The beginning of a new school year has a particular energy—fresh notebooks, sharpened pencils, and a renewed focus on learning the essentials. In the long-term and post-acute care (LTPAC) world, we can take a cue from that “back to school” spirit. No matter how long we have been in the …
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 …
MDS section R (Health-Related Social Needs) did not go into effect on Oct. 1, 2025. The Centers for Medicare & Medicaid Services (CMS) followed through on its proposal and eliminated—prior to implementation—items R0310 (Living Situation), R03020A (Within the Past 12 Months, You Worried That Your Food Would Run Out Before …
The Long-Term Care Resident Assessment Instrument (RAI) 3.0 User’s Manual (RAI User’s Manual) version 1.20.1, effective Oct. 1, 2025, will bring major changes to section O of the MDS 3.0. The most significant update introduces item O0390, Therapy Services, replacing most of the current O0400 (Therapies) and removing O0420 (Distinct …
MDS item J2100 (Did the Resident Have a Major Surgical Procedure During the Prior Inpatient Hospital Stay That Requires Active Care During the SNF Stay?) is the gateway question for receiving enhanced reimbursement in the Physical Therapy (PT) and Occupational Therapy (OT) payment components of the Patient-Driven Payment Model (PDPM), …
The calculation for the nursing component of the Patient-Driven Payment Model (PDPM) can look deceptively simple. The two steps entail calculating a section GG nursing function score and then placing the resident into one of six nursing categories. But completing these two steps correctly requires understanding a number of coding …
Nurse leaders who want to improve behavioral health management often get stuck in the “I don’t know where to start” or “I don’t know what that should look like” phase, points out Jacob Berelowitz, LNHA, LMSW, CPHQ, CCM, program director of the Center of Excellence for Behavioral Health in Nursing …
Facility policies serve as the backbone of consistent, safe, and compliant operations. Nursing homes rely on well-developed policies to guide staff, protect residents, and maintain compliance of care delivery that must follow state and federal regulations. The director of nursing services (DNS) plays a vital role in ensuring that facility …
Respiratory illness season is rapidly approaching once again, posing significant health concerns for vulnerable residents. The director of nursing services (DNS) must ensure facility staff can identify, manage, and help prevent these infections. Whether it’s influenza, pneumonia, respiratory syncytial virus (RSV), or COVID-19, early recognition, prompt intervention, and strong infection …
The nurse assessment coordinator (NAC) plays an essential role in capturing a resident’s cognitive status by coordinating and coding the Staff Assessment for Mental Status in the Minimum Data Set (MDS). The Brief Interview for Mental Status (BIMS) remains the preferred approach. But in certain situations, staff observations must be …
