Part 488 — Survey, Certification, and Enforcement Procedures
Subpart A — General Provisions
- § 488.1— Definitions.
- § 488.2— Statutory basis.
- § 488.3— Conditions of participation, conditions for coverage, conditions for certification and long term care requirements.
- § 488.4— General rules for a CMS-approved accreditation program for providers and suppliers.
- § 488.5— Application and re-application procedures for national accrediting organizations.
- § 488.6— Providers or suppliers that participate in the Medicaid program under a CMS-approved accreditation program.
- § 488.7— Release and use of accreditation surveys.
- § 488.8— Ongoing review of accrediting organizations.
- § 488.9— Validation surveys.
- § 488.10— State survey agency review: Statutory provisions.
- § 488.11— State survey agency functions.
- § 488.12— Effect of survey agency certification.
- § 488.13— Loss of accreditation.
- § 488.14— Effect of QIO review.
- § 488.18— Documentation of findings.
- § 488.20— Periodic review of compliance and approval.
- § 488.24— Certification of noncompliance.
- § 488.26— Determining compliance.
- § 488.28— Providers or suppliers, other than SNFs, NFs, HHAs, and Hospice programs with deficiencies.
- § 488.30— Revisit user fee for revisit surveys.
Subpart B — Special Requirements
- § 488.54— Temporary waivers applicable to hospitals.
- § 488.56— Temporary waivers applicable to skilled nursing facilities.
- § 488.60— Special procedures for approving end stage renal disease facilities.
- § 488.61— Special procedures for approval and re-approval of organ transplant programs.
- § 488.64— Remote facility variances for utilization review requirements.
- § 488.68— State Agency responsibilities for OASIS collection and data base requirements.
- § 488.70— Special requirements for rural emergency hospitals (REHs).
Subpart C — Survey Forms and Procedures
Subpart D — Reconsideration of Adverse Determinations—Deeming Authority for Accreditation Organizations and CLIA Exemption of Laboratories Under State Programs
Subpart E — Survey and Certification of Long-Term Care Facilities
- § 488.300— Statutory basis.
- § 488.301— Definitions.
- § 488.303— State plan requirement.
- § 488.305— Standard surveys.
- § 488.307— Unannounced surveys.
- § 488.308— Survey frequency.
- § 488.310— Extended survey.
- § 488.312— Consistency of survey results.
- § 488.314— Survey teams.
- § 488.318— Inadequate survey performance.
- § 488.320— Sanctions for inadequate survey performance.
- § 488.325— Disclosure of results of surveys and activities.
- § 488.330— Certification of compliance or noncompliance.
- § 488.331— Informal dispute resolution.
- § 488.332— Investigation of complaints of violations and monitoring of compliance.
- § 488.334— Educational programs.
- § 488.335— Action on complaints of resident neglect and abuse, and misappropriation of resident property.
Subpart F — Enforcement of Compliance for Long-Term Care Facilities with Deficiencies
- § 488.400— Statutory basis.
- § 488.401— Definitions.
- § 488.402— General provisions.
- § 488.404— Factors to be considered in selecting remedies.
- § 488.406— Available remedies.
- § 488.408— Selection of remedies.
- § 488.410— Action when there is immediate jeopardy.
- § 488.412— Action when there is no immediate jeopardy.
- § 488.414— Action when there is repeated substandard quality of care.
- § 488.415— Temporary management.
- § 488.417— Denial of payment for all new admissions.
- § 488.418— Secretarial authority to deny all payments.
- § 488.422— State monitoring.
- § 488.424— Directed plan of correction.
- § 488.425— Directed inservice training.
- § 488.426— Transfer of residents, or closure of the facility and transfer of residents.
- § 488.430— Civil money penalties: Basis for imposing penalty.
- § 488.431— Civil money penalties imposed by CMS and independent informal dispute resolution: for SNFS, dually-participating SNF/NFs, and NF-only facilities.
- § 488.432— Civil money penalties imposed by the State: NF-only.
- § 488.433— Civil money penalties: Uses and approval of civil money penalties imposed by CMS.
- § 488.434— Civil money penalties: Notice of penalty.
