- These remedies are to be provided by organizations that do not have financial or operational ties to the cited facility.
- If your facility is cited during a survey and directed to implement one or more of the CMS/State Directed Remedies, you will only have 10 days to complete the remedy.
As an ODH Approved Provider, Tobin can help with these remedies and if you would like, we can assist you in identifying if the citation is accurate or disputable. We can also assess whether or not the cited issue is isolated or a result of a system failure.
ODH will be assesing for implementation of procedures such as:
Report suspicion of a crime to law enforcement
Appropriate treatment and services for residents with dementia and behavioral issues
Established facility assessment
Established baseline care plan
An antibiotic stewardship program
Policies regarding loss and replacement of dentures
Polices on smoking
PRN limitations on psychotropic medications
QAPI program and plans
F655 – Baseline Care Plan
F740 – Behavioral Health Services
F741 – Sufficient/Competent Direct Care/Access Staff-Behavioral Health
F758 – Psychotropic Medications
F838 – Facility Assessment
F881 – Antibiotic Stewardship Program
F865 – QAPI Program and Plans
F926 – Smoking Policies
In the past the survey protocol was laid out in the Appendix P of the State Operations Manual, however, now CMS has replaced Appendix P with a Long-Term Care Survey Process (LTCSP) procedure guide which will be what surveyors will follow when conducting a standard survey.
The protocol will be different under the new survey process; therefore, CMS decided that consumers and others would not be comparing ‘apples to apples’ facility survey reports under the old system to the new process. As a result, at this current time, CMS will be holding constant, or ‘freezing’ the health inspection five-star rating for health inspection surveys and complaint investigations conducted on or after November 28, 2017. Consumer Voice will be providing more information regarding the changes to Nursing Home Compare and the five-star rating system.
The above information was gathered through:
To read memo issued by CMS regarding the moratorium, go to
To learn more about the new process, go to:
(then click on ‘New Long-term Care Survey Process – slide deck and speaker notes)