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: CMS Released QSO Memo Impacting Five-Star

The Centers for Medicare & Medicaid Services (CMS) released a memo that will have a significant impact on the health inspection star rating and how the long-star antipsychotic measure is calculated, among other changes:  Health Inspection Star Rating:  Long-Stay Antipsychotic Measure Methodology:  Other changes:  For more details, see the memo: …

TIP: CMS Will Begin Posting Staffing Data on the Care Compare Website

Weekend Staffing: The level of total nurse and registered nurse (RN) staffing on weekends provided by each nursing home over a quarter. Staff Turnover: The percent of nursing staff and number of administrators that stopped working at the nursing home over a 12-month period. This information will be added to …

TIP: New Resource to Improve Healthcare Safety

Lucian Leap just released a new book called Making Healthcare Safe. This free, downloadable book discusses ways a skilled nursing facility can implement a culture of safety by changing processes, working conditions, and communication in order to make the facility as safe as possible for both residents and staff. For …