For years I have referred to the State Operations Manual (SOM) Appendix P for guidance on the survey process. But the Centers for Medicare & Medicaid Services recently announced that Appendix P will be archived and not updated with the new survey process instructions. Where is the most relevant documentation that explains the new survey regulations and process?
The word "immediate" in the State Operation Manual, Appendix PP - Guidance to Surveyors for Long Term Care Facilities can be interpreted in multiple ways. Determining the timing of interventions through a thoughtful risk/benefit analysis, based on the needs of residents, will surely promote better clinical and survey outcomes.