MDS scheduling software for skilled nursing facilities that shows the window before it closes

The MDS is the standardised Minimum Data Set assessment that every Medicare and Medicaid certified nursing facility must complete for each resident. It drives the care plan, the quality measures published on Care Compare, and the case mix classification behind Medicare payment. Windows are tight: quarterly assessments run on a 92 day clock, annual assessments on a 366 day clock, OBRA admission assessments are due by day 14, and a missed window drops the rate. Neurobird makes the schedule visible and assigns each section to the discipline that owns it.

MDS coordinator reviewing resident assessment schedules at a nursing station, used to illustrate skilled nursing facility assessment work
One spreadsheet, one person, 120 beds.
92days between quarterly assessments
366days between annual assessments
483the CFR part governing long term care facilities

Neurobird Skilled Nursing Facility MDS in short

  • See every open assessment window and its target date without rebuilding the calendar
  • Assign sections to the disciplines that own them and track completion
  • Catch a significant change in status while there is still time to assess it
  • 483 Requirements for long term care facilities, including the resident assessment obligation, sit at 42 CFR Part 483, and section 483.20 is the assessment rule itself. eCFR, 42 CFR Part 483
  • RAI manual CMS publishes the Resident Assessment Instrument manual that defines every item, coding convention and assessment window the MDS runs on. CMS, RAI manual
  • Pricing runs 3 to 11 US dollars per month across 3 tiers. Early access is free.

What skilled nursing facilities and MDS coordinators actually deal with

The assessment calendar is a spreadsheet only the coordinator understands, and when she is out the windows quietly close.
Sections are owned by different disciplines, and nothing tells you that therapy has not finished section O until the day the assessment locks.
A late or missed assessment turns into a default payment rate, and nobody finds out until the remittance arrives.

Why it stays broken

The EHR knows the clinical record and the biller knows the remittance, but the assessment calendar sits between them in a spreadsheet. So a 92 day clock, a 366 day clock and a 14 day window all live in one person's memory.

One missed assessment in a 120 bed facility can put weeks of care at a default payment rate.

More than one-third of dually eligible beneficiaries in a long-term care or skilled nursing facility setting were hospitalized from these settings at least once, totaling almost 1 million hospitalizations.

cms.gov, source

The assessment calendar, as your coordinator would run it

A working preview. Tick an assessment to move it through the cycle.

neurobird / MDS schedule
3 / 5
requirements current
RequirementStatusNext due
5 day PPS assessment, window day 1 to 8currentin 42d
OBRA admission, due by day 14due soonin 9d
Quarterly, 92 day clock runningcurrentin 120d
Section GG function scoring incompleteoverdue3d late
Significant change in status identifiedcurrentin 64d

Tick a requirement to file evidence against it.

Neurobird Skilled Nursing Facility MDS Compliance Platform

Make the schedule the system of record. Every window, every owner, every section, visible to the whole interdisciplinary team rather than to one coordinator.

  • 1See every open assessment window and its target date without rebuilding the calendar
  • 2Assign sections to the disciplines that own them and track completion
  • 3Catch a significant change in status while there is still time to assess it
  • 4Confirm transmission rather than assume it

What changes with Neurobird Skilled Nursing Facility MDS?

The same work, read left to right: how it runs today, and how it runs once the record is in one place.

Skilled nursing facility mds: current practice compared with Neurobird Skilled Nursing Facility MDS
TodayWith Neurobird Skilled Nursing Facility MDS
The assessment calendar is a spreadsheet only the coordinator understands, and when she is out the windows quietly closeSee every open assessment window and its target date without rebuilding the calendar
Sections are owned by different disciplines, and nothing tells you that therapy has not finished section O until the day the assessment locksAssign sections to the disciplines that own them and track completion
A late or missed assessment turns into a default payment rate, and nobody finds out until the remittance arrivesCatch a significant change in status while there is still time to assess it

Who is this for?

Same assessment, three different pressures.

Single facility coordinator

You are the whole MDS department

You hold the 92 day clocks in your head. You need a calendar that keeps running when you are not in the building.

Multi facility group

You oversee several buildings

Coordinators work differently in each one. You need a consistent schedule and a way to see risk before the remittance shows it.

