LTC Clarified: Weekly News, Insights & Connections


Written By:

Janine Lehman, RN, RAC-CT, CLNC

Director of Clinical & Legal Nurse Consulting

Proactive LTC Consulting

What does it take to be a successful DON? Is it specific training, is it years of experience, or is effective nurse leadership inherent in the DNA of the person? If you were to review the performance characteristics of the most successful Directors of Nursing, these top 5 attributes would stand out…  

Make progress with 2026 goals and wish-list projects on a Proactive Annual Partner Plan which provide an allotment of consulting support hours delivered by seasoned LTC experts at a fraction of the cost of hiring new staff. Support is lead by a designated consultant, and can be provided as a combination of onsite and remote assistance with services billed in 12 flat monthly installments. Plans start as low as 8 hours per month with facility customized work plans that provide just-right support for survey-readiness, QM improvement, key clinical programs, reimbursement accuracy and crisis management. Add the Proactive team to your roster and achieve the outcomes you’ve been working toward!

This advanced workshop is designed for established team members seeking to advance insights and depth of knowledge into driving MDS accuracy, Five Star QMs, SNF QRP and VBP performance. Curriculum moves beyond the basics to emphasizes real-world application, regulatory updates, and strategies to optimize quality outcomes and financial performance. Learn more and register

Ask Proactive!

Q: It doesn’t appear that we’ve had any significant changes at our facility this past year. Do we still need to review or revise our Facility Assessment?


Written By:

Angie Hamer, RN, RAC-CT

Senior Consultant

Proactive LTC Consulting

This series focuses on the core competencies and strategies of an effective Director of Nursing. Monthly sessions focus on critical skills including leading teams, implementing strong systems for key tasks, and mastering the QAPI approach to drive performance outcomes. Learn more

Upcoming Training Events

JANUARY

Regulatory Updates & Compliance Trends Impacting Facilities in the New Year - Webinar

This session provides a comprehensive overview of the latest regulatory changes and survey trends affecting long-term care facilities. Presented by Shelly Maffia. Learn More

The Daily DON: Organizing Your Time, Tasks, & Team - Webinar

This session focuses on organization and time management for serving effectively as the Director of Nursing, with an emphasis on effective leadership and staff engagement. Presented by Janine Lehman. Learn More

PDPM Precision (Part 1) - Webinar

This is the first of two PDPM-focused sessions that will provide an in-depth review of the reimbursement model. This session will emphasize understanding the payment model, its impact on interdisciplinary team operations, and strategies for success. Presented by Eleisha Wilkes. Learn More

Advanced MDS Workshop - Webinar

This advanced workshop is designed for established team members seeking to advance insights and depth of knowledge into driving MDS accuracy, Five Star QMs, SNF QRP and VBP performance. Curriculum moves beyond the basics to emphasizes real-world application, regulatory updates, and strategies to optimize quality outcomes and financial performance. Presented by Christine Twombly. Learn More

Proactive Home Health Consulting

Growing Your Home Health Agency: A Practical, Profitable Approach

Sustainable growth of a home health agency comes from strong operations, smart referral strategy, and disciplined financial oversight. Agencies that grow well do a few things exceptionally consistently. Here’s a practical roadmap to help your home health agency grow without sacrificing compliance, quality, or margin.


Join us January 22 for our Home Health Leadership Training Program!


Written By:

Nichole McClain, RN

Principal Consultant of Home Health Services

Proactive LTC Consulting

Since its implementation on October 1, 2019, the Patient-Driven Payment Model (PDPM) has reshaped skilled nursing reimbursement, replacing RUG-IV with a more clinically driven, case-mix methodology. The PDPM Quick Reference Toolkit gives your team at-a-glance resources to understand all five PDPM components—Physical Therapy (PT), Occupational Therapy (OT), Speech-Language Pathology (SLP), Nursing, and Non-Therapy Ancillary (NTA)—so your facility can ensure accurate MDS coding and reimbursement.

Proactive’s nurse, MDS, therapist, and operations consultant team includes SNF experts with backgrounds as DON, Operations Director, Clinical Reimbursement Director, Clinical Trainer, Surveyor, and Compliance Officer. Contact us to learn more about support options.

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