The Deadline Passed, This is Getting Serious
CMS is serious about enforcing the emergency preparedness conditions of participation
- Level 1 – No actual harm with potential for minimal harm
- Level 2 – No actual harm with a potential for more than minimal harm that is not immediate jeopardy
- Levell 3 – Actual harm that is not immediate jeopardy
- Level 4 – Immediate jeopardy to resident health or safety
- Isolated: When one or a very limited number of residents or employees is/are affected and/or a very limited area or number of locations within the facility are affected;
- Pattern: When more than a very limited number of residents or employees are affected, and/or the situation has occurred in more than a limited number of locations but the locations are not dispersed throughout the facility;
- Widespread: When the problems causing the deficiency are pervasive (affect many locations) throughout the facility and/or represent a systemic failure that affected, or has the potential to affect, a large portion or all of the residents or employees.
What happens if you are found “deficient?”
Related Articles: CMS Rules for Healthcare Providers
by Rick Christ Current CMS Emergency Preparedness Conditions of Participation require an annual review of your emergency preparedness plan. Under the proposed rule, the plan “must be evaluated and updated at least every 2 years.” Not in the rule, but in the...
by Rick Christ Currently, almost every provider type is required to participate in two exercises per year. One “should be” a “community full-scale exercise” while the other can be a tabletop. The original version of the current exercise standards was clearly...
by Rick Christ Currently, the typical CMS regulation says this about the training requirement: The training and testing program must be reviewed and updated at least annually. (1) Training program. The hospital must do all of the following:(i) Initial training in...
by Rick Christ Barely ten months into the enforcement period of the Emergency Preparedness Conditions of Participation, the Centers for Medicare and Medicaid Services (CMS) is proposing some rule changes that would “reform Medicare regulations that are identified...
by Rick Christ When wildfire swept through the Santa Rosa, California area in October of 2017, at least two long-term care facilities were grossly unprepared, and their staff made feeble attempts to evacuate almost 300 residents. If residents’ families and others...
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