Dedicated to improving quality and compliance in post-acute and long-term care.         
Workshops & Audit Services for Medicare Compliance and QAPI Projects
Click here to email or call 479.366.1074

Organizational Resilience

Our definition of resilience:

"The long term care facility's ability to adapt and respond to internal and external dynamic changes, opportunities, and regulatory expectations while maintaining a constant state of performance improvement and compliance."TM

So, how resilient is your facility?
Take the Quiz...

  • Our Medicare documentation will survive an auditor's scrutiny.
  • Our nursing systems will stand up to a survey.
  • Our staff is prepared for QAPI.

If you answered "no" to any one of these questions, then you need us.  We can help you improve quality, compliance, and revenue with our on-site workshops and audits. If you answered "yes" to all of these questions, then you are over-confident and you need us even more than you think !

Free Downloads

"The Eden Alternative Journey: Impacting the MDS and QIS Process"
by Frosini Rubertino, Sandie Lubin, & Cheryl Kruschke for Eden Alternative

"A Better Medicare Program"
by Frosini Rubertino

"Harness the Power of Collaboration"
by Frosini Rubertino

McKnights - Carmelina review
Read about the McKnights review of Carmelina: Essential Nursing Systems for Long Term Care

Useful Links

CMS QAPI Materials

CMS Policy Memorandums

OIG HEAT - Compliance Training

CMS Manuals

QIS Forms

Dementia Action Alliance

The Eden Alternative

 Click here to view our tribute
 to The Greatest Generation.

"We care for the 'Greatest Generation'.

 Be honored.  Be grateful.  Be proud."

 Frosini Rubertino, R.N.
 Founder of


AUDITS IN MOTION - On Site or Remote
  • Medicare Compliance Audits
  • Medical Record Reviews
  • Mock Quality Indicator Surveys (QIS)
  • Facilitation of QAPI Project Work Groups


  • QAPI Performance Improvement Projects for LTC
  • Anchor the BoatSM: The Impact of Clinical Competencies on Preventable Hospitalizations
  • Surveys: Understanding the Process
  • Write it RightSM: Medicare Documentation for SNFs
  • ICD10 Basics for SNFs
  • Medicare Part A: Skilled Services and Clinical Qualifiers
  • Mind your Medicare System of Care Delivery

ANSWERS IN MOTION, a Q & A Subscriber-Only Service

You want answers and don't know where to go?
Tired of hearing "because that's the way we've always done it"? 
You need help but you don't have a consultant?
You are a consultant but you need a resource?

No worries. Our team of experts are available to answer your regulatory questions via this email portal. Answers to your common questions, using CMS regulatory manuals and resources, will be provided within 3 business days. Once subscribed, you will receive a log in ID and password to access the Answers page and send in your question.

Annual subscription fee is $300 per facility. That's only $25 per month! If you are a multi-facility organization, your fee will be based on number of facilities in your organization.

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