CMS Revises Appendix PP to the SOM: Guidance to Surveyors Many sections 'effective 11-26-14'

This iteration of Appendix PP has several sections that are listed as "effective 11-26-14."    There are also additions that have been previously released in S&C Memos but not incorporated into  the actual SOM available for download online.  You can see the actual document Here.  


SUBJECT: Revisions to State Operations Manual (SOM), Appendix PP - "Guidance to
Surveyors for Long Term Care Facilities"

I. SUMMARY OF CHANGES: This instruction revises the Interpretive Guidelines and, in
some instances, associated Investigative Protocols for several F Tags to reflect incorporation of
Survey & Certification policy memo guidance issued from Fiscal Year 2003 through May 2014.

NEW/REVISED MATERIAL - EFFECTIVE DATE: November 26, 2014
IMPLEMENTATION DATE: November 26, 2014

Disclaimer for manual changes only: The revision date and transmittal number apply to the
red italicized material only. Any other material was previously published and remains
unchanged. However, if this revision contains a table of contents, you will receive the
new/revised information only, and not the entire table of contents.

II. CHANGES IN MANUAL INSTRUCTIONS: (N/A if manual not updated.)
(R = REVISED, N = NEW, D = DELETED) - (Only One Per Row.)

R/N/D CHAPTER/SECTION/SUBSECTION/TITLE
R Appendix PP/F155/§483.10(b)(4) and (8)
R Appendix PP/F161/ §483.10(c)(7) Assurance of Financial Security
R Appendix PP/F202/§483.12(a)(3) Documentation
R Appendix PP/F208/§483.12(d) Admissions Policy
R Appendix PP/F222/§483.13(a) Restraints
R Appendix PP/F278/§483.20(g) Accuracy of Assessment
R Appendix PP/F281/§483.20(k)(3)
R Appendix PP/F286/§483.20(d) Use
R Appendix PP/F309/§483.25 Quality of Care
D Appendix PP/F321/§483,25(g) Naso-Gastric Tubes
R Appendix PP/F322/§483.25(g) Naso-Gastric Tubes
R Appendix PP/F329/§483.25(l) Unnecessary Drugs
R Appendix PP/F332andF333/§483.25(m) Medication Errors
R Appendix PP/F371/§483.35(i) Sanitary Conditions
R Appendix PP/F388/§483.40(c)(3) Except as provided in paragraphs (c )(4) and (f) of this section, all required physician visits must be made by the physician personally.
R Appendix PP/F390/§483.40(e) Physician Delegation of Tasks in SNFs

R Appendix PP/F425/§483.60 Pharmacy Services