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Appendix PP Regulatory Updates

Appendix PP Regulatory Updates – March 2025

Members: $99 |  Non-members: $198

Guidance to Assist with Preparation and Compliance

Update Now Available: On Jan. 15, 2025, CMS announced that changes to Appendix PP of the State Operations Manual will now take effect March 24, 2025. Originally the changes were slated for Feb. 24, 2025. Please review QSO-25-23-NH for full details including new information related to Sufficient Nursing Staff, RN 8 Hrs./7days/Wk., Full Time DON, & Payroll Based Journal.

On Nov. 18, 2024, the Centers for Medicare & Medicaid Services (CMS) released QSO-25-07-NH, announcing these significant updates to Appendix PP of the State Operations Manual. Facility leadership must know what these changes are and how to maintain compliance before these changes take effect on March 24, 2025.

Developed by AAPACN nurse experts, the Appendix PP Regulatory Updates – March 2025 on-demand workshop will assist nurse leaders with preparation and compliance ahead of the March 24, 2025, survey changes. This on-demand workshop includes a series of 18 short learning modules providing guidance, as well as action steps and resources specific to each regulatory change. Nurse leaders can use this on-demand workshop to educate staff and assist with maintaining compliance.

Learning modules focus on the following areas:

  • F605 Right to Be Free From Chemical Restraints
  • F620 Admissions Policy
  • F627 Inappropriate Transfer or Discharge
  • F628 Transfer/Discharge Process
  • F641 Accuracy of Assessments
  • F658 Services Provided Meet Professional Standards
  • F677 ADL Care Provided for Dependent Residents
  • F697 Pain Management
  • F725 Sufficient Nursing Staff
  • F727 RN 8 Hrs/7 days/Week, Full Time DON
  • F757 Drug Regimen is Free From Unnecessary Drugs
  • F841 Responsibilities of Medical Director
  • F851 Payroll-Based Journal
  • F867 QAPI/QAA Improvement Activities
  • F880 Infection Prevention and Control
  • F887 COVID-19 Immunization
  • F918 Bedrooms Equipped Near Lavatory/Toilet
  • Additional Regulatory Changes