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 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 …

TIP: CMS Scheduled Care Compare Refresh with Revised Discharge to Community Measure Data

The Centers for Medicare & Medicaid Services (CMS) discovered an error in the calculations for the Discharge to Community measure and will be updating the Care Compare website with the corrected data on Sept. 29, 2021. The data will be based on claims submitted during the FY2018-2019 reporting period (Jan. …