CMS has update the LTC Survey Pathways – Updated 06/19/2021 (ZIP). Please review the ZIP folder and pathways for updated survey resources-remember-the questions the surveyors will be asking your residents and staff come from these pathways.

• SNF Beneficiary Protection Notification Review
• Dining Observation
• Infection Prevention, Control & Immunizations. Note: 6/19/2021 update for this pathway
• Kitchen Observation
• Medication Administration Observation
• Resident Council Interview
• Quality Assessment and Assurance (QAA) and Quality Assurance and Performance Improvement (QAPI) Plan Review
• Abuse Critical Element Pathway
• Environmental Observations
• Sufficient and Competent Nurse Staffing Review
• Personal Funds Review
• Activities Critical Element Pathway
• Activities of Daily Living (ADL) Critical Element Pathway
• Behavioral and Emotional Status Critical Element Pathway
• Urinary Catheter or Urinary Tract Infection Critical Element Pathway
• Communication and Sensory Problems (Includes Hearing and Vision) Critical Element Pathway
• Dental Status and Services Critical Element Pathway
• Dialysis Critical Element Pathway
• General Critical Element Pathway
• Hospice and End of Life Care and Services Critical Element Pathway
• Death Critical Element Pathway
• Nutrition Critical Element Pathway
• Pain Recognition and Management Critical Element Pathway
• Physical Restraints Critical Element Pathway
• Pressure Ulcer/Injury Critical Element Pathway
• Specialized Rehabilitative or Restorative Services Critical Element Pathway
• Respiratory Care Critical Element Pathway
• Unnecessary Medications, Psychotropic Medications, and Medication Regimen Review Critical Element Pathway
• Medication Storage and Labeling
• Preadmission Screening and Resident Review Critical Element Pathway
• Extended Survey
• Hydration Critical Element Pathway
• Tube Feeding Status Critical Element Pathway
• Positioning, Mobility & Range of Motion (ROMADL) Critical Element Pathway
• Hospitalization Critical Element Pathway
• Bladder or Bowel Incontinence Critical Element Pathway
• Accidents Critical Element Pathway
• Neglect Critical Element Pathway
• Resident Assessment Critical Element Pathway
• Discharge Critical Element Pathway
• Dementia Care Critical Element Pathway

From https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Nursing-Homes

Questions?

Contact:

Laura Hofmann, MSN, RN – Director of Clinical and Nursing Facility Regulatory Services
c: 425-231-4804