Nutrition Professionals Appreciation Sale: 15% off + double rewards points with code NUTRITIONPROS15. Ends 3/12/26 at midnight. Not valid with other sales or promotions or on gift cards.
Shop NowCMS State Operations Manual Appendix PP – Guidance to Surveyors for Long Term Care Facilities (Rev. 225 Issued 8-08-24)

Course Expires December 16, 2027
Credits: 10
Profession:
RDN/NDTR
Required Reading 1
Purchase this Product
Revised for Rev. 225 Issued 8-08-24!
This is the perfect course for RDNs and NDTRs who work with licensed nursing homes and post-acute care facilities!
The required reading for this course is the Centers for Medicare and Medicaid Services (CMS) State Operation Manual Appendix PP – Guidance to Surveyors for Long Term Care Facilities 08-08-24 revision. This document is 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 clarify and explain the intent of the regulations. All surveyors are required to use them to assess compliance with federal requirements. Deficiencies are cited for violations of the regulations, which are to be based on observations of the nursing home’s performance or practices. This course provides nutrition professionals that are employed in CMS-regulated skilled nursing facilities with a working knowledge of the regulations that govern those facilities. It also explains 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))
Course includes eDocument (including a link to the required reading in the course document), electronic test and 1 certificate with passing grade.
After completion of this CPE program, the participants will be able to:
- Develop and implement food safety and sanitation programs in skilled nursing facilities in compliance with state and federal regulations.
- Interpret and apply evidence-based literature and standards for determining nutritional needs of patients in skilled nursing facilities.
- Plan and design nutritionally sound meals, menus, and meal plans that promote health and disease management, and meet the needs of residents/patients in skilled nursing facilities.
- Prioritizes specific nutrition problems to inform nutrition care plans and processes for residents/patients in skilled nursing facilities.
This course is intended for: RDNs and NDTRs
State Operations Manual Appendix PP – Guidance to Surveyors for Long Term Care Facilities (Rev. 225 Issued 8-08-24) Course awards 10 CPEUs in accordance with the Commission on Dietetic Registration CPEU Approval.
CDR Activity Number: 186274 Self Study Activity Type: 741 Enduring
CDR Course Level: II
Suggested CDR Performance Indicators:
- 8.2.7 Develops and implements food safety and sanitation programs in compliance with state and federal regulations.
- 9.1.1 Interprets and applies evidence-based literature and standards for determining nutritional needs of target audiences.
- 9.5.1 Plans and designs nutritionally sound meals, menus, and meal plans that promote health and disease management, and meet client needs.
- 11.3.3 Prioritizes specific nutrition problems to inform nutrition care plans and processes.
Note: Numerous other Performance Indicators may apply.
This self-study course includes required reading, a downloadable course document and an online exam with multiple choice, case study based questions. Upon passing the test, the learner can download and print the certificate.
Required Reading for this Course: State Operations Manual (SOM) Appendix PP 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.
Praise for Becky Dorner & Associates
I feel this would make an excellent CPE program because it uses very challenging, but realistic case study examples to utilize critical thinking and problem solving for a dietitian working in a CKD or Dialysis setting. This CPE program is short, but…
Managing Chronic Kidney Disease with the Nutrition Care Process Course
Lauren Begnel, RD, CSR, LD
This is an extremely timely topic and the required reading and self-study course provide an excellent, evidence-based and practical roadmap and suggestions for prevention and treatment of malnutrition in patients with COVID-19.
The Importance of Nutrition in COVID-19 Recovery
Mary Osak, RD, CSG
This CPE program provides a great opportunity for health professionals to understand ways to move toward Medicine 3.0 which is founded in prevention.
Understanding Longevity: The Art and Science of Extending Life
SeAnne Waite, PhD, RDN, LD
Muscle health is increasingly recognized as a key factor in preventing chronic diseases and this course focuses on this topic while equipping dietitians to take a more preventive, whole-body approach to nutrition care.
Muscle Matters: Your First Defense Against Disease
Doreen Rodo, MEd, RDN, LD
This course would make a great CPE program to dietitians who are new to the sports nutrition field.
Sports Nutrition for the Nutrition Professional Course
Kelly Pritchett, PhD, RDN, CSSD
I love this course! I learned a lot, and I feel like that is hard to do for me given my experience.
Nutrition for Patients/Residents in Palliative Care Course
Jamie Smith, MS, RD, CSG, LDN
Popular Products
✨ BOGO!















