answers
- Assessing the quality of care and services of a health facility and relating those findings to
statutory and regulatory requirements
- Being part of a team that helps to evaluate a facility's compliance in providing quality care,
quality of life, and other structural requirements
- Basing your judgments on objective findings - ANSWERSThe Role of the Surveyor
- As a surveyor, you are part of a team engaged in a process that aims to ensure that
beneficiaries receive quality health care in a safe environment.
- The Centers for Medicare & Medicaid Services (CMS) depends on your knowledge, objectivity,
professionalism, and commitment to monitor compliance with the regulatory conditions &
requirements.
- As a surveyor, you are part of a team that helps to evaluate a facility's compliance; you must
show knowledge, objectivity, professionalism, and commitment; and you must base your
judgments on objective findings. - ANSWERSCMS Depends on Its Surveyors
The survey, certification, and enforcement of regulations for nursing homes is codified in past
practices regarding the composition of survey teams and expands eligibility requirements.
Survey team size will vary, depending primarily on the size of the facility being surveyed.
The State Agency (or, for Federal teams, the regional office (RO)) decides how many members
will be on the team.
, Survey team size is normally based upon the following factors:
- The bed size of the facility to be surveyed
- Whether the facility has a historical pattern of serious deficiencies or complaints
- Whether the facility has special care units
- Whether new surveyors are to accompany a team as part of their training - ANSWERSHow the
Survey Team Composition is Determined
The State Agency (or, for Federal teams, the RO) decides what the composition of the survey
team will be, as long as certain statutory and regulatory requirements are met.
- Sections 1819(g)(2)(E) & 1919(g)(2)(E) of the Act & 42 CFR 488.314 require the following:
- SNF and NF standard surveys must be conducted by a multidisciplinary team of professionals,
at least one of whom must be a registered nurse (RN)
- Surveyors must be free of conflicts of interest
- Surveyors must successfully complete a training and testing program in survey and certification
techniques that has been approved by the Secretary.
*** In other words, surveyors must successfully complete the CMS-approved training AND pass
Module A of the Surveyor Minimum Qualifications Test (SMQT).***