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 …
In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Lauren Stenson, MSN, RN, CNDLTC, QCP, DNS-CT, curriculum development specialist for AAPACN, discuss how …
Empower the whole team with this quick-reference guide designed to build confidence and readiness for the survey process. Survey 101: What Every Staff Member Should Know provides all team members—from nursing to housekeeping—with a clear, …
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 …
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 …
Memo # QSO-25-26-NH Posting Date 2025-09-29 Fiscal Year 2025 Memorandum Summary CMS is committed to reinvesting civil money penalty (CMP) funds in projects thatsupport nursing home residents and protect or improve their quality of care and life.Therefore, we …
The NIOSH Personal Protective Equipment and Respirator Approval Program web pages have been updated and moved. These pages provide information about NIOSH Approved® respirators, including how to identify approved products, types of respiratory protection, tips …
This user manual provides information for CMS, Providers, Vendors, Accrediting Organizations, Contractors, and State Agencies to effectively perform Reports functions and the processes necessary to request, view, download, and save reports in iQIES. From https://qtso.cms.gov/software/iqies/reference-manuals
This release was updated to support FY2026 ICD-10 codes which are used with MDS assessments with a target date on or after October 1, 2025. As part of this release, 487 clinical category mappings were added, …
AAPACN Resources to Help Prepare for Oct. 1, 2025, MDS Changes The Long Term-Care Facility Resident Assessment Instrument (RAI) 3.0 User’s Manual version 1.20.1 from the Centers for Medicare & Medicaid Services (CMS) goes into …
Members: $24 | Non-members: $48Continuing Education: 1.25 CE hoursRecording Date: Sept 18, 2025 Duration: 75 minutesSpeaker: Jessie McGill, RN, BSN, RAC-MT, RAC-MTA Big changes are coming to the MDS this October—and SNF teams need to be ready. Join AAPACN …
What does it take to be a successful DNS? AAPACN’s Body of Knowledge for the Role of Director of Nursing Services in Long-Term Care identifies, defines, and measures the core competencies required of DNSs practicing …
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 …
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 …
Issued on 09/15/2025 | Posted on 09/18/2025 | Report number: OEI-05-24-00180 Report Materials Why OIG Did This Review What OIG Found Nursing homes failed to report 43 percent of falls with major injury and hospitalization among Medicare-enrolled residents, as required, in …
The AAPACN Podcasts—LTC DON Chat and LTC NAC Chat—offer tips, strategies, updates, advice, and breaking news on the most important topics in long-term and post-acute care. Regular hosts and AAPACN staff members provide their own …
The PDPM At-a-Glance tool breaks down the complex methodology of each component used in the Patient-Driven Payment Model—physical therapy (PT), occupational therapy (OT), speech-language pathology (SLP), non-therapy ancillaries (NTA), and nursing. This tool provides key …
SNF QRP Data Collection and Final Submission Deadlines The SNF QRP Data Collection and Final Submission Deadlines have been updated to provide the data collection time frames and final submission deadlines for the FY 2028 …
SNF QRP Data Elements Used for Reporting Assessment-Based QMs and Standardized Patient Assessment Data Elements Affecting FY 2027 APU Determination and Data Collection and Final Submission Deadlines for FY 2027 posted The Skilled Nursing Facility …
This file can be used by NACs to determine how ICD-10-CM codes entered on the MDS “map” to PDPM payment components. https://www.cms.gov/medicare/payment/prospective-payment-systems/skilled-nursing-facility-snf/patient-driven-model
An update to the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) Frequently Asked Questions (FAQs) document is now available. This document has been updated to reflect the finalized policies for the SNF QRP in …
Memo # Admin Info-25-11-ALL Posting Date 2025-09-12 Fiscal Year 2025 Summary Memorandum Summary The Quality, Safety & Oversight Group (QSOG) and Survey & Operations Group (SOG) remain dedicated to ensuring the health and safety of …
Summary What is already known about this topic? Influenza vaccination protects against influenza and its potential complications. The Advisory Committee on Immunization Practices makes influenza vaccination recommendations for each influenza season. What is added by …
QSO-25-20-NH REVISED 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 …
In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for …
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, …
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 …
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 …
