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“Quite a bit” of the regulatory requirements for survey won’t change with the Nov. 28, 2017, rollout of Phase 2 of the Reform of Requirements for Long-term Care Facilities (aka Mega-Rule), say officials with the Division of Nursing Homes in the Survey and Certification Group at the Centers for Medicare & Medicaid Services (CMS) during the video Appendix PP: Overview of Revised Interpretive Guidance.
“Most of the minimum quality standards that were in the regulation remain,” they explain. “There are still strong resident rights, use of the Minimum Data Set to do assessment and care planning based on the residents’ goals and preferences, and the input of the interdisciplinary team. There are still requirements for a medical director, a full-time licensed nurse, and requirements for medication review.”
Ten F-tags will address §483.12 (Freedom From Abuse, Neglect, and Exploitation) in the Code of Federal Regulations for the new survey process that rolls out Nov. 28, 2017. Some tags include both regulatory changes and updated interpretive guidance for surveyors in the advance copy of Appendix PP, “Guidance to Surveyors for Long-term Care Facilities,” in the State Operations Manual. However, other tags don’t have regulatory changes but still have revised interpretive guidance at the request of surveyors, say officials with the Centers for Medicare & Medicaid Services (CMS) during the surveyor training video Freedom From Abuse, Neglect, and Exploitation.
Here are highlights of key changes for the “right to be free” tags F602 – F605:
Effective Nov. 28, 2017, state surveyors will use an entirely new numbering system for F-tags. The Centers for Medicare & Medicaid Services (CMS) updated the F-tags to correspond with the new regulatory sections implemented through the roll-out of the Reform of Requirements for Long-term Care Facilities (aka Mega-Rule) updating the Medicare/Medicaid conditions of participation. “Learning the new F-tag numbering system will come with time, but memorizing the numbers shouldn’t be the priority for directors of nursing services (DNSs),” advises Amy Stewart, RN, DNS-MT, QCP-MT, RAC-MT, AADNS curriculum development specialist. “Instead, DNSs should focus on knowing what’s new.”
So what do DNSs need to understand first? Here are Stewart’s two key takeaways:
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