CMS released the final version of the Resident Assessment Manual that represents the largest revamp of the Minimum Data Set (MDS) nursing home assessment tool. There are more than 60 changes that are effective October 1,2023. Sections A, B, and D outline new resident data collection requirements including ethnicity, race, language (resident’s preferred language and desire for an interpreter), transportation, health literacy, and social isolation to assess the impact of social determinants of health on residents’ outcomes.