Q&A: When does my facility’s survey window open?

By Heather M. from Binghamton, NY - July 25, 2018

Question: When does my facility’s survey window open?

Answer: Heather from Binghamton, NY, responded with the following helpful answer:

The excerpt below is from SOM Chapter 7.

7205.3 - Determining Standard Survey Interval for Each Facility (Rev. 63, Issued: 09-10-10, Effective: 09-10-10, Implementation: 09-10-10)

The standard survey interval for each facility (which may not exceed 15 months) is calculated as follows:

• The number of days between the completion of the current and last standard survey is divided by 31 to determine the number of months between standard surveys for each provider;

• The last day of the entire health and life safety code survey is the date used to calculate the interval.

• If an extended survey is conducted as a result of the health portion of a standard survey, the last day of the health portion of the standard survey is used to calculate the survey frequency requirements, if the health portion occurs after the life safety code portion. The date of the extended survey is not used in calculating the survey interval or state-wide average requirements;

• Abbreviated standard surveys are not counted in the calculation. An abbreviated standard survey is a survey other than a standard survey to gather information on facility compliance with the requirements for participation primarily through resident-centered techniques. An abbreviated standard survey may be premised on complaints received; a change of ownership, management, or Director of Nursing; or other indicators of specific concern. (See 42 CFR 488.301.);

• When an abbreviated standard survey is changed to a standard survey, the standard survey is counted in the calculation of the standard survey interval using the last date of the entire health and life safety code survey as the survey date; and

• Revisits are not counted in the calculation of the standard survey interval.


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