CMS Announces Revisions to the State Operations Manual (SOM)

In a Survey & Certification memo (S&C: 14-37-NH) sent to State Survey Agency Directors, CMS (Centers for Medicare and Medicaid Services) announced revisions to the State Operations Manual (SOM), Appendix PP- (Guidance to Surveyors for Long-Term Care) and Chapter 4.  Updates apply to interpretive guidelines and, where appropriate, investigative protocols for F Tags that incorporate Survey & Certification (S&C) policy memos issued between October 2003 and May 2014.   While this is the first major CMS update of the SOM since March 2013, VHCA members have been routinely updated on the tag revisions as they were published by CMS.  The updated SOM includes revised guidance for the following F-tags in Appendix PP:

F161: Assurance of Financial Security and F208: Admission Policy
F202: Documentation for Transfer and Discharge
F221: Physical Restraints
F278: Accuracy of Assessment/Coordination/Certification/Penalty for Falsification
F281: Services Provided Meet Professional Standards of Quality
F286: Maintaining 15 Months of Resident Assessments (Use)
F332: Medication Errors/Free of Medication Errors of 5% or Greater
F333: Medication Errors/Residents are Free of Significant Medication Errors
F371: Sanitary Conditions
F387: Frequency of Physician Visits/Timeliness of Visits
F388: Personal Visits by the Physician
F390: Physician Delegation of Tasks in SNFs/Performance of Physician Tasks in NFs
F425: Pharmacy Services
F428: Drug Regimen Review
F431: Service Consultation/Labeling of Drugs and Biologicals/Storage of Drugs and Biologicals
F441: Infection Control
F492: Compliance with Federal, State and Local Laws and Professional Standards
F514: Clinical Records
F516: Resident Identifiable Information/ Safeguard against Loss, Destruction, or Unauthorized Use