Phase 3 of The Long Term Care Survey manual includes all the 2022 updates from Centers for Medicare & Medicaid Services' (CMS) three-phase implementation.

PLEASE NOTE: CMS RELEASED UPDATES IN LATE FEBRUARY, 2023

A REVISED EDITION IS IN PRODUCTON

CMS has issued QSO-22-NH, which includes new and updated surveyor guidance for the following areas:

Phase 2 and 3 Requirements: Clarifications and technical corrections of Phase 2 guidance issued in 2017; and new guidance for Phase 3 requirements, which became effective November 28, 2019.
Arbitration Requirements: Guidance on the new requirements, which became effective September 16, 2019.
Complaint and Facility Reported Incidents (FRIs): CMS revised the guidance in Chapter 5 and related exhibits of the State Operations Manual (SOM) to strengthen the oversight of nursing home complaints and FRIs. CMS also revised its guidance for all Medicare-certified provider/supplier types to improve consistency across the State agencies in their communication to complainants.
Psychosocial Outcome Severity Guide: CMS revised guidance to clarify the reasonable person concept and examples across the different severity levels.

Please Note: Surveyors will begin using this guidance to identify non-compliance on October 24, 2022.

Appendix PP

5 Definitions
10 Resident Rights
12 Freedom from Abuse, Neglect and Exploitation
15 Admission Transfer and Discharge Rights
20 Resident Assessment
21 Comprehensive Person-Centered Care Planning
24 Quality of Life
25 Quality of Care
30 Physician Services
35 Nursing Services
40 Behavioral health services
45 Pharmacy Services
50 Laboratory Radiology and Other Diagnostic Services
55 Dental Services
60 Food and Nutrition Services
65 Specialized Rehabilitative Services
70 Administration
75 Quality Assurance and Performance Improvement
80 Infection Control
85 Compliance and Ethics Program
90 Physical Environment
95 Training Requirements

The Long Term Care Survey Manual, Phase 3 (2022)