LTC Interpretive Guidelines for LTC
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| The Medicare Conditions of Participation, Conditions for Coverage & Requirements for Skilled Nursing Facilities & Nursing Facilities are... | are sets of requirements for acceptable quality in the operation of health care entities.
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| In addition to each Condition (or Requirement) there is a group of related quality standards. | The State Survey Agency ascertains, by a survey conducted by qualified health professionals, whether & how each standard is met.
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| Interpretive Guidelines serve to interpret & clarify the Conditions or Requirements. | The merely define or explain the relevant statute & regulations and not impose any requirements that are not otherwise set forth in statute or regulation.
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| Each provider type is surveyed in accordance with the appropriate protocols based on the substantive requirements in the statute & regulations to determine whether a citation of... | noncompliance is appropriate. Deficiencies are based on a violation of the statute or regulations, which, in turn, are based on observations of the providers' performance or practices.
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| While an institution may fail to comply with one or more of the subsidiary standards during any given survey, it cannot participate... | in Medicare unless it meets each & every Condition or attains substantial compliance with requirements for SNFs & NFs.
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| Interpretive Guidelines are found: | State Operations Manual Appendix PP
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| The survey protocols & interpretive guidelines serve to clarify &/or explain the intent of the regulations. | All surveyors are required to use them in assessing compliance with Federal requirements.
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| State Operations Manual was developed issuing the protocols for overseeing implementation of... | the regulations & to provide guidance to surveyors of long-term care facilities on interpreting the requirements.
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Created by:
Debra Bernier 1
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