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Do you remember how, as you were growing up, there was always another kid who would change the rules mid-game to ensure that he won? I do, and it would always make my blood boil. The Centers for Medicare...

We all know that the annual survey process for skilled nursing facilities needs to be changed. But are we willing to go the distance to do it?

The Quality Assurance and Performance Improvement system from CMS is on our doorsteps. As facilities have been training and educating themselves, the new QIS (Quality Indicator Surveys) are ready to roll....

Until the State Operations Manual becomes the quintessential tool for regulatory compliance, a 5-star rating will be out of reach for skilled nursing providers. It’s as simple as that.

There is unfortunate irony in a provision of the new CMS nursing home visitation guidance.

The single most cited F-tag in a Centers for Medicare & Medicaid Services survey is F-323 in regards to resident safety and supervision.

With so many “cooks in the kitchen,” trying to direct pandemic response actions, by whose authority should we be taking action and direction?

The Five-Star System has a systematic and profound bias that favors smaller facilities and penalizes larger facilities.

During a recent public meeting, the Medicare Payment Advisory Commission (MedPAC) proposed a new program that would expand the value-based impact on payments for post-acute care providers.  According...

Since the inception of the Five-Star Quality Rating program in December 2008, there have been 113 Skilled Nursing Facilities (SNFs) that have earned and maintained an overall 5-star score. Who are these...