Regulatory, MDS, Medicare/PPS Compliance Consultant

  1. Regulatory/Licensure Compliance (not all inclusive)
  • Chart audits
  • Analysis of facility QI/QM Report including chart reviews
  • Resident assessment (MDS)/care plan review
  • Quality Assessment and Assurance review
  • Resident at risk reviews (restraints, pressure ulcers, weight loss, falls)
  • Pain management review
  • Infection control review
  • Lab monitoring/audits
  • Treatment/care observations
  • Facility observation rounds
  • Kitchen/food service observation/rounds
  • Dining observation
  • Resident and family interviews
  • In-services
  • Educational materials
  • Assistance with/formulation of plan of correction to statement of deficiencies
  • Post survey visits – determination of compliance
  • Written report for visit


  1. Pre-Survey/Mock Survey Review
  • Extensive written report provided with findings and recommendations


  1. Medicare/PPS
  • Training and monitoring
  • Training and monitoring


Note: In addition to having an agenda for each visit, the Administrator or DON and/or both are consulted with to determine if any changes need to be made regarding areas to be reviewed and/or observed during visit.