top of page


Reflection
As 2023 comes to a close, it is common for us to reflect on the past year’s events and our own personal growths, setbacks, or hurdles. ...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Dec 1, 20231 min read


Updates to the RAI Manual
Stay up to date with recent changes to the RAI Manual from October 20th, 23rd, and November 1st, 2023. https://www.cms.gov/medicare/quali...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Nov 1, 20231 min read


Proactive Planning
With winter fast approaching us, have you done an elopement drill? CMS’s definition of elopement is when a resident leaves the premises...

Terri Gabany, BSN, RN, NHA, WCC, RAC-CT
Nov 1, 20232 min read


The Fall Season
Fall is a wonderful time of the year, but it is also when we see an increase of viral illness. An important measure to help prevent...

Terri Gabany, BSN, RN, NHA, WCC, RAC-CT
Sep 29, 20231 min read


CMS Mandatory Staffing
CMS proposed staffing rule is available here: https://www.cms.gov/newsroom/fact-sheets/medicare-and-medicaid-programs-minimum-staffing-st...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Sep 5, 20231 min read


Embracing the Team
Having worked in several facets of healthcare, it is apparent that a team approach is the most effective, for not only improved patient...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Sep 5, 20231 min read


Final RAI Manual NOW AVAILABLE
CMS has published the final RAI Manual as of August 24, 2023. You can obtain the electronic version at: Minimum Data Set 3.0 Resident...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Aug 25, 20231 min read


Updated OSA Manual
CMS has updated the OSA Manual effective today, August 15, 2023. The following changes have been made: A0700 The word <patient>...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Aug 15, 20231 min read


RAI Manual Posting August 14, 2023
Please note that CMS has indicated the finalized RAI Manual that was posted on various sites on August 14, 2023, is NOT the final RAI...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Aug 14, 20231 min read


Kindle Your Own Fire
“Self-care is not self-indulgence, it is self-preservation,” as Andre Lorde states. This mindset reflects the value self-care can have on...
jenniferdunlap4
Aug 2, 20232 min read


FY 2024 SNF Prospective Payment System Final Rule
On July 31, 2023, CMS published the final rule for fiscal year 2024. To read through the document, click here:...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Aug 2, 20231 min read


Additional MDS Item Sets Released
CMS has released the IPA, NP, and SP item sets for the October 1, 2023 changes. You can download here: https://www.cms.gov/files/zip/mds...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Jul 12, 20231 min read


Optional State Assessment in PA
The PA DOH will require the OSA MDS beginning October 1, 2023, in order to calculate CMI without utilizing a RUG system. This change...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Jul 1, 20231 min read


PA DOH Changes Effective TODAY!
Pennsylvania's requirement changes for long-term care facilities takes effect today. A staffing calculation tool is included here:...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Jul 1, 20231 min read


The Importance of Empathy
Caregivers are task oriented, which is understandable as there is a lot to do in a short amount of time. But I want you to take a moment...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Jun 30, 20232 min read


RAI Manual Changes
CMS has made RAI Manual and Item Set changes that will be effective October 1, 2023. On the CMS website, you can obtain the latest...

Jennifer R. Dunlap, MSN, RN, NHA, WCC, IP-BC, RAC-CT, RAC-CTA
Jun 27, 20231 min read
bottom of page