Respiratory illnesses remain one of the most significant health concerns for residents. Early recognition, prompt intervention, and strong infection control practices are important to maintain residents’ well-being. The Caring for Residents with Respiratory Illness in-service …
Information on how surveyors currently manage the nursing home survey process: CMS iQIES S&C User Manual: Manage a Survey LTC Facilities v1.2 (Posted 09/03/2025) From https://qtso.cms.gov/software/iqies/reference-manuals
Every month, AAPACN experts design tools that help our members perform their jobs with more ease, breaking down processes, synthesizing information, and aiding in ways to track required data. To help directors of nursing services …
Overview What is the SNF Validation Program? The SNF Validation Program is an audit-driven initiative aimed at evaluating the accuracy of quality measure data elements derived from the Minimum Data Set (MDS), which are used …
This document shows how to upload assessments, create and manage assessments, complete change requests, and review Final Validation Reports (FVR) in iQIES. CMS iQIES Assessment Management for Assessment Submitter v2.0 From https://qtso.cms.gov/software/iqies/reference-manuals
The Centers for Medicare & Medicaid Services (CMS) convened a Technical Expert Panel (TEP) on May 12 and 14, 2025, to obtain input on potential cross-setting updates to the Falls with Major Injury (FMI) measure. …
This job aid outlines the user roles and privileges in iQIES. All users must have a role in iQIES. iQIES User Roles Matrix Job Aid v4.5 – 07/29/2025 (PDF 2.56 MB)
August 2025 Updates Weekly RP Summary – Data Collection Forms and Instructions LTCF Resident From https://www.cdc.gov/nhsn/ltc/weekly-covid-vac/index.html
From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing/confidential-feedback-reporting-review-and-corrections From https://www.cms.gov/medicare/quality/nursing-home-improvement/value-based-purchasing/scoring-methodology-payment-adjustment
CDC announces new ICD-10-CM codes effective October 1, 2025. The October 1, 2025 diagnosis code update files are now available. Use these files for discharges occurring from October 1, 2025 – September 30, 2026, and for …
In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, …
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 …
Summer usually is a time for nursing home residents to experience social outdoor activities and meals. It could mean attending barbecues, picnics, parades, outdoor concerts, or baseball games, gardening or birdwatching, doing outdoor crafts, or …
The Centers for Medicare & Medicaid Services (CMS) did not propose any changes to the previously adopted quality measure (QM) sets for either the Skilled Nursing Facility Quality Reporting Program (SNF QRP) or the Skilled …
After a resident falls, staff need to identify appropriate, resident-specific interventions that can help ensure a fall does not reoccur. AAPACN’s Post-Fall Intervention Planning Guide is designed to promote this process through an analysis of …
Falls remain one of the most persistent and expensive challenges in long-term and post-acute care (LTPAC) settings. For the director of nursing services (DNS), the responsibility to decrease fall risk while maintaining resident dignity and …
The American Association of Post-Acute Care Nursing (AAPACN) surveys nurse assessment coordinators (NACs) every other year on aspects of their work, salary, and time. The 2025 AAPACN NAC Work Study and Salary Report offers valuable …
This user manual addresses the processes necessary to perform Survey & Certification (S&C) Electronic Plan of Correction (ePOC) functions in iQIES. CMS iQIES S&C User Manual: ePOC – Provider ePOC Admin Role v1.2 (Posted 07/22/2025) …
Regulation No. CMS-1827-F Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program for Federal Fiscal Year 2026; Final Rule Year 2026 Publication Date 2025-08-04 This rule …
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 …
The Association for Professionals in Infection Control and Epidemiology (APIC) has released an updated position paper titled “Safe Injection, Infusion, Medication Vial, and Point-of-Care Testing Practices in Health care (2025),” published in the American Journal of Infection Control …
This ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP). It is a one-stop shop containing a multitude of reference materials that are provided to the surveyors going …
Members: $24 | Non-members: $48Continuing Education: 1.5 CE hoursRecording Date: Aug. 21, 2025 Duration: 90 minutesSpeaker: Jennifer LaBay, RN, RAC-MT, RAC-MTA, QCP, CRC It is time to prepare for the FY 2026 ICD-10-CM coding updates, which go into effect …
Members: $24 | Non-members: $48Continuing Education: 1.5 CE hoursRecording Date: July 24, 2025 Duration: 90 minutesSpeaker: Jessie McGill, RN, BSN, RAC-MT, RAC-MTA The Fourth of July fireworks are over, so now it’s time to light a new fuse—on Five-Star …
