SMQT Practice
Facility task CEPathways &
Used to guide facility task investigations
Appendix PP
1. A survey data tag number,
2. The CFR (or LSC reference),
3. The language from that reference
A Regulatory Reference includes WHAT which specifies the aspect(s) of require-
4 following components: ment with which entity was noncompli-
ant.
4. An explicit statement that requirement
was "NOT MET."
* "F" federal
tag # corresponds to a specific FEDER-
AL regulation within the CFR (Code of
Federal Regulations) - ("F" for "federal")
* federal system through which areas
of dp's /compliance (standards & guide-
lines) are assessed/identified based on
performance within CMS (CMS Survey)
What is an F-tag ? * Each tag is related to one area of the
CFR
Nursing homes are less likely to be ac-
they are not given "deemed status"
credited because
When compliance with all CoP (condi-
tions of participation) are met
When can a provider/supplier have their - substantial compliance with the require-
services covered ? ments for SNFs & NFs are met
- compliance with applicable CoC (condi-
tions for coverage) for suppliers.
When can a standard survey be broaden If SQC (Substandard quality of care) sus-
or expanded ? pected
When should timing of an abbreviated
standard survey take place ?
, SMQT Practice
At discretion of SA (An exception is made
for complaints that allege IJ to resident
health & safety)
What happens when an extended or par- A facility loses it's ability to train nurse
tial extended survey is conducted ? aides.
Your team is conducting a complaint sur-
vey concerning the quality of care at a
nursing home. During the complaint sur-
A partial extended survey is conducted
vey, your team expands the survey &
after SQC is found during an abbreviated
determines that the facility is providing
standard survey or during a revisit, when
substandard quality of care that was not
SQC was not previously identified.
previously identified. Is an additional sur-
vey required in this situation? If so, what
type of survey is needed?
Used when a resident's psychosocial
outcome may not be readily determined
through the investigative process:
* determine the severity of psychosocial
What is Reasonable-Person concept?
outcome that dp on a Reasonable Per-
son in a SIMILAR Situation
* degree of care that a RP would exercise
under ALL circumstances
An abbreviated standard survey is also
known as a
A complaint investigation A Complaint Investigation
B standard survey
C state monitoring visit
D particle extended survey
Which survey may a surveyor investigate
any area of concern and make compli-
ance decisions regarding any regulatory
A Complaint Survey
requirement , whether or not it is related
to the original purpose of the visit ?
A Complaint Survey
, SMQT Practice
B State Monitoring Survey
C Resurvey
D Initial Certification Survey
The administrator was successful during
an informal dispute review in reversing
an IJ during the survey . For it to be re-
moved from the 2567 , the administrator
must
D submit a written allegation of removal
A Draw a line through the deficiency on
the 2567 .
B do nothing, CMS will remove it
C notify the corporate office .
D submit a written allegation of removal
.
Which form must be completed and giv-
en to surveyors within 24 hours ?
A CMS - 673 and CMS - 674 C - CMS - 671 and CMS - 672
B CMS - 674 and CMS - 675
C CMS - 671 and CMS - 672
D CMS - 672 and CMS - 673
Which piece of information is provided
to surveyors during the entrance confer-
ence?
B. Name of the Resident Council Presi-
A CMS - 671 form
dent
B Name of the Resident Council Presi-
dent
C Immunization policies and procedures
D Grievance information
Who conducts the Life Safety Code in-
spection ?
D State Fire Marshall's office
A State Fire Marshall's office and State
Surveyors
B State Surveyors
Facility task CEPathways &
Used to guide facility task investigations
Appendix PP
1. A survey data tag number,
2. The CFR (or LSC reference),
3. The language from that reference
A Regulatory Reference includes WHAT which specifies the aspect(s) of require-
4 following components: ment with which entity was noncompli-
ant.
4. An explicit statement that requirement
was "NOT MET."
* "F" federal
tag # corresponds to a specific FEDER-
AL regulation within the CFR (Code of
Federal Regulations) - ("F" for "federal")
* federal system through which areas
of dp's /compliance (standards & guide-
lines) are assessed/identified based on
performance within CMS (CMS Survey)
What is an F-tag ? * Each tag is related to one area of the
CFR
Nursing homes are less likely to be ac-
they are not given "deemed status"
credited because
When compliance with all CoP (condi-
tions of participation) are met
When can a provider/supplier have their - substantial compliance with the require-
services covered ? ments for SNFs & NFs are met
- compliance with applicable CoC (condi-
tions for coverage) for suppliers.
When can a standard survey be broaden If SQC (Substandard quality of care) sus-
or expanded ? pected
When should timing of an abbreviated
standard survey take place ?
, SMQT Practice
At discretion of SA (An exception is made
for complaints that allege IJ to resident
health & safety)
What happens when an extended or par- A facility loses it's ability to train nurse
tial extended survey is conducted ? aides.
Your team is conducting a complaint sur-
vey concerning the quality of care at a
nursing home. During the complaint sur-
A partial extended survey is conducted
vey, your team expands the survey &
after SQC is found during an abbreviated
determines that the facility is providing
standard survey or during a revisit, when
substandard quality of care that was not
SQC was not previously identified.
previously identified. Is an additional sur-
vey required in this situation? If so, what
type of survey is needed?
Used when a resident's psychosocial
outcome may not be readily determined
through the investigative process:
* determine the severity of psychosocial
What is Reasonable-Person concept?
outcome that dp on a Reasonable Per-
son in a SIMILAR Situation
* degree of care that a RP would exercise
under ALL circumstances
An abbreviated standard survey is also
known as a
A complaint investigation A Complaint Investigation
B standard survey
C state monitoring visit
D particle extended survey
Which survey may a surveyor investigate
any area of concern and make compli-
ance decisions regarding any regulatory
A Complaint Survey
requirement , whether or not it is related
to the original purpose of the visit ?
A Complaint Survey
, SMQT Practice
B State Monitoring Survey
C Resurvey
D Initial Certification Survey
The administrator was successful during
an informal dispute review in reversing
an IJ during the survey . For it to be re-
moved from the 2567 , the administrator
must
D submit a written allegation of removal
A Draw a line through the deficiency on
the 2567 .
B do nothing, CMS will remove it
C notify the corporate office .
D submit a written allegation of removal
.
Which form must be completed and giv-
en to surveyors within 24 hours ?
A CMS - 673 and CMS - 674 C - CMS - 671 and CMS - 672
B CMS - 674 and CMS - 675
C CMS - 671 and CMS - 672
D CMS - 672 and CMS - 673
Which piece of information is provided
to surveyors during the entrance confer-
ence?
B. Name of the Resident Council Presi-
A CMS - 671 form
dent
B Name of the Resident Council Presi-
dent
C Immunization policies and procedures
D Grievance information
Who conducts the Life Safety Code in-
spection ?
D State Fire Marshall's office
A State Fire Marshall's office and State
Surveyors
B State Surveyors
