State Operations Manual Update: Chapter 7

Transmittal # R244SOMA Issue Date 2026-06-26 Subject Revisions to State Operations Manual (SOM), Chapter 7 Implementation Date r2026-06-26 CR # N/A Publication # 100-07 Transmittal Year 2026 Downloads I. SUMMARY OF CHANGES: CMS updated and revised guidance in chapter 7 of the SOM that includes: CMS also added guidance previously found in Appendix …

OIG: CMS’s Processes Didn’t Ensure Accuracy of PBJ-Reported Staffing Data

Report number: A-09-24-02005 Report Materials Why OIG Did This Audit What OIG Found Not all nursing homes’ RN staffing hours reported in CMS’s PBJ were supported in accordance with Federal requirements. On the basis of our sample results, we estimated for our sampling frame that for March 2024 nursing homes …

iQIES will Implement an Inactive User Policy

To: iQIES Users, CMS Staff Inactive iQIES User Accounts CMS security policy requires iQIES to deactivate user roles for inactive accounts. To meet this requirement, iQIES will apply an inactive user policy beginning this month. This policy helps CMS keep the system safe and secure. How the Policy Works You …

Practice Makes Perfect: Get Nursing Staff Locked in for Positive Surveyor Interactions

Resident care observations and staff interviews are both core components of the long-term care survey process, so surveyors have multiple opportunities to interact with all levels of nursing staff, says Denise Winzeler, BSN, RN, LNHA, DNS-MT, QCP-MT, NHA-MT, director of education and certification strategy for AAPACN. “Teaching staff the survey …

CDC NHSN LTCF Respiratory Pathogens Module

May 2026 Updates Long-Term Care Respiratory Pathogens Person-Level – Data Collection Forms and Instructions LTCF Resident Optional Person Level Reporting for Long Term Care Residents (Form 57.216) [PDF – 264 KB] – January 2026 Person-Level – CSV Data Import Person-Level Vaccination Form for Residents of Long-Term Care Facilities: How to Guide [PDF – 2 …

State Operations Manual Exhibit Changes: CMS Transmittal

Transmittal # R242SOMA Issue Date 2026-05-29 Subject Revisions to the State Operations Manual (SOM) Chapter 9 Exhibits. I.  SUMMARY OF CHANGES: CMS is revising Chapter 9 of the SOM to remove many model letters or links to exhibits no longer used for program operation. For Forms used for program operation, the download area …

Preparing Psychotropic Practices for Survey: Strengthening Oversight Before It Becomes a Deficiency

Psychotropic medication use continues to be one of the most heavily scrutinized areas in long-term care, for good reason. At this juncture, clinical decision-making, resident quality of life, and regulatory compliance all come together. The goal is not just to avoid unnecessary medications. Rather it’s to show clearly that every …

Cross-Setting: Falls with Major Injury (FMI) QM Respecification Training

The Centers for Medicare & Medicaid Services (CMS) is offering a Web-Based Training that provides the latest information about the respecification of the Falls with Major Injury (FMI) Quality Measure (QM) for the Post-Acute Care (PAC) Settings. The training provides an overview of the legacy and respecified FMI Measure, discusses …

QSO Memo on Nurse Aide Training Competencies

Clarification regarding Nurse Aide Training Competency Evaluation Program (NATCEP) and Nurse Aide Competency Evaluation Program (CEP) requirements and allowable flexibilities Memo # QSO-26-08-NH Posting Date 2026-04-08 Fiscal Year 2026 Memorandum Summary Clarification of NATCEP Requirements and allowable flexibilities: The Centers for Medicare & Medicaid Services (CMS) is clarifying NATCEP/CEP requirements and permissible flexibilities …