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 …
In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Lauren Stenson, MSN, RN, CNDLTC, QCP, DNS-CT, curriculum development specialist with AAPACN, discuss ways directors of …
The director of nursing services (DNS) is preparing for her first annual survey. She wants to take a proactive approach regarding facility residents with enteral feedings. However, as a relatively new DNS, she is unsure …
It’s important that long-term care residents receive enteral nutrition in a safe, effective, and consistent manner. Utilize AAPACN’s Enteral Nutrition Checklist to ensure documentation is complete and residents are receiving appropriate nutrition, medications, and treatment …
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 …
At Eventide Senior Living, people come first. From residents to staff, the organization understands that delivering high-quality care starts with a confident, well-supported team. That’s why Eventide has taken a thoughtful and proactive approach to …
This manual provides general background and information about the submission requirements, such as sample submission screens, submission deadlines, and definitions of job categories. Note: Changes from the previous version of this policy manual are identified …
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 …
Release of CMS-2567: Statement of Deficiencies and Plan of Correction Memo # QSO-25-19-All Fiscal Year 2025 Memorandum Summary • CMS is committed to the transparency of quality of care findings, so that patients, residents, and …
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 …
AHRQ has released an updated Surveys on Patient Safety Culture (SOPS) Nursing Home Survey Version 2.0. This revised survey is designed to help nursing homes assess staff perceptions of resident safety culture in their organizations. The survey …
Medical directors at nursing homes are responsible for implementing resident care policies, coordinating medical care, and participating in quality assessment and assurance activities. Nursing homes are required to report hours worked by medical directors to …
CDC’s Project Firstline and the American Medical Association (AMA) recently hosted a webinar to share important measles updates and help providers and clinics stay prepared for measles. The recording is now available to watch and share. The webinar featured a panel …
In this LTC DON Chat podcast episode, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Lauren Stenson, MSN, RN, CNDLTC, QCP, DNS-CT, curriculum development specialist with AAPACN, discuss how the director …
The Centers for Disease Control and Prevention (CDC) has changed the National Healthcare Safety Network’s (NHSN) reporting definition of Up to Date. Individuals aged 65 years and older are Up to Date when they have: …
Ensuring that nursing staff have the “appropriate competencies and skills sets to provide nursing and related services to assure resident safety and attain or maintain the highest practicable physical, mental, and psychosocial well-being of each …
PRN Medication Use is one of the few sections of the revised F605 (Right to Be Free From Chemical Restraints/Unnecessary Psychotropic Medications) in Appendix PP of the State Operations Manual that does not have changes …
Sensory impairments, such as loss of vision, hearing, taste, smell, or touch, are common among older adults, and significantly affect their quality of life. These impairments often go unnoticed or may be mistaken for cognitive …
Vision and hearing loss, as well as diminished taste, touch, or smell, can significantly impact residents’ ability to communicate, navigate their environment, and engage in daily activities. By implementing individualized care plans, utilizing assistive devices, …
Members and Non-members: FreeContinuing Education: 1 CE hourRecording Date: June 26, 2025 Duration: 60 minutesSpeakers: Joan N. Hebden, MS, RN, CIC, FAPIC, FSHEA, and Marko Predic, MS, CIC, FAPIC Outbreaks may represent a single case of a disease (e.g., …
The American Association of Post-Acute Care Nursing (AAPACN) CEO and President, Tracey Moorhead, took the stage at the AAPACN 2025 Conference in Louisville, Kentucky, to deliver the annual CEO address to a packed room of …
An updated Quick Reference Guide is now available. The Quick Reference Guide provides high-level information on the SNF Quality Reporting Program, including frequently asked questions and helpful links. PAC-SNF-QuickReferenceGuide-20250508 (PDF) From https://www.cms.gov/medicare/quality/snf-quality-reporting-program/submission-deadlines
The Agency for Healthcare Research and Quality (AHRQ) has released the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) End-of-Life Care Survey. The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) End-of-Life Care Survey assesses …
