Dynamic List Information
Dynamic List Data
Title
REVISED: Revised Long-Term Care (LTC) Surveyor Guidance: Significant revisions to enhance quality and oversight of the LTC survey process
Memo #
QSO-25-12-NH
Posting Date
2025-01-16
Fiscal Year
2025
Title
Memorandum Summary
Revised Surveyor Guidance: CMS is releasing the following revised guidance for nursing home surveyors:
• Admission, Transfer & Discharge, Chemical Restraints/Unnecessary Psychotropic Medication, Resident Assessment, Nursing Services, Payroll Based Journal, Quality of Life and Quality of Care, Administration, Quality Assurance Performance Improvement (QAPI), Infection Prevention and Control, and other areas.
• Clarifications and technical corrections have also been made throughout Appendix PP.
Associated Training and Resources:
• Training on this guidance will be available upon release of this memorandum for surveyors and providers.
• Advance copy of the Critical Element Pathways are attached to this memo.
• Advanced copy of Appendix PP is attached to this memo.
• Revised Survey Resources will be posted on March 24, 2025.
Effective Date: Surveyors will begin using this guidance to determine compliance with requirements on surveys beginning March 24, 2025. This allows ample time for surveyors and nursing home providers to be trained on this new information.
Added revised guidance and training for Nursing Services and Payroll Based Journal to the updates for Appendix PP and the Long-Term Care Survey Process and revised the effective date of implementation for all new guidance to March 24, 2025.
Revised Surveyor Guidance: CMS is releasing the following revised guidance for nursing home surveyors:
• Admission, Transfer & Discharge, Chemical Restraints/Unnecessary Psychotropic Medication, Resident Assessment, Nursing Services, Payroll Based Journal, Quality of Life and Quality of Care, Administration, Quality Assurance Performance Improvement (QAPI), Infection Prevention and Control, and other areas.
• Clarifications and technical corrections have also been made throughout Appendix PP.
Associated Training and Resources:
• Training on this guidance will be available upon release of this memorandum for surveyors and providers.
• Advance copy of the Critical Element Pathways are attached to this memo.
• Advanced copy of Appendix PP is attached to this memo.
• Revised Survey Resources will be posted on March 24, 2025.
Effective Date: Surveyors will begin using this guidance to determine compliance with requirements on surveys beginning March 24, 2025. This allows ample time for surveyors and nursing home providers to be trained on this new information.
Added revised guidance and training for Nursing Services and Payroll Based Journal to the updates for Appendix PP and the Long-Term Care Survey Process and revised the effective date of implementation for all new guidance to March 24, 2025.