Survey and Certification Long Term Care Provider Update

Hayden Parker

 

CMS has released an Survey and Certification Long Term Care Update.  Important documents in this release:

  • Interpretive guidance and Procedures for Sanitary Conditions, Preparation of Eggs in Nursing Homes (5/20/14)
  • Mark Dykstra from Region V let us know, much earlier than today, that Transmittal 113, CMS Manual System Pub. 100-07 State Operations Provider Certification, was released on April 25, 2014. The subject is “New Guidance Added to Chapter 7 – Survey

14:34: Advance Copy of Revised F371; Interpretive guidance and Procedures for Sanitary Conditions, Preparation of Eggs in Nursing Homes (5/20/14)

Skilled nursing and nursing facilities should use pasteurized shell eggs or liquid pasteurized eggs to eliminate the risk of residents contracting Salmonella Enteritidis (SE). The use of pasteurized eggs allows for resident preference for soft-cooked, undercooked or sunny-side up eggs while maintaining food safety.  In accordance with the Centers for Disease Control and Prevention (CDC) and the U.S. Food and Drug Administration (FDA) standards, skilled nursing and nursing facilities should not prepare nor serve soft-cooked, undercooked or sunny-side up eggs from unpasteurized eggs.  Signed health release agreements between the resident (or the resident’s representative) and the facility that acknowledges the resident’s acceptance of the risk of eating undercooked unpasteurized eggs are not permitted. Pasteurized eggs are commercially available and allow the safe consumption of eggs.  If the facility prepares or serves unpasteurized or undercooked eggs which are not cooked until both the yolk and white are completely firm, surveyors should consider citing deficiencies at F371. Determination of the appropriate scope and severity shall be based upon the actual or potential negative resident outcomes in accordance with guidance given at F371. We are revising F371 to clarify this section; a revised F371 is attached. See memo here.

 

Nursing Homes

           Mark Dykstra from Region V let us know, much earlier than today, that Transmittal 113, CMS Manual System Pub. 100-07 State Operations Provider Certification, was released on April 25, 2014. The subject is “New Guidance Added to Chapter 7 – Survey
           And Enforcement Process for Skilled Nursing Facilities and Nursing Facilities.”  The instruction revises and expands current Medicare and Medicaid guidance regarding the imposition and collection of CMPs by CMS when nursing homes are not in
          compliance with Federal participation requirements in accordance with Section 6111 of ACA. The effective date of the changes released in Transmittal 113 was January 1, 2012. See transmittal