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Regulatory

Centers for Medicare and Medicaid Services

CMS Website for all changes can be accessed here. For your convenience, we have added links to most requested documents below.

CMS State Operations Manual (SOM) Appendix PP Rev. 225, 8/8/24

Updated Guidance for Nursing Home Resident Health and Safety, Effective 10/24/22

Survey Resources: CMS Critical Element Pathways (Dining and Kitchen were revised 10/2022; Nutrition and Hydration were revised 10/2023; Dental, Dialysis, Pressure Ulcer were revised 4/2024; Tube Feeding was revised 4/2024):

Facility Assessment Tool (9/13/24)
CMS Requirement §483.70(e): Nursing facilities will conduct, document, and annually review a facility-wide assessment, which includes both their resident population and the resources the facility needs to care for their residents.

Five-Star Quality Rating

Emergency Preparedness

Joint Commission Standards

For information about The Joint Commission standards for hospitals or nursing facilities, visit their webpage.

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