. 10, 2025, delaying the changes to the long-stay (LS) Antipsychotic Measure. CMS had previously announced the measure would be expanded to include Medicare and Medicaid claims and encounter data, in addition to Minimum Data …

TIP: CMS Released Final RAI User’s Manual for Oct. 1, 2025

The Centers for Medicare & Medicaid Services (CMS) recently released the final version of the RAI User’s Manual, version 1.20.1, which goes into effect Oct. 1, 2025. While the draft version has been available for several months, CMS made several additional changes, including a new definition for falls and major injury, …

TIP: SNF VBP Performance Score Reports Available

The Centers for Medicare & Medicaid Services (CMS) recently announced the August 2025 Performance Score Reports for the fiscal year (FY) 2026 Skilled Nursing Facility Value-Based Purchasing (SNF VBP) Program are available for download via the Internet Quality Improvement and Evaluation System (iQIES). Access this report to review the performance information …

TIP: CMS Expires or Revises Multiple COVID-19 Waivers

The Centers for Medicare and Medicaid Services (CMS) has recently expired or revised multiple waivers and QSO memos related to the COVID-19 pandemic. The following are included: This AAPACN resource is copyright protected. AAPACN individual members may download or print one copy for use within their facility only. AAPACN facility …

TIP: Updated Five-Star Manual Available

Effective with the July 2025 refresh, the Centers for Medicare & Medicaid Services (CMS) is implementing a change to the methodology for calculating the Health Inspection domain, shifting from using the three most recent standard health inspection surveys to the two most recent standard health inspection surveys to calculate Health …

TIP: CDC Releases LTCF COVID-19 Module Facility Dashboard

The Centers for Disease Control and Prevention’s (CDC) National Healthcare Safety Network (NHSN) recently released the NHSN COVID-19 Dashboard for long-term care facilities. This user-friendly tool offers customizable, interactive charts and a clear summary of COVID-19 data specific to each facility. Facilities can use the accompanying guide to navigate the …

TIP: New Non-Pressure Chronic Ulcer Codes Effective Oct. 1, 2025

The Centers for Disease Control and Prevention (CDC) recently released the updated codes for fiscal year (FY) 2026. These updates include the addition of the following locations to the category L98.4, non-pressure chronic ulcer of skin, not elsewhere classifiable: Additionally, a new category L98.A, will be added to include non-pressure …