CMS Life Safety Code Updates Impacting Hospices with Inpatient and Residential Units
September 15, 2016 12:12 PM
The Center for Medicare and Medicaid Services (CMS) issued on September 9 new updates to the State Operations Manual, with changes that could impact the hospice community. Transmittal 159 - Revisions to the State Operations Manual (SOM), Appendix I – Survey Procedures for Life Safety Code Surveyspotentially impacts hospices with hospice inpatient units, hospice houses, or other hospice residential units (hospice facilities). Many state and accrediting organization surveyors will conduct the life safety code portion of surveys of hospice facilities, however, there are times when the surveyors will ask to have a life safety code surveyor conduct this portion of the survey.
Therefore, NAHC wants to alert you to the fact that Transmittal 159 revises the CMS State Operations Manual (SOM) regarding the life safety code survey and exit conference procedures. A life safety code surveyor may follow the same procedures when contributing to a hospice facility survey. The exit conference procedures mirror those provided to State Survey Agency Directors by CMS in March via Survey and Certification memo, 16-11-ALL. During the exit conference the surveyor is not to indicate if a deficiency will be condition level or what specific tag number(s) will likely be tied to the deficiency.
Please see previous NAHC Report coverage of this issue here.