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Musings on LTC survey requirements

Sharon Parsley ( is a Regional Corporate Responsibility Officer for AdventHealth in Ocala FL.

It will be no surprise to those of you in skilled nursing and nursing facilities (long-term care, or LTC) that your facility must comply with the Rules of Participation found at 42 C.F.R. § 483(B) to receive Medicare and Medicaid reimbursement.[1] As that stakeholder group is also undoubtedly aware, State Operations Manual (SOM), Appendix PP, dated November 11, 2017, completely revamped the LTC survey process.[2] The SOM is, essentially, the “bible” giving guidance to surveyors on how they should interpret the applicable Code of Federal Regulations (C.F.R.) section in the context of a survey. The “standard” against which the LTC provider is measured is the underlying C.F.R. provision.

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