Survey Preparedness

​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Skilled nursing centers and nursing facilities are required to follow extensive rules in the Requirements of Participation (ROP) to receive payment under the CMS Medicare or Medicaid programs. These requirements are contained in the Federal Regulations for Nursing Facilities, which also state each center must comply with all applicable Federal, State, and local laws, regulations, and codes with accepted professional standards. The AHCA regulatory team provides members with guidance and resources to help them understand the survey process and implement the requirements.  

Need help locating a specific resource? Download the AHCA Regul​a​tory Resources Guide​, which provides direct links to all available tools to help you prepare for surveys.

SURVEY TIPS to Maintain Compliance

The AHCA regulatory team is developing survey tips to assist in maintaining compliance with skilled nursing regulations, as well as preparing for surveys. The team will review trends for citations and provide tips for staying in compliance with these regulatory areas.​​​

Latest BlogsView All

  • CMS Rescinds Memo QSO-23-03-ALL
    3.25.2025
    On March 14, CMS rescinded QSO-23-03-All – The Importance of Timely Use of COVID-19 Therapeutics.
    Read More
  • CMS Further Delays Implementation of Surveyor Guidance Changes
    3.10.2025
    CMS released QSO-25-14-NH​ earlier today, March 7. The memo updates previously released guidance from November 18, 2024, and January 15, 2025.
    Read More
  • Dementia Care Training and Certification Research Study
    2.20.2025
    As assisted living communities have become more popular, they have become the largest residential provider of long term care for people with dementia.
    Read More
  • CMS Releases Revised Guidance for Federal Monitoring Surveys
    1.21.2025
    CMS released a revised Admin Memo: 25-06-NH related to guidance for Federal Monitoring Surveys
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‭(Hidden)‬ Toolkit

HealthCap Risk Manageme​​nt Services has released the 2022 Elopement ​Prevention & Management Toolkit.

Focus F-Tags: Guidance

On November 18, 2024, the Centers for Medicare and Medicaid Services (CMS) released Revised Long-Term Care (LTC) Surveyor Guidance: Significant revisions to enhance quality and oversight of the LTC Survey Process.​ The memo included significant changes to guidance in Appendix PP related to the updated regulatory areas.​ The changes will be effective, and surveyors will begin surveying based on the revised guidance, on April 28, 2025.  ​

Please refer to Appendix PP Gu​​idance to Surveyor for Long Ter​m Care Facilities​​​ for the most up to date regulations and guidance.​​ ​

F-Tag Action Briefs & Much More on ROP

Additional resources and tools to help you navigate the ROP are available on ahcancalED, including F-Tag Action Briefs, which complement the sum​m​a​ries above and highlight implementation strategies and tips​.  

‭(Hidden)‬ Blue Quick Links ‭[1]‬

‭(Hidden)‬ Blue Quick Links ‭[2]‬