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Advance Guidance: Updates to SOM Appendix PP for LTC and Chapter 4

On July 3, 2014, CMS published an S&C letter that contains advance copy of multiple updates made to Appendix PP of the SOM and SOM Chapter 4. The letter, “Advance Guidance – Revisions to State Operations Manual (SOM), and Appendix PP – Guidance to Surveyors for Long Term Care (LTC) Facilities and Chapter 4,” (Ref: S&C: 14-37-NH) states that Interpretive Guidelines as well as some Investigative Protocols have been updated to incorporate changes put forth in S&C letters from October 2003-May 2014. The F-tags that are included in these updates include:

 
  • F-161 Assurance of Financial Security
  • F-202 Documentation for Transfer and Discharge
  • F-208 Admission Policy
  • F-221 Physical Restraints
  • F-278 Accuracy of Assessment/ Coordination / Certification / Penalty for Falsification
  • F-281 Services Provided Meet Professional Standards of Quality
  • F-286 Maintaining 15 Months of Resident Assessments (Use)
  • F-332 Medication Errors/Free of Significant Medication Errors
  • F-388 Personal Visits by the Physician
  • F-390 Physician Delegation of Tasks in SNF/ Performance of Physician Tasks in NFs
  • F-425 Pharmacy Services
  • F-428 Drug Regimen Review
  • F-431 Service Consultation/ Labeling of Drugs and Biologicals / Storage of Drugs and Biologicals
  • F-492 Compliance with Federal, State and Local Laws and Professional Standards
  • F-514 Clinical Records
  • F-516 Resident Identifiable Information / Safeguard Against Loss, Destruction or Unauthorized Use

View the S&C Letter on the CMS Website

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