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Title 42, Part 488 — Survey, Certification, and Enforcement Procedures

148 sections

Section 488.1
Definitions.
Section 488.2
Statutory basis.
Section 488.3
Conditions of participation, conditions for coverage, conditions for certification and long term care requirements.
Section 488.4
General rules for a CMS-approved accreditation program for providers and suppliers.
Section 488.5
Application and re-application procedures for national accrediting organizations.
Section 488.6
Providers or suppliers that participate in the Medicaid program under a CMS-approved accreditation program.
Section 488.7
Release and use of accreditation surveys.
Section 488.8
Ongoing review of accrediting organizations.
Section 488.9
Validation surveys.
Section 488.10
State survey agency review: Statutory provisions.
Section 488.11
State survey agency functions.
Section 488.12
Effect of survey agency certification.
Section 488.13
Loss of accreditation.
Section 488.14
Effect of QIO review.
Section 488.18
Documentation of findings.
Section 488.20
Periodic review of compliance and approval.
Section 488.24
Certification of noncompliance.
Section 488.26
Determining compliance.
Section 488.28
Providers or suppliers, other than SNFs, NFs, HHAs, and Hospice programs with deficiencies.
Section 488.30
Revisit user fee for revisit surveys.
Section 488.52
[Reserved]
Section 488.54
Temporary waivers applicable to hospitals.
Section 488.56
Temporary waivers applicable to skilled nursing facilities.
Section 488.60
Special procedures for approving end stage renal disease facilities.
Section 488.61
Special procedures for approval and re-approval of organ transplant programs.
Section 488.64
Remote facility variances for utilization review requirements.
Section 488.68
State Agency responsibilities for OASIS collection and data base requirements.
Section 488.70
Special requirements for rural emergency hospitals (REHs).
Section 488.100
Long term care survey forms, Part A.
Section 488.105
Long term care survey forms, Part B.
Section 488.110
Procedural guidelines.
Section 488.115
Care guidelines.
Section 488.201
Reconsideration.
Section 488.203
Withdrawal of request for reconsideration.
Section 488.205
Right to informal hearing.
Section 488.207
Informal hearing procedures.
Section 488.209
Hearing officer's findings.
Section 488.211
Final reconsideration determination.
Section 488.300
Statutory basis.
Section 488.301
Definitions.
Section 488.303
State plan requirement.
Section 488.305
Standard surveys.
Section 488.307
Unannounced surveys.
Section 488.308
Survey frequency.
Section 488.310
Extended survey.
Section 488.312
Consistency of survey results.
Section 488.314
Survey teams.
Section 488.318
Inadequate survey performance.
Section 488.320
Sanctions for inadequate survey performance.
Section 488.325
Disclosure of results of surveys and activities.
Section 488.330
Certification of compliance or noncompliance.
Section 488.331
Informal dispute resolution.
Section 488.332
Investigation of complaints of violations and monitoring of compliance.
Section 488.334
Educational programs.
Section 488.335
Action on complaints of resident neglect and abuse, and misappropriation of resident property.
Section 488.400
Statutory basis.
Section 488.401
Definitions.
Section 488.402
General provisions.
Section 488.404
Factors to be considered in selecting remedies.
Section 488.406
Available remedies.
Section 488.408
Selection of remedies.
Section 488.410
Action when there is immediate jeopardy.
Section 488.412
Action when there is no immediate jeopardy.
Section 488.414
Action when there is repeated substandard quality of care.
Section 488.415
Temporary management.
Section 488.417
Denial of payment for all new admissions.
Section 488.418
Secretarial authority to deny all payments.
Section 488.422
State monitoring.
Section 488.424
Directed plan of correction.
Section 488.425
Directed inservice training.
Section 488.426
Transfer of residents, or closure of the facility and transfer of residents.
Section 488.430
Civil money penalties: Basis for imposing penalty.
Section 488.431
Civil money penalties imposed by CMS and independent informal dispute resolution: for SNFS, dually-participating SNF/NFs, and NF-only facilities.
Section 488.432
Civil money penalties imposed by the State: NF-only.
