State Operations Manual: Revisions to Appendix Q, Guidance on Immediate Jeopardy (8/19)

By CMS - August 05, 2019

Appendix Q to the State Operations Manual (SOM), which provides guidance for identifying immediate jeopardy, has been revised. The revision creates a Core Appendix Q that will be used by surveyors of all provider and supplier types in determining when to cite immediate jeopardy. CMS has drafted subparts to Appendix Q that focus on immediate jeopardy concerns occurring in nursing homes and clinical laboratories since those provider types have specific policies related to immediate jeopardy.Appendix Q has been revised to reinsert language referring criminal acts to local law enforcement.