This report, “A Guide to Nursing Home Oversight & Enforcement,” identifies key requirements for state agencies in the federal regulatory requirements and the State Operations Manual which lays out detailed expectations and guidance for state surveyors. Download the full report or access individual sections in the toggle boxes on the right.
Resources for Surveyors
The Centers for Medicare & Medicaid Services (CMS) released the following guidance for nursing home surveyors. Appendix PP provides interpretive guidelines for long-term care facilities. Critical Element Pathways* are used for investigating potential care areas of concern. Surveyors will begin using this guidance to identify noncompliance on October 24, 2022.
Appendix PP – Guidance for Surveyors
Psychosocial Outcome Severity Guide
Abuse*
Accidents*
Arbitration*
Behavioral-Emotional*
Beneficiary Notice*
Dementia Care*
Dental*
Dining*
Discharge*
Environment*
Extended Survey*
Hospitalization*
Infection Prevention Control and Immunization*
Kitchen*
Medication Storage*
Neglect*
Pain Management*
Personal Funds*
QAPI and QAA*
Resident Council*
Sufficient and Competent Staff*
Unnecessary Medications*
Urinary Catheter or UTI*