Federal Nursing Home Regulation Resources

Federal CMS (Centers for Medicare & Medicaid Services) Nursing Home Regulation Resources

Minnesota Department of Health Resources

Online Resources for Long Term Care Providers

2017 Long-Term Care (LTC) Training Resources

LTC Survey Process SME Videos
This course consists of a series of videos created by CMS outlining essential topics related to changes in the LTC regulations scheduled to be implemented for Phase 2. CMS videos on guidance provide regions and states a resource that can be used for training and education with surveyors, providers, and other stakeholder groups.

Topics include:

  • Admission, Transfer, Discharge
  • Appendix PP-Overview of Revised Interpretive Guidance
  • Behavioral Health
  • Facility Assessment
  • Freedom from Abuse, Neglect and Exploitation
  • Infection Control
  • Person-Centered Care
  • Pharmacy Services
  • Quality Assurance and Process Implementation Plan- The Basics
  • Quality of Life and Quality of Care
  • Nursing Services

PLEASE NOTE: More training videos to come, which will include the following areas: Comprehensive Person-Centered Care Planning, Physician Services, Lab/X-ray/Diagnostic, Dental, Food and Nutrition, Specialized Rehab, Administration, Physical Environment, Training, and additional videos on Resident Rights, Quality of Life, Quality of Care and Nursing Services.

Instructions for finding survey process videos on CMS website:

  1. Go to Integrated Surveyor Training website.
  2. Select I AM A PROVIDER.
  3. Select Course Catalog on top of task bar.
  4. Select Legacy under Filter By: Type (on left side of page).
  5. Scroll down Course Information; select LTC Survey Process SME Videos.
  6. Select Launch the Course, wait for course to download. When complete, return to list of videos for additional training.

Overview of the New Long Term Care (LTC) Survey Process for LTC Providers
Provider training available on Integrated Surveyor Training Website (ISTW). This presentation provides an introduction to new regulatory reform, key changes to the survey process, the rationale behind the changes to the survey process, and the basic steps in the survey process that are important to the LTC Provider. The expected run time for this training is an hour.

MDH Provider, Surveyor, Investigator, Ombudsman Training

The 2017 Federal Nursing Home Regulations: A Person Centered Approach (PDF)

CMS Resources

Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities
This site provides additional vital information about the background and overview of the final rule, frequently asked questions and other related resources. Includes access to documents, forms and information regarding the new long-term care survey process. This site provides links to the current Appendix PP 03-08-2017 (Effective through November 27, 2017), Advance Appendix PP including Phase 2 (Effective November 28, 2017), List of revised F-tags, F-tags Crosswalk and other useful information.

It will be the responsibility of providers to check periodically for new information listed on the CMS Reform for Long-Term Care Facilities website. This website is subject to change by CMS.

CMS Survey and Certification (S&C) Memos

CMS Policy & Memos to States and Regions
Below are S&C memos related to emergency preparedness (S&C 17-29) and LTC regulations (S&C 17-19 and 17-36). CMS issues S&C memos weekly. It will be the responsibility of providers to check weekly for new information listed at the CMS S&C memo website.

CMS Transmittals

November 22, 2017 CMS Transmittal: Revisions to State Operation Manual (SOM), Appendix PP Guidance to Surveyors for Long Term Care Facilities (PDF)


Federal Nursing Home Regulation Clarifications

Federal Data including Deficiency Citations

CMS Memo: Quality and Certification Oversight Reports (QCOR) Website Launch (PDF)

Quality and Certification Oversight Reports (QCOR) Website includes federal data, including deficiency data link for on-site inspections of providers and suppliers.

Emergency Preparedness

Emergency Preparedness Resources and Surveyor Tool

Dementia Care in Nursing Homes

Educational Resources and Optional Tools/Forms:

  1. National Nursing Home: Partnership to Improve Dementia Care
  2. Pharmacy Review Forms:
    Admit to Facility (PDF)
    Facility Initiated (PDF)
    Medication History (PDF)
  3. Physician Round Tool and Instructions

Letter from the Minnesota Partnership to Improve Dementia Care to Medical Directors, Physicians, Physician Extenders (PDF)

“Hand in Hand: A Training Series for Nursing Homes,” on Person-Centered Care of Persons with Dementia and Prevention of Abuse

Food and Drug Administration

Food and Drug Administration for Health Professionals
Publication provides information to healthcare professionals to enhance communication of new drug safety information, raise awareness of reported adverse events, and stimulate additional adverse event reporting.

Root Cause Analysis

Presentations: Updated July 2010


Contact Information

Minnesota Department of Health
Health Regulation Division
85 East Seventh Place, Suite 300
St. Paul, Minnesota 55101


Updated Friday, December 08, 2017 at 03:46PM