F-tag remediation, PDPM coding integrity, Medicare bad debt cost-report recovery, and ongoing compliance support — built for 1- and 2-star SNFs with recurring survey exposure and independent operators without a full-time compliance officer.
Three-2567 walkthrough by tag, Plan of Correction review and gap analysis, mock-survey interviews (DON and business office), and a written remediation plan with owner and deadline per action. Focus on F880 and F689 — the two highest-volume citation tags surviving the February 2026 Staffing Rule rescission. Designed for 1- and 2-star facilities with recurring survey exposure.
View on Services Page →PDPM case-mix group accuracy review — ICD-10 principal diagnosis mapping, cognitive and functional status documentation alignment with MDS coding, and NTA comorbidity capture. SNFs systematically under-capture NTA points; this engagement is typically revenue-positive on first finding. ICD-10 integrity review covers the ten highest-revenue MDS-linked diagnosis codes in your census.
View on Services Page →Medicare bad debt is a legitimate and recoverable cost under 42 CFR 413.89 — but most independent SNFs leave significant recovery on the table due to inadequate documentation, write-off timing errors, and incomplete bad debt logs. We review your bad debt log against CMS eligibility criteria, identify recoverable accounts, and prepare the cost-report documentation. Contingency structure available; contact us to scope.
Schedule to Scope →CMS conditions of participation and the OIG's SNF compliance program guidance both reference LEIE screening as a baseline requirement. SNFs with therapy contractor relationships carry downstream vendor screening obligations. Five-layer methodology — NPI, SSN/DOB, phonetic, fuzzy, entity. Branded compliance certificate on every engagement.
Full Page →The February 2026 rescission of the Staffing Rule removed the 24/7 RN requirement and the minimum staffing ratios from the enforcement calendar — but it didn't change the citation landscape for the tags that actually drive 1- and 2-star ratings in CMS's Five-Star Quality Rating System.
F880 (Infection Prevention and Control) and F689 (Accidents and Supervision) have remained the two highest-volume citation tags nationally for three consecutive survey cycles. Both survived the Staffing Rule rescission unchanged. A SNF with recurring F880 and F689 citations has both survey exposure and Five-Star payment exposure — the staffing floor was removed, but the quality floor was not.
For independent SNF operators, the typical remediation gap is not a clinical protocol problem — it's a documentation and audit-trail problem. The F880 citation usually exists because the infection prevention committee meeting is undocumented, not because the infection prevention program doesn't exist. Our remediation work starts with the documentation infrastructure, not the clinical procedure.
We work with independent SNF operators — 1- to 3-star facilities, post-survey remediation situations, and operators looking to close the gap between their compliance program and their survey outcomes. Tell us where you are; we'll scope what fits.