Skilled Nursing News January 13, 2026
Amy Stulick

Inconsistent interpretation of federal regulations at the state level, and surveyor subjectivity are gray areas that will make compliance navigation in 2026 a challenge, with many also warning of a reliance on outdated processes that could trip up many operators in the months to come.

While celebrating the removal of long-standing hurdles for the sector such as the staffing mandate, operators are also calling for clearer guidance on 5-Claim Probe audits from the Centers for Medicare and Medicaid Services (CMS), demanding more consistency in surveys and a more detailed direction on new quality measures that took effect Jan. 1.

Robust Quality Assurance and Performance Improvement (QAPI) programs in particular have captured the focus of a lot of operators, with many...

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