Dynamic List Information
Dynamic List Data
Title
Advance Guidance - Revisions to State Operations Manual (SOM), Appendix PP- Guidance to Surveyors for Long-Term Care (LTC) Facilities and Chapter 4
Memo #
14-37-NH
Posting Date
2014-07-03
Fiscal Year
2014
Title
• Revisions to Appendix PP of the SOM: We have revised the Interpretive Guidelines and, where appropriate, Investigative Protocols for the following F Tags to incorporate Survey & Certification (S&C) policy memos issued from October 2003 through May 2014. Specifically, the guidelines have been updated for the following F Tags:
F161 - Assurance of Financial Security
F202 - Documentation for Transfer and Discharge
F208 - Admission Policy
F221 - Physical Restraints
F278 - Accuracy of Assessment/Coordination/Certification/Penalty for Falsification
F281 - Services Provided Meet Professional Standards of Quality
F286 - Maintaining 15 Months of Resident Assessments (Use)
F332 - Medication Errors/Free of Medication Errors of 5% or Greater
F333 - Medication Errors/Residents are Free of Significant Medication Errors
F371 – Sanitary Conditions
F387 - Frequency of Physician Visits/Timeliness of Visits
F388 - Personal Visits by the Physician
F390 - Physician Delegation of Tasks in SNFs/Performance of Physician Tasks in NFs
F425 - Pharmacy Services
F428 - Drug Regimen Review
F431 - Service Consultation/Labeling of Drugs and Biologicals/Storage of Drugs and
Biologicals
F441 - Infection Control
F492 - Compliance with Federal, State and local laws and Professional Standards
F514 - Clinical Records
F516 - Resident Identifiable Information/Safeguard against loss, destruction, or
unauthorized use
• Revisions to SOM Chapter 4: Section 4132.1E Waiver of Program Prohibition has
been revised to incorporate information consistent with CFR 483.151(c)(1). Section
4542.2 State Agency (SA) Expenses for Training of SA Personnel has been revised to include Association of Health Facility Survey Agencies (AHFSA) to the list of annual meetings.
F161 - Assurance of Financial Security
F202 - Documentation for Transfer and Discharge
F208 - Admission Policy
F221 - Physical Restraints
F278 - Accuracy of Assessment/Coordination/Certification/Penalty for Falsification
F281 - Services Provided Meet Professional Standards of Quality
F286 - Maintaining 15 Months of Resident Assessments (Use)
F332 - Medication Errors/Free of Medication Errors of 5% or Greater
F333 - Medication Errors/Residents are Free of Significant Medication Errors
F371 – Sanitary Conditions
F387 - Frequency of Physician Visits/Timeliness of Visits
F388 - Personal Visits by the Physician
F390 - Physician Delegation of Tasks in SNFs/Performance of Physician Tasks in NFs
F425 - Pharmacy Services
F428 - Drug Regimen Review
F431 - Service Consultation/Labeling of Drugs and Biologicals/Storage of Drugs and
Biologicals
F441 - Infection Control
F492 - Compliance with Federal, State and local laws and Professional Standards
F514 - Clinical Records
F516 - Resident Identifiable Information/Safeguard against loss, destruction, or
unauthorized use
• Revisions to SOM Chapter 4: Section 4132.1E Waiver of Program Prohibition has
been revised to incorporate information consistent with CFR 483.151(c)(1). Section
4542.2 State Agency (SA) Expenses for Training of SA Personnel has been revised to include Association of Health Facility Survey Agencies (AHFSA) to the list of annual meetings.