Interdisciplinary team

You own a section, not the whole assessment

Therapy, dietary and social services each contribute. You need to know what is yours and when it is due.

How resident assessment is actually governed

Useful if you are new to the coordinator role or preparing for survey. Each source links out.

483

Requirements for long term care facilities, including the resident assessment obligation, sit at 42 CFR Part 483, and section 483.20 is the assessment rule itself.

eCFR, 42 CFR Part 483
RAI manual

CMS publishes the Resident Assessment Instrument manual that defines every item, coding convention and assessment window the MDS runs on.

CMS, RAI manual
Case mix

Medicare pays skilled nursing under a prospective payment system where the assessment determines the classification, so an assessment error is a payment error.

CMS, SNF prospective payment
5 star

Assessment data feeds publicly reported quality measures on Medicare Care Compare, which families and referral sources read before they call you.

Medicare Care Compare
Open data

CMS publishes provider level nursing home data, including the quality measures derived from assessment submissions, as a public dataset.

CMS provider data, nursing homes

How does Neurobird Skilled Nursing Facility MDS work?

  1. See every window

    Admission, quarterly, annual, significant change and the Part A schedule all appear on one calendar with target dates and late thresholds.

  2. Assign the sections

    Therapy, nursing, dietary and social services each own their sections. Completion is tracked per discipline, so nothing is discovered at lock.

  3. Confirm the transmission

    Signed, locked and transmitted are separate states. The schedule closes only when the assessment is actually accepted.

Skilled nursing facility mds software questions, answered

Key terms

What is the MDS in a skilled nursing facility?
The MDS, or Minimum Data Set, is the standardised resident assessment every Medicare and Medicaid certified nursing home must complete. It drives the care plan, the quality measures published on Care Compare, and the case mix classification that sets Medicare payment. The rules live in the CMS RAI manual and at 42 CFR Part 483.

What assessments are on the schedule?

OBRA assessments on admission, quarterly at least every 92 days, annually within 366 days, and whenever there is a significant change in status, plus the Medicare Part A schedule including the 5 day assessment. Each has its own window and its own late consequence.

What happens if an assessment is late?

Payment falls to a default rate for the days that are not covered by a timely assessment, and the facility carries a survey exposure on top of it. The loss is usually discovered on the remittance rather than on the calendar.

Why does section GG get so much attention?

Because functional status feeds both payment classification and publicly reported quality measures. It has to be scored from actual observed performance during a defined window, by the disciplines who saw the resident, not filled in at the end by one person.

Does this replace our EHR?

No. Your EHR holds the clinical record and transmits the assessment. This holds the schedule, the ownership and the completion state, which is the part that usually lives in a spreadsheet.

Why we are building this

MDS is a deadline problem dressed as a clinical one. The clinical judgement is real, but what actually costs facilities money is a window that closed while everyone was busy.

The calendar that governs it is usually a spreadsheet maintained by one person, which makes the whole payment and quality picture dependent on that person being at work.

We would rather build this with coordinators than guess at it. Tell us how your schedule works, and where we have got it wrong.

Neurobird Team neurobird.com

Where the requirement comes from

The regulation, the manual and the public data behind resident assessment.

How much does Neurobird Skilled Nursing Facility MDS cost?

Priced per certified bed because the assessment load follows the census. Unlimited users on every tier.

Single facility
$3
per bed, per month
  • Assessment calendar
  • Window and target dates
  • Late thresholds
  • Section assignment
  • Email support
Request access
Group
$6
per bed, per month
  • Everything in Single facility
  • Discipline completion tracking
  • Significant change triggers
  • Transmission confirmation
  • Named contact
Request access
Regional
$11
per bed, per month
  • Everything in Group
  • Multi facility roll up
  • EHR integration
  • Survey readiness reporting
  • Onboarding included
Talk to us
First 25 facilities get early access pricing locked for three years

Get free early access

If you coordinate MDS, tell us how the calendar is built today and what happens when you take a week off.

Straight answer on where this is: In development. Early access gets the working preview, a say in what ships first, and early access pricing. It does not get you a login today.

Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.