Understanding CMS’s New Nursing
Facility Guidance

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The revised Guidelines total 847 pages; within the Guidelines, new language is marked by red font. The revised Guidelines will not become effective until October 24, 2022, in order to give nursing facilities and government surveyors enough time to adapt.

The current version of the Surveyor’s Guidelines—effective until October 24—is found at Appendix PP to the CMS State Operations Manual.

In general, the revised Guidelines represent a step forward, by implementing new regulatory provisions and strengthening guidance on others. This issue brief summarizes and explains the revisions that are of most interest to residents and their advocates.

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