Survey Preparedness

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Skilled nursing centers and nursing facilities are required to follow extensive rules in the Requirements of Participation (ROP) to receive payment under the CMS Medicare or Medicaid programs. These requirements are contained in the Federal Regulations for Nursing Facilities, which also state each center must comply with all applicable Federal, State, and local laws, regulations, and codes with accepted professional standards. The AHCA regulatory team provides members with guidance and resources to help them understand the survey process and implement the requirements.  

 SURVEY TIPS to Maintain Compliance

The AHCA regulatory team is developing survey tips to assist in maintaining compliance with skilled nursing regulations, as well as preparing for surveys. The team will review trends for citations and provide tips for staying in compliance with these regulatory areas.​​​

 

 

Survey Tip: Documenting Protection on Abuse Reportinghttps://publish.ahcancal.org/News-and-Communications/Blog/Pages/Survey-Tip-Documenting-Protection-on-Abuse-Reporting.aspxSurvey Tip: Documenting Protection on Abuse Reporting5/15/2024 4:00:00 AM<p></p><div>A new survey tip has been posted to the <a href="/Survey-Regulatory-Legal/Pages/Survey-Preparedness.aspx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">AHCA Survey Regulatory page</a> for your review. In the new Survey Tip section, on the Survey Regulatory page, you will find tips related to recently noted survey trends. In the latest <a href="/Survey-Regulatory-Legal/MemberOnlyDocs/Survey%20Tips/Survey%20Tip%20for%205.15.2024.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">survey tip</a>, you will find tips to ensure you are protecting resident(s) from further abuse, and sufficiently documenting the protection you have provided/are providing residents on both your initial abuse reporting and your 5-day working report to the State Survey Agency. </div><div><br></div><div>For additional information about abuse, neglect, and misappropriation of resident property, please review the webinar series on <a href="https://educate.ahcancal.org/products/abuse-and-neglect" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">ahcancalED</a>. The series also provides individual tip sheets for each F-tag associated with abuse. If you have any topics or suggestions for future survey tips, or survey/regulatory questions, please send them to <a href="mailto:regulatory@ahca.org" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">regulatory@ahca.org​</a>. </div><div><br></div><div> <br><br></div><p>​</p>A new survey tip has been posted to the AHCA Survey Regulatory page for your review.
Survey Tip - Food Procurement, Storage, and Sanitationhttps://publish.ahcancal.org/News-and-Communications/Blog/Pages/Survey-Tip-Food-Procurement-Storage-and-Sanitation.aspxSurvey Tip - Food Procurement, Storage, and Sanitation4/30/2024 4:00:00 AM<p><span style="font-size:11pt;">A new survey tip has been posted to the AHCA Survey Regulatory page for your review. In the Survey Tip section of the page, you will find tips reflecting recent survey trends. The latest <a href="/Survey-Regulatory-Legal/MemberOnlyDocs/Survey%20Tips/Survey%20Tip%20for%205.1.2024.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">survey tip​</a> provides guidance to help you prepare for a survey in your kitchen/dining area. These tips have been developed through reviews of commonly cited deficiencies related to F812, Food Procurement, and the </span><a href="https://www.cms.gov/files/zip/survey-resources.zip" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank" style="font-size:11pt;">Critical Element Pathway</a><span style="font-size:11pt;"> for the Kitchen. </span></p><div><br></div><div><span style="font-size:11pt;">If you have any topics or suggestions for future survey tips, or if you have survey/regulatory questions, please send them to <a href="mailto:regulatory@ahca.org" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">regulatory@ahca.org​</a>. </span><span style="font-size:11pt;">​</span></div><div><br></div><div><br></div><p>​</p>A new survey tip has been posted to the AHCA Survey Regulatory page for your review.
