Revisions to the State Operations Manual (SOM) Chapter 7

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

On November 16, 2018, CMS posted the revised Chapter 7 – Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities. The revisions were announced via Transmittal 185, noting that they “reflect the guidance related to the Immediate Imposition of Federal Remedies. Sections of Chapter 7 have been revised to include previous language that has been renumbered, moved and/or consolidated.” The previous revisions to this Chapter were posted on September 28, 2016.

Revisions are identified in red ink throughout this document. There is a lot of red ink in this 12-page document!

One of the many revisions to this Chapter includes the grid/matrix for Scope & Severity: