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This ZIP file contains resources for surveyors conducting initial surveys under the Long-term Care Survey Process (LTCSP).
02/05/2021 Survey Resource folder update:
LTCSP Procedure Guide
LTCSP 11.9.5 User Guide
The LTCSP Procedure Guide provides instruction on the procedural and software steps necessary for completing the Long-term Care Survey Process. Surveyors use the Procedure Guide for all standard surveys of SNFs and NFs, whether freestanding, distinct parts, or dually participating. The LTCSP steps are organized into seven parts: 1) offsite preparation; 2) facility entrance; 3) initial pool process; 4) sample selection; 5) investigation; 6) ongoing and other survey activities; and 7) potential citations.
This includes four documents, one each for: record review, resident interview, resident observations, and resident representative interview. They walk through what the surveyors investigate/ask related to each care area during the initial pool to help determine which residents they will choose for in-depth investigations in the final sample. In other words, these screening tools trigger surveyors to either investigate further or not investigate further.
Effective Date: 11/21/2020
In the RI, RO, RR and RRI care areas and probes:
NOTE: CMS updated this file In March 2019.
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