CMS Plans Changes to the State Operations Manual (SOM), Chapters 5 and 7.

Last week, CMS released QSO-26-03-NH, which outlines updates to Chapters 5 and 7 of the SOM which will be effective March 30, 2026. CMS indicates the revisions are planned to ensure thoroughness and consistency in oversight and investigations across the country when allegations of provider non-compliance occur. While the specific details of the updated guidance…… Continue reading CMS Plans Changes to the State Operations Manual (SOM), Chapters 5 and 7.

CMS Announces Change to Skilled Focus Facility (SFF) Selection

SFF Selection Process Update Announced in QSO-23-01-NH On January 28, 2026, CMS released QSO-23-01-NH, which is effective immediately, citing their commitment to protecting nursing home residents in the poorest performing nursing homes. This memo includes the plan to revise the focus area for selection to emphasize the prevalence of falls among the resident population when…… Continue reading CMS Announces Change to Skilled Focus Facility (SFF) Selection

CMS Survey and Certification Contingency Plan Deployed in Response to the Government Shutdown

In response to the government shutdown, CMS released Memo QSO 26-01-ALL dated today, October 1, 2025, which outlines guidance to State survey agencies (SAs) pertaining to which essential survey & certification functions can continue during this unique time. Citing the need for “basic public protection,” the following survey activities can continue: Complaints triaged as credible…… Continue reading CMS Survey and Certification Contingency Plan Deployed in Response to the Government Shutdown