For nursing home operators aiming to excel in the Five-Star Quality Rating System and keep up with Minimum Data Set (MDS) updates, precise documentation is essential. Errors or gaps in data can negatively impact a facility’s rating for up to a year. This guide covers key strategies for maintaining high-quality standards and highlights the benefits of partnering with a senior living recruiter. 

Staying Up to Date 

Although there are few MDS changes this year, operators should stay informed about updated diagnosis codes. Regular assessment reports help track quality measures and data that the Centers for Medicare & Medicaid Services (CMS) uses for Five-Star ratings. Timely submission of Payroll-Based Journal (PBJ) data is crucial, as late or incorrect submissions can lead to penalties, including star rating reductions. 

CMS plans to collect data on new quality measures related to social determinants of health and discharge planning by 2027. These future measures will provide valuable insights into residents’ well-being, making early preparation important. One of the benefits of partnering with a senior living recruiter is their knowledge of upcoming regulatory changes, which can help your facility stay ahead of new requirements. 

Proper Engagement and Documentation 

To maintain a good quality measure score, thorough auditing of MDS assessments and proactive adaptation to CMS’s scoring changes are crucial. Engaging with residents, families, hospitals, and the community helps facilities understand and prepare for these impacts. 

Monitoring activities of daily living (ADLs) is essential for sustaining high star ratings. Compare ADL losses over time and ensure accurate documentation. If declines are noted, document any additional therapy provided, efforts to promote independence, and referrals. Close monitoring of residents with pressure ulcers, reviewing policies, and promptly addressing new issues are also vital for quality care. 

The Role of Senior Living Recruiters 

Finding the right staff is challenging but essential for maintaining high standards. Benefits of partnering with a senior living recruiter include: 

  • Regulatory Expertise: Senior living recruiters understand industry regulations and can identify candidates familiar with compliance standards, ensuring new hires meet expectations from the start. 
  • Focus on Soft Skills: Recruiters prioritize candidates with empathy, patience, and communication skills, which are critical for compassionate care. 
  • Tailored Recruitment Strategies: Specialized recruiters attract candidates passionate about working with the elderly by understanding their motivations and career goals, aiding in crafting effective job offers and retention plans. 
  • Cultural Fit Assessment: Recruiters ensure candidates align with a facility’s culture and values, fostering a positive work environment. 

Taking Extra Steps 

Beyond compliance, facilities can enhance care quality by implementing preventative measures, such as regular toileting schedules and thorough root cause analyses for pressure ulcers. Staying ahead of upcoming changes in the 2025 Skilled Nursing Facility Proposed Payment Rule, including data collection on social determinants of health, is also important. Early preparation will help ensure compliance and maintain high performance.  

One of the benefits of partnering with a senior living recruiter is their ability to help find staff who are committed to these proactive care measures, ensuring consistent and high-quality care for residents. 

Final Thoughts 

Operating an outstanding skilled nursing facility involves meticulous documentation, proactive management, and a strong focus on resident care. At Full Spectrum, we support Home Health & Hospice operators in maintaining excellence. Contact us to learn more about navigating industry changes effectively. 

If you’re interested in learning more about Full Spectrum Search Group and retaining an executive search firm for your hiring needs, connect with Full Spectrum.