CMS State Operations Manual Appendix PP – Guidance to Surveyors for Long Term Care Facilities Course

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Course Expires August 16, 2025
Credits: 10 CPEUs for CDR, 5 General CE and 5 Sanitation CE for CBDM
Accreditations: CDR, CBDM
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This is the perfect course for RDNs and NDTRs who work with nursing homes! 

This course is based on the Centers for Medicare and Medicaid Services (CMS) State Operation Manual Appendix PP – Guidance to Surveyors for Long Term Care Facilities 11-22-17 revision, which is the document used for conducting nursing home surveys in accordance with survey protocols and Federal requirements to determine whether a citation of non-compliance is appropriate. The requirements for participation reflect the substantial advances that have been made over the past several years in the theory and practice of service delivery and safety.

The survey protocols and interpretive guidelines serve to clarify and/or explain the intent of the regulations. All surveyors are required to use them in assessing compliance with Federal requirements. Deficiencies are cited on violations of the regulations, which are to be based on observations of the nursing home’s performance or practices. This course provides RDNs and NDTRs employed in CMS-regulated skilled nursing facilities with a working knowledge of the regulations that govern those facilities. It also provides an understanding of what surveyors evaluate during the survey process and what deficiencies can result.

The course includes questions related to the following sections of the CMS State Operations Manual Appendix PP:

  • Skin Integrity F686 (483.25 b)
  • Assisted Nutrition and Hydration F 692 and 693 (483.25 g)
  • Physician delegation of tasks to Dietitian/Therapist F715 (483.30)(e)(2)(3)
  • Food and nutrition services F 800-811 (483.60)
  • Food Safety Requirements F812 (483.60(i))

Purchasing Options: This is available as eDocument + CPE Test only. Includes a link to the required reading in the course document, electronic test, and 1 certificate with passing grade. 

After completing this continuing professional education course, the learner should be able to:

  1. Develop and implement food safety and sanitation programs in skilled nursing facilities in compliance with state and federal regulations.
  2. Interpret and apply evidence-based literature and standards for determining nutritional needs of patients in skilled nursing facilities.
  3. Plan and design nutritionally sound meals, menus, and meal plans that promote health and disease management, and meet the needs of residents of skilled nursing facilities.
  4. Prioritizes specific nutrition problems to inform nutrition care plans and processes for patients in skilled nursing facilities.

This course is intended for: RDNs, NDTRs and CDMs

CDR Activity Number: 171669 Self Study Activity Type: 720 Printed
CPE Level: II

Suggested CDR Performance Indicators:

  • 7.2.7 Develops and implements food safety and sanitation programs in compliance with state and federal regulations
  • 8.1.1 Interprets and applies evidence-based literature and standards for determining nutritional needs of target audiences
  • 8.5.1 Plans and designs nutritionally sound meals, menus, and meal plans that promote health and disease management, and meet client needs
  • 10.3.3 Prioritizes specific nutrition problems to inform nutrition care plans and processes

Note: Numerous other Performance Indicators may apply.

CBDM

This course is also approved by the Certifying Board of Dietary Managers (CBDM). (Expiration Date 12/31/2025).

Hours: 5 General CE and 5 Sanitation CE

Approval Number: 167859

Each CDM in attendance will be required to report their CE hours by logging into their online account at www.ANFPonline.org.
CDMs are to retain a copy of the certificate of completion in the event they are audited.

From CBDM: “All CBDM Prior Approved programs are subjected to the CE hour limitations for a program type as defined by CBDM policy. For more information, please refer to The CBDM Guide to Maintaining your Credential”.

 

This self-study course includes required reading, a downloadable course document and an online exam with multiple choice, case study based questions. This course exam includes 40 questions. Upon passing the test, the learner can download and print the certificate.

Required Reading for this Course: State Operations Manual (SOM) Appendix PP – for Phase 2, F Tag Revisions is a Department of Health and Human Services (DHHS) and Centers for Medicare and Medicaid Services (CMS) publication (a link to the document is included in the downloadable course document).

Disclaimer: The text associated with this course is required solely for the course taker to learn the underlying principles that will be applied in taking a case-study based exam. Neither the authors nor the publishers of the text/book have contributed to or endorsed this course.

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The Long Term Care State Operations Manual is an invaluable resource that aides health care professionals navigate rules and regulations for providing person centered care in LTC. I highly recommend this course because it is excellent for the nutrition professional as it reviews key information vital for this practice area.
- State Operations Manual Appendix PP- Guidance to Surveyors for Long Term Care Facilities Course
Jonathan Gonzalez, MS, RD, CSG, LD
This self study course is well done as it requires a full and thorough reading of the Appendix PP, which gives detailed guidance for surveyors in just about every situation that may arise in a facility. RDNs would benefit from this course because an adequate review of the appendix would enable the RDN to properly handle situations, provide quality care to residents and face each survey with confidence instead of dread.
- State Operations Manual Appendix PP- Guidance to Surveyors for Long Term Care Facilities Course
Lori Stevens, RD, LDN
This self-study course provides essential information for RDNs that want to be survey confident.
- State Operations Manual Appendix PP- Guidance to Surveyors for Long Term Care Facilities Course
Katy Adams, RD, MDA, CSG, LD

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