CMS is implementing a national policy that requires the use of federal enforcement remedies when one or more residents suffer significant harm.
This new policy is effective for all surveys completed on or after September 1, 2016.
Please see the attached memo or you may visit https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Policy-and-Memos-to-States-and-Regions-Items/Survey-and-Cert-Letter-16-31.html?DLPage=1&DLEntries=10&DLFilter=nh&DLSort=2&DLSortDir=descending