The Centers for Medicare and Medicaid Services (CMS) this week released updates to the Minimum Data Set (MDS) 3.0 Resident Assessment Instrument manual for skilled nursing facilities (SNFs). The updates are effective October 1. Information on how to access the manual can be found on CMS' MDS Training Materials Web page. Change-table files are included only for sections of the manual that have changes that will be effective October 1. Sections that have been updated include: Title Page, Table of Contents, Chapter 1, Chapter 2, Chapter 3 (Introduction, Sections: C, H, I, K, M, N, and O), Chapter 4, Chapter 6, and Appendices (A, B, C, and E). Files from earlier versions are contained in the manual but do not have an associated change table file. Each manual page reflects the effective date of the content.