New LTCSP Guidance and Appendix PP Updates Effective in 2025

On November 18, 2024 the Centers for Medicare & Medicaid Services (CMS) issued a new QSO Memo, “Revised Long-Term Care (LTC) Surveyor Guidance: Significant revisions to enhance quality and oversight of the LTC survey process.” The 902-page document includes revised surveyor guidance related to multiple areas, including, but not limited to:

  • Admission, Transfer & Discharge
  • Chemical/Restraints/Unnecessary Psychotropic Medication
  • Resident Assessment
  • Quality of Life
  • Quality of Care
  • Administration
  • QAPI
  • Infection Prevention and Control

View CMS QSO-25-07-NH here.

These survey requirements are effective on February 24, 2025. CMSCG will be providing updates on this guidance in the coming days. CMSCG Clients – if you haven’t booked your mock survey for Q1, now’s the time to contact us and get it scheduled! To learn more about CMS Compliance Group’s nursing home consulting services, click here.


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