Section 488.433
Civil money penalties: Uses and approval of civil money penalties imposed by CMS.
Section 488.434
Civil money penalties: Notice of penalty.
Section 488.436
Civil money penalties: Waiver of hearing, reduction of penalty amount.
Section 488.438
Civil money penalties: Amount of penalty.
Section 488.440
Civil money penalties: Effective date and duration of penalty.
Section 488.442
Civil money penalties: Due date for payment of penalty.
Section 488.444
Civil money penalties: Settlement of penalties.
Section 488.446
Administrator sanctions: long-term care facility closures.
Section 488.447
Civil Money Penalties imposed for failure to comply with 42 CFR 483.80(g)(1) and (2).
Section 488.450
Continuation of payments to a facility with deficiencies.
Section 488.452
State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually participating facilities when there is no immediate jeopardy.
Section 488.454
Duration of remedies.
Section 488.456
Termination of provider agreement.
Section 488.604
Termination of Medicare coverage.
Section 488.606
Alternative sanctions.
Section 488.608
Notice of alternative sanction and appeal rights: Termination of coverage.
Section 488.610
Notice of appeal rights: Alternative sanctions.
Section 488.700
Basis and scope.
Section 488.705
Definitions.
Section 488.710
Standard surveys.
Section 488.715
Partial extended surveys.
Section 488.720
Extended surveys.
Section 488.725
Unannounced surveys.
Section 488.730
Survey frequency and content.
Section 488.735
Surveyor qualifications.
Section 488.740
Certification of compliance or noncompliance.
Section 488.745
Informal Dispute Resolution (IDR).
Section 488.800
Statutory basis.
Section 488.805
Definitions.
Section 488.810
General provisions.
Section 488.815
Factors to be considered in selecting sanctions.
Section 488.820
Available sanctions.
Section 488.825
Action when deficiencies pose immediate jeopardy.
Section 488.830
Action when deficiencies are at the condition-level but do not pose immediate jeopardy.
Section 488.835
Temporary management.
Section 488.840
Suspension of payment for all new patient admissions.
Section 488.845
Civil money penalties.
Section 488.850
Directed plan of correction.
Section 488.855
Directed in-service training.
Section 488.860
Continuation of payments to an HHA with deficiencies.
Section 488.865
Termination of provider agreement.
Section 488.1000
Basis and scope.
Section 488.1005
Definitions.
Section 488.1010
Application and reapplication procedures for national home infusion therapy accrediting organizations.
Section 488.1015
Resubmitting a request for reapproval.
Section 488.1020
Public notice and comment.
Section 488.1025
Release and use of home infusion therapy accreditation surveys.
Section 488.1030
Ongoing review of home infusion therapy accrediting organizations.
Section 488.1035
Ongoing responsibilities of a CMS-approved home infusion therapy accrediting organization.
Section 488.1040
Onsite observations of home infusion therapy accrediting organization operations.
Section 488.1045
Voluntary and involuntary termination.
Section 488.1050
Reconsideration.
Section 488.1100
Basis and scope.
Section 488.1105
Definitions.
Section 488.1110
Hospice program: surveys and hotline.
Section 488.1115
Surveyor qualifications and prohibition of conflicts of interest.
Section 488.1120
Survey teams.
Section 488.1125
Consistency of survey results.
Section 488.1130
Informal dispute resolution (IDR).
Section 488.1135
Hospice Special Focus Program (SFP).
Section 488.1200
Statutory basis.
Section 488.1205
Definitions.
Section 488.1210
General provisions.
Section 488.1215
Factors to be considered in selecting remedies.
Section 488.1220
Available remedies.
Section 488.1225
Action when deficiencies pose immediate jeopardy.
Section 488.1230
Action when deficiencies are at the condition-level but do not pose immediate jeopardy.
Section 488.1235
Temporary management.
Section 488.1240
Suspension of payment for all new patient admissions.
Section 488.1245
Civil money penalties.
Section 488.1250
Directed plan of correction.
Section 488.1255
Directed in-service training.
Section 488.1260
Continuation of payments to a hospice program with deficiencies.
Section 488.1265
Termination of provider agreement.