- § 488.436— Civil money penalties: Waiver of hearing, reduction of penalty amount.
- § 488.438— Civil money penalties: Amount of penalty.
- § 488.440— Civil money penalties: Effective date and duration of penalty.
- § 488.442— Civil money penalties: Due date for payment of penalty.
- § 488.444— Civil money penalties: Settlement of penalties.
- § 488.446— Administrator sanctions: long-term care facility closures.
- § 488.447— Civil Money Penalties imposed for failure to comply with 42 CFR 483.80(g)(1) and (2).
- § 488.450— Continuation of payments to a facility with deficiencies.
- § 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.
- § 488.454— Duration of remedies.
- § 488.456— Termination of provider agreement.
Subpart H — Termination of Medicare Coverage and Alternative Sanctions for End-Stage Renal Disease (ESRD) Facilities
Subpart I — Survey and Certification of Home Health Agencies
- § 488.700— Basis and scope.
- § 488.705— Definitions.
- § 488.710— Standard surveys.
- § 488.715— Partial extended surveys.
- § 488.720— Extended surveys.
- § 488.725— Unannounced surveys.
- § 488.730— Survey frequency and content.
- § 488.735— Surveyor qualifications.
- § 488.740— Certification of compliance or noncompliance.
- § 488.745— Informal Dispute Resolution (IDR).
Subpart J — Alternative Sanctions for Home Health Agencies With Deficiencies
- § 488.800— Statutory basis.
- § 488.805— Definitions.
- § 488.810— General provisions.
- § 488.815— Factors to be considered in selecting sanctions.
- § 488.820— Available sanctions.
- § 488.825— Action when deficiencies pose immediate jeopardy.
- § 488.830— Action when deficiencies are at the condition-level but do not pose immediate jeopardy.
- § 488.835— Temporary management.
- § 488.840— Suspension of payment for all new patient admissions.
- § 488.845— Civil money penalties.
- § 488.850— Directed plan of correction.
- § 488.855— Directed in-service training.
- § 488.860— Continuation of payments to an HHA with deficiencies.
- § 488.865— Termination of provider agreement.
Subpart L — Accreditation of Home Infusion Therapy Suppliers
- § 488.1000— Basis and scope.
- § 488.1005— Definitions.
- § 488.1010— Application and reapplication procedures for national home infusion therapy accrediting organizations.
- § 488.1015— Resubmitting a request for reapproval.
- § 488.1020— Public notice and comment.
- § 488.1025— Release and use of home infusion therapy accreditation surveys.
- § 488.1030— Ongoing review of home infusion therapy accrediting organizations.
- § 488.1035— Ongoing responsibilities of a CMS-approved home infusion therapy accrediting organization.
- § 488.1040— Onsite observations of home infusion therapy accrediting organization operations.
- § 488.1045— Voluntary and involuntary termination.
- § 488.1050— Reconsideration.
Subpart M — Survey and Certification of Hospice Programs
- § 488.1100— Basis and scope.
- § 488.1105— Definitions.
- § 488.1110— Hospice program: surveys and hotline.
- § 488.1115— Surveyor qualifications and prohibition of conflicts of interest.
- § 488.1120— Survey teams.
- § 488.1125— Consistency of survey results.
- § 488.1130— Informal dispute resolution (IDR).
- § 488.1135— Hospice Special Focus Program (SFP).
Subpart N — Enforcement Remedies for Hospice Programs With Deficiencies
- § 488.1200— Statutory basis.
- § 488.1205— Definitions.
- § 488.1210— General provisions.
- § 488.1215— Factors to be considered in selecting remedies.
- § 488.1220— Available remedies.
- § 488.1225— Action when deficiencies pose immediate jeopardy.
- § 488.1230— Action when deficiencies are at the condition-level but do not pose immediate jeopardy.
- § 488.1235— Temporary management.
- § 488.1240— Suspension of payment for all new patient admissions.
- § 488.1245— Civil money penalties.
- § 488.1250— Directed plan of correction.
- § 488.1255— Directed in-service training.
- § 488.1260— Continuation of payments to a hospice program with deficiencies.
- § 488.1265— Termination of provider agreement.