Sharon Parsley (firstname.lastname@example.org) 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. As that stakeholder group is also undoubtedly aware, State Operations Manual (SOM), Appendix PP, dated November 11, 2017, completely revamped the LTC survey process. 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.