Survey, Certification and Operations

We at LeadingAge advocate for a healthy, ethical and affordable oversight system for the nation's nursing homes. We provide updates on regulatory activity issued by the Centers for Medicare and Medicaid Services (CMS) and other federal agencies. Check here often for the latest on regulations, guidance and initiatives, including the CMS Five-Star Nursing Home Rating System, to help you understand compliance requirements.

Featured Content

PBJ: Time for a Better Sandwich

LeadingAge Offers Thoughts on Cardiac Bundles

LeadingAge submitted a comment letter to CMS October 3 requesting amendments to the proposed rule expanding episodic payment models.

Coding Section GG: Functional Abilities and Goals

Medicare Part A stays that begin October 1, 2016 and beyond will require a new MDS section on the PPS 5 day assessment and the Part A PPS Discharge Assessment.

CMS Eliminates Certain Opportunity to Correct Options for Nursing Homes

This letter includes advanced guidance regarding revisions in State Operations Manual (SOM) Chapter 7-[Enforcement], Sections §7304 - 7304.3;  7306.1; 7308.3; 7400.5.1; 7400.6.2; 7313.2, pertaining to the Immediate Imposition of Federal Remedies (previously referred to as Opportunity to Correct or No Opportunity to Correct).

Infection Control Pilot Project

 The Centers for Medicare and Medicaid Services and Centers for Disease Control and Prevention Announce 3-year Infection Control Pilot Survey Project for Nursing Homes.

  1. Update on New CMS Survey Process for LTC Providers

    The new process combines the best of the traditional survey process and the QIS survey process. Directly, the concepts of the new survey process will be a focus on residents and resident experiences. This direction will allow surveyors to steer away from rigid yes or no answers to open-ended questions and bring in a conversation ...

  2. CMS Revision of Civil Money Penalty(CMP) Policies and Analytic Tool

    On Friday, July 7th, 2017, The Centers for Medicare and Medicaid (CMS) released the Revision of Civil Money Penalty (CMP) Policies ...

  3. LeadingAge Stresses Need for Changes to Revised Nursing Home Requirements

    LeadingAge’s comments focused on the following areas: Grievance process Quality Assurance and Performance Improvement (QAPI) Discharge Notices Abuse Reporting Electronic Health Records Facility Assessment Infection Prevention and Control Cumulative ...

  4. CMS Issues S&C Letter Outlining Facility Responsibilities Relating to Water Management Policies

    Specifically, CMS expects Medicare certified healthcare facilities to have An industry standard calling for the development and implementation of water management programs in large or complex building water systems to reduce the risk of legionellosis was published in 2015 by American Society of Heating, Refrigerating, and Air ...

  5. CMS Proposes to Revise Arbitration Agreement Requirements for Long Term Care Facilities

    CMS states the proposed arbitration revisions “would help strengthen transparency in the arbitration process, reduce unnecessary provider burden and support residents’ rights to make informed decisions about important aspects of their health care.” The CMS proposed rule includes the following provisions: