Survey Process Document Updates Posted

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare®

This morning CMS posted several new documents to the Reform of Requirements for Long-Term Care Facilities website.

  1. Trying to keep all the LTC Survey Process documents and files straight? Can’t figure out what is new/changed with a specific document?

CMS has uploaded a new document – Revision History for LTC Survey Process Documents and Files. This revision history document is dated July 26, 2018 and speaks to changes in these 2 items:

  • CMS-20052 Beneficiary Notice (June 12, 2018)
  • LTCSP Procedure Guide (August 4, 2018)

If you read my Updated LTCSP Procedure Guide – Effective August 5, 2018 blog, this new revision history reference provides all of the details on what changed in the Procedure Guide.

  1. Also posted was an updated LTC Survey FAQ document. The document itself provides a July 11, 2018 date. It’s 27-pages in length. The Revision History document referenced above in #1 shows that the added items are related to bedrails with new content displayed in red font.
  2. LTC Survey Pathways shows today’s date as the update. This is a .zip file. Once opened and sorted by date modified, the Critical Element Pathways were updated July 25, 2018:
  • CMS-20081…Respiratory Care
  • CMS-10070…Dental
  • CMS-20061…Environment

Again, a check of the Revision History document shows that change to the Environment and Dental CE Pathways involved updated footer dates for consistency. No content changes were made. Respiratory Care has items renumbered on page 6 in addition to the updated footer dates.

  1. LTCSP Interim Paper-Based Onsite Revisit Instructions was updated to reflect a footer date. No content changes.
  2. Survey Resources is another .zip file with numerous individual documents. Sort by date to see the latest items.
  3. Lastly, LTCSP Initial Pool Care Areas has some additions to documents within this .zip file. Referencing the Revision History document, the option of the surveyor selecting NA for Dialysis, Ventilator, Hospice and Smoking Care was added to help differentiate between those who have no issues and those for whom the Care Area is not applicable.