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. CMS Announces Initiative to Address Improper Facility-Initiated Discharges

    CMS noted in the Letter that “discharge/eviction” was the most frequent nursing facility complaint category logged by Long-Term Care Ombudsman programs nationally in FY2015. CMS stated that the reasons for non-compliant discharges can vary but often are driven by payment concerns and behavioral/mental/emotional expressions ...

  2. Training Videos for New LTC Survey Process

    The Centers for Medicare and Medicaid (CMS) released new Long Term care survey process training videos. The training videos are broken up into the sections of the survey including but not limited to:  Entrance Conference, Initial Pool, Observations, Interviews, Facility Tasks, Investigations and Closed Record Review. Please ...

  3. Nov. 28 Has Passed

    States may adapt the RoPs, as appropriate, to reference state laws or regulations that may be relevant and we encourage you to do so as well.  Our goal was to build on the resources to help your organization understand the requirements and become compliant.   PHASE ...

  4. Temporary Enforcement Delays for Certain Phase 2 F-Tags and Five Star Health Inspection Freeze

    LeadingAge - Overview of S&C 18-04-NH Temporary Enforcement Delays for Certain Phase 2 F-Tags and Changes to Nursing Home Compare CMS will put into place an 18-month moratorium on the imposition of civil money penalties (CMPs), ...

  5. RoPs Phase 2 Tools and Resources Next Areas Released

    The next wave of RoPs Phase 2 Tools, Toolkits, Resources and QuickPaths are now available.  The following areas have been posted to help you and your team become ...