Survey Tip: Abuse, Neglect, and Misappropriationhttps://publish.ahcancal.org/News-and-Communications/Blog/Pages/Survey-Tip-Abuse-Neglect-and-Misappropriation.aspxSurvey Tip: Abuse, Neglect, and Misappropriation4/16/2024 4:00:00 AM<p></p><div>AHCA has created a new <a href="/Survey-Regulatory-Legal/MemberOnlyDocs/Survey%20Tips/Survey%20Tip-%20Abuse%20Neglect%20and%20Misappropriation%20of%20Resident%20Property.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">survey tip</a> that has been posted to the <a href="/Survey-Regulatory-Legal/MemberOnlyDocs/Survey%20Tips/Survey%20Tip-%20Abuse%20Neglect%20and%20Misappropriation%20of%20Resident%20Property.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">AHCA Survey Regulatory page</a> pertaining to abuse, neglect, and misappropriation of resident property. This resource and other tip sheets related to recently noted survey trends in citations can be found on the Survey, Regulatory, and Legal page under the <a href="/Survey-Regulatory-Legal/Pages/Survey-Preparedness.aspx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">Survey Preparedness subpage</a>. </div><div> </div><div>For other resources on preventing abuse, neglect, and misappropriation of resident property, visit the webinar titled <a href="https://educate.ahcancal.org/products/abuse-and-neglect#tab-product_tab_overview" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">Abuse and Neglect</a> on <a href="https://educate.ahcancal.org/" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">ahcancaled</a>. Please email questions to <a href="mailto:regulatory@ahca.org" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">regulatory@ahca.org​</a>. <br><br></div><div><br></div><p>​</p>AHCA has created a new survey tip that has been posted to the AHCA Survey Regulatory page pertaining to abuse, neglect, and misappropriation of resident property.
New AHCA Resource: Preparing Before Your Surveyhttps://publish.ahcancal.org/News-and-Communications/Blog/Pages/New-AHCA-Resource-Preparing-Before-Your-Survey.aspxNew AHCA Resource: Preparing Before Your Survey4/3/2024 4:00:00 AM<p></p><div>A new survey tip has been posted to the <a href="/Survey-Regulatory-Legal/Pages/Survey-Preparedness.aspx" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">AHCA Survey Regulatory page</a> to help when preparing before a survey.  In the new Survey Tip section of the Survey Regulatory page, you will find tips related to recently noted survey trends. In the latest <a href="/Survey-Regulatory-Legal/MemberOnlyDocs/Survey%20Tips/Survey%20Tip-%20Preparing%20Before%20your%20Survey.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">survey tip</a>, there are tips to assist you in preparing for survey before they enter your facility. In the new area of the webpage, you will also find the previous survey tip, related to <a href="/Survey-Regulatory-Legal/MemberOnlyDocs/Survey%20Tips/Survey%20Tips-%20F689%20and%20Past%20Noncompliance.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">F689 and Past Noncompliance</a>. ​<br></div><div> </div><div>For more information on preparing for surveys and survey management, please visit the Preparing for Surveys: Before, During and After <a href="https://educate.ahcancal.org/products/building-a-lasting-relationship-with-surveyors-before-during-and-after-surveys" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">webinar</a> on <a href="https://educate.ahcancal.org/" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">ahcancalED</a>. If you have any topics or suggestions for future survey tips, or survey/regulatory questions, please email <a href="mailto:regulatory@ahca.org" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">regulatory@ahca.org​</a>. </div><div> <br></div><div><br></div>A new survey tip has been posted to the AHCA Survey Regulatory page to help when preparing before a survey.

 ‭(Hidden)‬ Toolkit

HealthCap Risk Manageme​​nt Services has released the 2022 Elopement ​Prevention & Management Toolkit.

 Focus F-Tags: Guidance

In 2022, CMS released new guidance for Requirements of Participation Phase 3. The following summaries were created to provide detailed information regarding the updates to several F-tags. 

Please refer to Appendix PP Gu​​idance to Surveyor for Long Ter​m Care Facilities​​​ for the most up to date regulations and guidance.​​ ​

 F-Tag Action Briefs & Much More on ROP

Additional resources and tools to help you navigate the ROP are available on ahcancalED, including F-Tag Action Briefs, which complement the sum​m​a​ries above and highlight implementation strategies and tips​.  
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Phase 3 Interpretive Guidance – Delayed

Phase 3 of the Requirements of Participation (RoP) went into effect on November 28, 2019. However, as the Centers for Medicare & Medicaid Services (CMS) announced in a memo (QSO-20-03-NH) released on November 22, 2019, CMS will not be releasing the interpretive guidance (IG) for Phase 3 until the second ​quarter of 2020.  Read More>>​