Document Category:
State: District of Columbia
Subject Matter: Issuance of Revised Quality of Care Guidance at F309
Document Title:


Memorandum Summary

  1. Revised guidance for long-term care surveyors at F309, Quality of Care, including a new general investigative protocol and new pain management guidance and investigative protocol will be effective March 31, 2009;
  2. The advance copy of this guidance and training materials are to be used to train all surveyors who survey nursing homes by the implementation date;
  3. Removed hospice and dialysis survey protocol language from Appendix P and inserted into F309;
  4. Removed weight loss investigative protocol from Appendix P due to the June 2008 issuance of F325 investigative protocol;
  5. Deleted guidance requiring paper copy storage of Minimum Data Set (MDS) in homes with electronic records at Tag F286, 483.20(d), Use; and
  6. Removed demand billing survey process at Appendix P, Part VII and inserted new procedure at Task 5C.

Document Author: CMS
Firm/Company: Federal Government
Document Date: February 21, 2020
Search Tags: f 309 CMS regulation
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