In this second half of our deep dive, Melissa Brown, COO of Gravity Consulting, continues her conversation with Melissa Keiter on the critical challenges—and opportunities—of PDPM Medicaid.

This episode unpacks real-world strategies for facilities navigating the transition, from documentation pitfalls and audit risks to proactive coordination across nursing, MDS, therapy, and ancillary partners. You’ll hear insights on:

• Why supportive documentation is more important than ever
• How respiratory therapy, wound care, and psychological services can strengthen your PDPM scores
• The role of coordination between MDS, clinicians, and outside specialists
• Why a proactive, team-based mindset is essential to avoid leaving dollars—and care opportunities—on the table

Whether your state has already transitioned or is still under a rate freeze, this episode will help you prepare your staff, adjust your systems, and avoid the financial and operational risks of falling behind the curve.

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The clock is ticking. With the mandatory transition to PDPM Medicaid coming October 1st, many providers are still unprepared—and it’s already impacting their margins.

In this episode, Melissa Brown is joined by Melissa Keiter, MDS expert and Lead Consultant for Nursing Services at Gravity Consulting, to break down the real-world implications of this sweeping policy shift. From reimbursement cuts to team readiness, they explore why relying on therapy-driven documentation is no longer enough—and what nursing homes must do to avoid sinking under PDPM Medicaid.

You’ll learn:

• Why some facilities are already losing $5–$15 per patient per day
• How Section GG impacts your bottom line—and why nurse aides hold the key
• What to do if your state is including therapy in the Medicaid rate
• Tactical strategies for nursing-only states
• How to prepare your entire care team—from dietitians to social workers

This is part one of a two-part series. Don’t miss this critical conversation designed to help you protect your CMI and stay financially afloat during the transition.

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In this episode, Melissa Brown sits down with Dr. Carol McKinley, President and CEO of Simpson Senior Services, for a powerful conversation about how senior living providers can use AI to revolutionize care delivery.

Dr. McKinley shares her deeply personal journey into senior care, the inspiration behind her passion for innovation, and how Simpson is using AMBA’s passive AI monitoring to spot critical health changes before they become emergencies.

You’ll hear how this technology is:

• Reducing falls and hospital visits
• Supporting frontline staff through real-time alerts
• Improving family communication and resident confidence
• Making data meaningful—even for non-clinical leaders

Plus, learn how Simpson’s unique Tech Bar is empowering residents to take ownership of their health and wellbeing through hands-on access to smart health tools.

If you’ve been burned by AI that promised everything and delivered little, this episode will restore your faith in what’s possible when technology is built for senior care instead of added onto it.

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