PDPM
What does PDPM stand for?
Patient-Driven Patient Model
What does QRP stand for?
Quality Reporting Program
What does VBP stand for?
Value-Based Purchasing
When do we not report Fall with Major injury on MDS?
NEVER
Section GG - # of days of assessment window from ARD
What is 3 days based on ARD?
Cognitive Level = BIMS Score 0-7
What is severe impairment?
November 15, 2025
True or False: The 2% withheld is returned to all facilities equally regardless of performance?
False, dollars are redistributed based on performance
Cut-Point for 5 star
What is 1456?
True or False: During therapy, patient falls to the ground. This is NOT considered a fall.
FALSE. It is CONSIDERED a fall as of Oct 1, 2025
Nursing Component Criteria =
Pnemonia, Hemiplegia, Open lesions with any skin treatment or surgical wounds, burns, chemotherapy while a resident, oxygen therapy, transfusion, IV medication
What is CLINICALLY COMPLEX?
Ensign's QRP Compliance passing percentage threshold
What is 92%?
True or False: VBP purchasing affects Medicare A Fee for services, Part C plans, or Medi-Cal Rates?
False: VBP only directly affects Medicare A
Number of days Falls with Major stays on
What is 275 days?
If unstageable on ADMISSION -> Later changes to another unstageable status
still Present on Admission at new status
What is the difference between ES2 and ES3?
ES2 = Trach OR Vent/Respirator
ES3 = Trach AND Vent/Respirator
How many measures contribute on the SNF QRP Resident-Level Quality Measure (QM) Report ?
9
True or False: For the SNF readmission measure, the 30 day window starts from admission to the SNF?
False, it starts from the prior hospital discharge date.
Flagstone Readmission Rate Goal
What is 14%?
Current version of MDS 3.0 RAI User's Manual
What is v1.20.1?
SLP CMG - Primary Diagnosis of Metabolic Encephalopathy, laryngeal cancer, BIMS score 12, presence of swallowing disorder and has mechanically altered diet.
What is SI?
What does PBJ stand for?
Payroll-Based Journal
True or false : VBP can be below or above depending on the facilities performance?
TRUE
What are the 4 late-loss ADLs for decline?
1. Eating
2. Lying to Sitting
3. Sit to Stand
4. Toilet Transfer
Full names of Pacific Coast Market Lead and Clinical Market Lead
William Looper & Corona Moore