The submission deadline for the Skilled Nursing Facility (SNF) Quality Reporting Program (QRP) is fast approaching. This includes Minimum Data Set (MDS) data and National Health Safety Network (NHSN) COVID-19 vaccine coverage for Healthcare Personnel (HCP) data for Q1 2025 (January 1, 2025 – March 31, 2025). All data must be submitted no later than 11:59 p.m. on August 18, 2025. Any data submitted or corrected after this submission deadline will be considered late and therefore will have no effect on their compliance rate.
It is recommended that applicable Centers for Medicare & Medicaid Services (CMS) Internet Quality Improvement and Evaluation System (iQIES) reports and NHSN analysis reports are run prior to each quarterly reporting deadline to ensure that all required data were submitted. CMS also encourages nursing homes to verify all facility information prior to submission, including CMS Certification Number (CCN) and facility name.
- The MDS 3.0 NH Error Detail Report for error messages -3897 and -3908. These messages indicate that a required item for the SNF QRP was coded with a dash [-], and therefore the MDS would be non-compliant with reporting requirements.
- The SNF QRP Provider Threshold Report for FY 2027. This report shows the compliance rates for both MDS and NHSN reporting. It is recommended to review applicable MDSs if the threshold is under 93-95%. NHSN reporting must be 100% to meet the compliance threshold.
For NHSN reporting:
- Nursing homes are required to submit COVID-19 vaccination summary data via the Weekly COVID-19 Vaccination Module for at least one week per month to fulfill CMS reporting requirements. The week-end date determines the month for which a week is included.
- Nursing homes are recommended to review the COVID-19 Weekly Vaccination Summary (that can be access by clicking on “Vaccination Summary” on the left-hand navigation bar in NHSN) to validate their submission.
Questions about SNF QRP reporting requirements, including verification reports may be sent to regulatory@ahca.org.