How the DNS Can Use HRSN to Improve Care and Reduce Hospital Readmissions

The Centers for Medicare & Medicaid Services (CMS) ultimately chose not to implement MDS section R (Health-Related Social Needs) on Oct. 1, 2025. Each skilled nursing facility (SNF) will have to make an individual decision whether to do off-MDS data collection of the HRSN data that would have been captured …

QAPI Focus: Section GG

AAPACN’s QAPI Focus: Section GG tool can be used at quality assurance and performance improvement (QAPI) meetings to focus specifically on concerns regarding section GG documentation and coding accuracy. This tool identifies specific section GG key performance indicators (KPIs) that can be used to demonstrate progress toward a data-driven proactive …

MDS 3.0 Quality Measures (QM) User’s Manual v17.0 Effective Jan. 1, 2025 and Associated User Manual Files

NOTABLE CHANGES TO THE MDS QM USER’S MANUAL V17 Guidance on Selecting MDS Section GG Item Columns for Measure Calculation An updated .zip file for the Minimum Data Set (MDS) 3.0 Quality Measures (QM) User’s Manual v17.0 is now available. This .zip file package contains the updated 2025 Nursing Home …

SNF QRP Measure Calculations and Reporting User’s Manual V7.0, Change Table, Risk Adjustment and Imputation Appendix Files, and HCC ICD-10 Crosswalks

The Skilled Nursing Facility Quality Reporting Program (SNF QRP) Measure Calculations and Reporting User’s Manual v7.0 and accompanying files are now available. These materials serve as an update to the specifications used to calculate quality measures that are included in the SNF QRP and will be effective beginning October 1, 2025.  The …

FY 2026 SNF PPS Final Rule Posted

On July 31, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a final rule for updates to Medicare payment policies and rates for skilled nursing facilities under the Skilled Nursing Facility Prospective Payment System (SNF PPS) for fiscal year (FY) 2026. CMS is publishing this final rule in …

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

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 …

CMS Nursing Home Data Sets Updated

Provider Information General information on currently active nursing homes, including number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System. Data are presented as one row per nursing home. Last Modified: June 1, 2025 • Released: June 25, 2025 Overview •Data Table •API •Download CSV …

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: …

CMS QSO Memo: Update to Nursing Home Compare

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 …