Revisions made to Immediate Imposition of Federal Remedies for skilled nursing facilities

The Center for Medicare & Medicaid Centers (CMS) issued a memo June 15 to State Survey Agency Directors highlighting the final revisions to the Immediate Imposition of Federal Remedies. Substantive revisions to the prior Immediate Imposition of Federal Remedies guidance include:

  • When the current survey identifies Immediate Jeopardy (IJ) that does not result in serious injury, harm, impairment or death, the CMS Regional Offices may determine the most appropriate remedy;
  • Clarification that past noncompliance deficiencies are not included in the criteria for Immediate Imposition of Remedies; and
  • For Special Focus Facilities (SFFs) S/S level “F” citations under tags F812, F813 or F814 are excluded from immediate imposition of remedies.

Click here to view revisions to chapter seven of the State Operations Manual.