If you have not visited this page since June 1, 2022 you will need to create a NEW customer account. (This account is NOT the same as your AHCA/NCAL member account.)


Long Term Care Survey, Phase 3 Available for Pre-order

Regular price $74.95

Shipping calculated at checkout.

Phase 3 of the Long Term Care Survey manual includes all the updates from CMS' three-phase implementation and is now available for pre-order with an anticipated late-September ship date. Place your order today as orders will be fulfilled on a first-come, first-served basis. Please note, your credit card will be charged at the time of purchase.  

Phase 2 of the Long Term Care Survey manual, (softbound edition) is still available for immediate purchase.

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

Shipping begins in Late September 2022