SMQT (Survey Methodology and Quality Team) CMS (Centers for Medicare & Medicaid Services ) Exam with Questions and Answers

SMQT (Survey Methodology and Quality Team) CMS (Centers for Medicare & Medicaid Services ) Exam with Questions and Answers A surveyor is reviewing a nursing facility’s infection control program. The facility has policies in place, but staff are not consistently following hand hygiene protocols during observed care. Which action best reflects CMS interpretive guidance on determining compliance? a) No deficiency should be cited because policies exist b) Cite a deficiency because implementation failure demonstrates noncompliance c) Issue a warning and return in 6 months without documentation d) Accept verbal assurance from staff that compliance will improve Correct Answer b Rationale CMS interpretive guidelines emphasize that compliance is based on actual practice, not written policy alone. When staff fail to consistently follow infection control protocols, it demonstrates systemic noncompliance, warranting citation even if policies exist.