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 - Grievance Resolutionhttps://www.ahcancal.org/News-and-Communications/Blog/Pages/Survey-Tip-Grievance-Resolution-.aspxSurvey Tip - Grievance Resolution6/11/2024 4:00:00 AM<p></p><div>A new survey tip has been posted to the <a href="/Survey-Regulatory-Legal/Pages/default.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. The latest <a href="/Survey-Regulatory-Legal/MemberOnlyDocs/Survey%20Tips/Survey%20Tip%20for%206.12.24.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">survey tip</a>, provides information on grievance resolution, along with best practices to encourage effective grievance resolution at your facility. </div><div><br></div><div>For more tips related to turning complaints into compliments, please see our webinar on <a href="https://educate.ahcancal.org/products/turning-complaints-into-compliments-toolkit" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">ahcancaled</a>. Email any 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></div><p>​</p>A new survey tip has been posted to the AHCA Survey Regulatory page for your review.
HealthCap’s® Resource Center Offers a Wealth of Free Risk Management Resourceshttps://www.ahcancal.org/News-and-Communications/Blog/Pages/HealthCaps-Resource-Center-Offers-a-Wealth-of-Free-Risk-Management-Resources.aspxHealthCap’s® Resource Center Offers a Wealth of Free Risk Management Resources5/31/2024 4:00:00 AM<p>​HealthCap’s <a href="https://nam10.safelinks.protection.outlook.com/?url=https://riskmanagement.healthcapusa.com/&data=04%7c01%7candrea.haupt%40chelsearhone.com%7ca06de39d68734186308f08d99e0475be%7c780a31273c7141dbbc3809e32ef3e62a%7c0%7c0%7c637714564287897513%7cUnknown%7cTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7c1000&sdata=NKYJj0DOKoxHzTxxouEZ/Ki/uTggr9IGwb4O69taOkI%3D&reserved=0" data-feathr-click-track="true" data-feathr-link-aids="["60b7cbf17788425491b2d083"],60b7cbf17788425491b2d083" target="_blank">Resource and Education Center</a> offers a bounty of free educational resources and tools to help long term care providers deliver quality care and reduce risk. AHCA/NCAL members are encouraged to take advantage of these quality risk management resources including policies and procedures, toolkits, and continuing education credits. <br><span style="font-size:11pt;"><br>AHCA/NCAL has embraced </span><a href="https://nam10.safelinks.protection.outlook.com/?url=http://www.healthcapusa.com/&data=04%7c01%7candrea.haupt%40chelsearhone.com%7ca06de39d68734186308f08d99e0475be%7c780a31273c7141dbbc3809e32ef3e62a%7c0%7c0%7c637714564287907466%7cUnknown%7cTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7c1000&sdata=4IpeRHUcTTtcM7ZIkOV%2BEt0L9dMuq%2BX/iuFPs3Y7ntg%3D&reserved=0" data-feathr-click-track="true" data-feathr-link-aids="["60b7cbf17788425491b2d083"],60b7cbf17788425491b2d083" target="_blank" style="font-size:11pt;">HealthCap®​</a><span style="font-size:11pt;"> for more than a decade as a premier provider of liability insurance that is solely dedicated to serving senior care communities. HealthCap® clients have the fewest liability claims in the industry, and HealthCap settles claims below the industry average. <br></span><span style="font-size:11pt;"><br><br></span></p>HealthCap’s Resource and Education Center offers a bounty of free educational resources and tools to help long term care providers deliver quality care and reduce risk.
Survey Tip - Documenting Protection on Abuse Reporting: Resident-to-Resident Altercationshttps://www.ahcancal.org/News-and-Communications/Blog/Pages/Survey-Tip-Documenting-Protection-on-Abuse-Reporting-Resident-to-Resident-Altercations.aspxSurvey Tip - Documenting Protection on Abuse Reporting: Resident-to-Resident Altercations5/29/2024 4:00:00 AM<p></p><div>A new survey tip has been posted to the <a href="/Survey-Regulatory-Legal/Pages/default.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, you will find tips related to recently noted survey trends. The <a href="/Survey-Regulatory-Legal/MemberOnlyDocs/Survey%20Tips/Survey%20Tip%20for%205.29.2024.pdf" data-feathr-click-track="true" data-feathr-link-aids="60b7cbf17788425491b2d083" target="_blank">latest survey tip</a> provides information regarding the reporting of resident-to-resident altercations. It includes the regulation on this topic, along with tips to stay in compliance with reporting requirements at F609.</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><br></div><p>​</p>A new survey tip has been posted to the AHCA Survey Regulatory page for your review.
Survey Tip: Documenting Protection on Abuse Reportinghttps://www.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.

 ‭(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>>​