In a complex care environment where workforce development and regulatory demands are constantly evolving, National Health Care Associates is setting a new standard. With a sharp focus on equipping staff at every level with the …
Analysis and Report Resources General Resources COVID-19: Understanding Key Terms and Up to Date Definitions [PDF – 1 MB] – April 2025 From https://www.cdc.gov/nhsn/ltc/covid19/rpv-resources.html
The following resources are now available: Mental Health Awareness Training Plan Schizophrenia in Nursing Facilities: Validating Diagnosis and Planning for Appropriate Care Schizophrenia Fact Sheet 4 Ways Nursing Homes Can Promote Substance Use Recovery See …
The Centers for Medicare & Medicaid Services (CMS) does not propose any new quality measures (QMs) for the pay-for-performance Skilled Nursing Value-Based Purchasing program (SNF VBP) in the Medicare Skilled Nursing Facility Prospective Payment System …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, discuss what to do when someone …
Urinary tract infections (UTIs) and catheter-associated urinary tract infections (CAUTIs) remain significant concerns in long-term care settings. They contribute to increased morbidity, extended hospital stays, higher healthcare costs, and reduced quality of life for residents. …
Competent catheter care is crucial for preventing infections and ensuring resident safety. Facilities can use AAPACN’s Catheter Care Competency tool as a standardized guide to evaluate and verify that staff are properly trained and consistently …
As part of their ongoing commitment to ensuring quality care and compliance with federal health and safety regulations, the Centers for Medicare & Medicaid Services’ (CMS) developed an informational provider resource about the survey process. …
Like every proposed rule before it, the Medicare Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing Proposed Rule for Fiscal Year (FY) 2026 offers the director of nursing services (DNS) a preview …
This workbook simulates the survey functions in iQIES and may provide a bare-bones (i.e., basic) walkthrough of how surveyors will approach survey using iQIES. To access, go to https://qtso.cms.gov/software/iqies/reference-manuals Then go to the section titled iQIES …
Each year, AAPACN honors individuals and organizations who embody the vision and values of AAPACN—integrity, innovation, inspiration, and influence. They are leaders who inspire their teams, elevate standards of care, and make a lasting impact …
Members and Non-members: FreeContinuing Education: 1 CE hourRecording Date: May 15, 2025 Duration: 60 minutesSpeakers: Laura Velasco, MSN, RN, CIC, and Emily Bouzek, MSN, RN, CIC, LTC-CIP Infection preventionists gather a lot of data to do their jobs; however, to …
“1. Don’t insert percutaneous feeding tubes in individuals with advanced dementia. Instead, offer oral assisted feedings: Strong evidence exists that artificial nutrition does not prolong life or improve quality of life in patients with advanced dementia. …
Pain management is an essential component of nursing care. Non-pharmacological pain management interventions can effectively complement or reduce the need for medication. This tool will review non-pharmacological interventions by type, providing mechanism of action and …
The revised surveyor guidance in Appendix PP of the State Operations Manual that goes into effect on April 28, 2025, does not include any updates to F-tag 838 (Facility Assessment), says Robin Hillier, CPA, STNA, …
The Moving Forward Coalition is hosting a webinar, “Engaging Family Members and Care Partners Meaningfully” on April 14. It will provide practical strategies to build trust, gather meaningful input, and create collaborative systems that reflect …
In this podcast, Amy Stewart, MSN, RN, DNS-MT, QCP-MT, RAC-MT, RAC-MTA, chief nursing officer for AAPACN, and Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, director of education and certification strategy for AAPACN, discuss the new …
Using non-pharmacological approaches, not psychotropic medications (i.e., antipsychotic, antidepressant, anti-anxiety, and hypnotic dugs), as the first line of treatment for behavior management is not a new concept for nursing homes, says Amy Lee, RN, BSN, …
Pain management is an essential piece of the care provided in long-term and post-acute care (LTPAC) settings. Many residents experience acute or chronic pain due to a variety of conditions, such as postsurgical recovery, arthritis, …
Members and Non-members: FreeContinuing Education: 1 CE hourRecording Date: April 14, 2025Duration: 60 minutesSpeakers: Joan Hebden, MS, RN, CIC, FAPIC, FSHEA, and Deb Patterson Burdsall, PhD, RN-BC, CIC, LTC-CIP, FAPIC Long-term care (LTC) staff provide high-contact resident care and therefore …
A quick review of the draft revised surveyor guidance in Quality, Safety, and Oversight (QSO) memo QSO-25-14-NH that goes into effect on April 28, 2025, may initially concern the director of nursing services (DNS) and …
