Why Restorative Nursing Matters for Skilled Residents Under PDPM

The Overlooked Opportunity in PDPM: How Restorative Nursing Can Boost Care Quality and Reimbursement.

Under PDPM, Restorative Nursing Is No Longer Optional — It’s Essential.

For years, Restorative Nursing was viewed as a “nice-to-have” program in skilled nursing. But with the Patient Driven Payment Model (PDPM), Restorative Nursing has become one of the most powerful tools available to providers — clinically and financially.

This white paper breaks down exactly how Restorative Nursing fits into PDPM’s reimbursement model, how to avoid costly overlaps with therapy services, and how to structure programs that drive both compliance and better margins.

In this white paper, you’ll learn:

  • Why Restorative Nursing programs now directly impact PDPM reimbursement

  • The specific resident characteristics and MDS coding practices that unlock reimbursement

  • The most common mistakes that prevent Restorative programs from counting

  • The F-tags and compliance risks tied to poor Restorative documentation

  • A breakdown of which programs qualify — and how to avoid overlap with therapy services

Whether you’re looking to improve care, prevent declines, or increase reimbursement — Restorative Nursing is where to start.

Not sure if your Restorative Nursing programs are capturing everything they should?

Let’s talk about how Gravity Consulting can help.