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In April 2024, the Centers for Medicare & Medicaid Services (CMS) announced the testing of a risk-based survey (RBS) that streamlines the standard recertification process for high-performing nursing homes....

The landscape of Medicaid reimbursement for nursing homes is undergoing significant changes. Presently, eight states have adopted the PDPM case-mix index (CMI) model, and an additional 31 states are set...

At the beginning of the year, my grandmother found herself in an acute-care hospital, addressing blood clots in her legs and lungs. Having just recovered from COVID-19 at the age of 100, uncertainty loomed...

In the ever-evolving landscape of nursing home care, the use of agency staff has long been a topic of scrutiny, historically linked to concerns about inferior outcomes. However, as we navigate the aftermath...

The report titled “Uninspected and Neglected” by the majority staff of the US Senate Special Committee on Aging brings attention to a pressing issue: the severe understaffing of inspection agencies...

Back in September, I shared my insights in McKnight’s Long-Term Care News about the importance of being your own data defender. In that blog, I expressed a viewpoint that I believe strongly in: Every...

It’s been a flurry of activity leading up to the implementation of the “new MDS.” For months our industry has been doing what we do best — rising to the occasion.  Countless MDS training sessions,...

“Well, it’s clear that you’ve never set foot into a nursing home.” I know you’ve thought that while reading a memo from the Centers for Medicare & Medicaid Services or your state agency, taking...

My father died a little over a year ago. While I usually derive tremendous comfort and support by sharing both happy and sad milestones with friends, family, and colleagues, in this instance, sharing the...

When I read my first SNF PPS final rule about 25 years ago, I thought that the start dates for some of its initiatives were so far in the future that they were of no concern. As a young person, my long-range...