Is an Annual Review of Your Infection Prevention and Control Program Required?
One of the most common infection prevention questions we hear is: "Do we have to complete an annual review of our Infection Prevention and Control Program?" In our latest blog, we break down CMS expectations under F880 and share key considerations for conducting a meaningful review that supports both compliance and quality improvement.
The Ohio Senate Finance Committee approved an amendment to HB 479 that would appropriate $875 million in Quality Incentive Payment (QIP) back payments to nursing home providers. The legislation is expected to move to the Senate floor before heading back to the House.
This marks a major step toward resolving a long-standing issue following the Ohio Supreme Court's 2025 ruling and could provide significant financial relief to providers across the state.
Additional details are still expected around CHOPs, CHOWs, and payment distribution, but this brings providers one step closer to receiving these long-awaited funds.
What It Takes To Lead In PAC: Insights from Martha Shaker
Leadership in post-acute care is defined less by certainty and more by adaptability. In a recent conversation with Concept Rehab and Engage Consulting President and CEO Martha Shaker, she shared how the strongest leaders stay grounded in humility, embrace uncertainty, and focus on developing others while navigating constant industry change.
Skilled Nursing Quality Measures: A Five Star Success Story
A five-facility skilled nursing ownership group stabilized volatile Quality Measure performance by shifting MDS from a compliance function to an embedded, strategy-driven operating model, resulting in sustained 5-Star outcomes, improved PDPM accuracy, and stronger reimbursement performance.
Question: Is an annual review of the facility’s Infection Prevention and Control program required?
Answer:Yes, the facility must complete an annual review of their IPCP program as outlined in F880. This systematic annual review of key aspects of the facility’s IPCP is an expectation of CMS, accreditation organizations and infection prevention and control standards for long-term care and other health care settings.
Responses reflect general regulatory guidance and may vary by state, payor, or circumstance.
Interim MDS Coverage, When You Need It
Need support for upcoming PTO, vacancies, or unexpected gaps in your MDS team? Engage Consulting offers interim MDS completion services led by experienced MDS nurses who work remotely to seamlessly support your facility.
This flexible solution helps with staffing shortages, training support, workload balance, and continuity of accurate MDS completion while protecting reimbursement, quality, and compliance.
Our team works alongside providers every day, helping them navigate clinical, operational, and regulatory challenges. We also understand the leadership qualities needed to guide teams, maintain compliance, and drive strong clinical outcomes.
When these leadership gaps occur, our recruiting team supports clients to fill key leadership roles with experienced professionals who are ready to step in and lead.