CMS Updates- S&C


CMS has released another set of Survey and Certification updates:

13-55: Enforcement Actions - Installation of Automatic Sprinkler Systems in Nursing Homes - August 13, 2013 Deadline (Released 8/16/13; Revised 11/15/13 (red); Revised 12/20/13 (green))

           The current revisions mostly relate to the imposition of civil money penalties and denial of payment for new admissions. In addition, Attachment One has been updated with December numbers to show the number of nursing homes without full sprinkler systems by State for those States with at least one such nursing home.    The revised memo is attached. The memo has the four attachments attached to it, with revisions as well.

Emergency Preparedness

On December 20, 2013, CMS released its Rollout of the Emergency Preparedness rule (CMS-3178-P). The  proposed rule was published today and comments are due February 25, 2014. The rule proposes to establish consistent emergency preparedness requirements for health care providers participating in Medicare and Medicaid, increase patient safety during emergencies, and establish a more coordinated response to natural and man-made disasters. In consultation with experts in emergency response and health care facilities, CMS has identified four specific areas that are central to an effective system. The proposed rule would require participating providers and suppliers to meet these four standards:

1. Emergency plan--Based on a risk assessment, develop an emergency plan using an all-hazards approach focusing on capacities and capabilities.

2. Policies and procedures—Develop and implement policies and procedures based on the plan and risk assessment.

3. Communication plan—Develop and maintain a communication plan that complies with both Federal and State law. Patient care must be well-coordinated within the facility, across health care providers, and with State and local public health departments and emergency systems.

4. Training and testing program—Develop and maintain training and testing programs, including initial and annual trainings, conducting drills and exercises or participating in an actual incident that tests the plan.
The proposed requirements are adjusted to reflect the characteristics of each type of provider and supplier. For example, Hospitals, Critical Access Hospitals and Long Term Care facilities will be required to implement emergency and standby power systems based on their emergency plan. Thanks to Steve Pelinski of Region V, the final rule can be found at:

Full Update
Fact Sheet