June 2006

Information Bulletin 06-03
BC-33
NH-115

Activities: Federal Requirements.
Revision of Appendix PP, State Operations Manual (SOM),
Surveyor Guidance for Activities and Activities Director.
Implementation Date: October 1, 2006

Purpose:

The purpose of this information bulletin is to inform providers that Minnesota Department of Health surveyors and investigators effective October 1, 2006 will implement Survey Guidelines related to (F248) Activities and (F249) Activities Director found in CMS Transmittal 19 and CMS Survey and Certification Letter 06-09.

Background Federal Changes:

The Centers for Medicare and Medicaid Services (CMS) issued Revised Activities Guidance (Tags F248 and F249) in CMS Survey and Certification Letter 06-09 in March 2006. Included in CMS Survey and Certification Letter 06-09 are the following files:

  • Guidance Training Instructor Guide – (pdf file);
  • PowerPoint presentation file – (PowerPoint file); and
  • Advance copy of surveyor guidance on Tags F248 & F249 Guidance – (Word file).

These guidelines can be accessed via CMS Survey Certification Letter 06-09 and CMS Transmittal 19 (R19SOMA) at the CMS web site:

To go to CMS Program Letters:

  • Click Policy and Memos to States and Regions on the left Navigation bar
  • You can scroll down the list by Memo Number and Date.
  • Click on the link for the specific policy or letter.
To go to Transmittals:
  • Under "Related Links Inside CMS", select CMS Transmittals.
  • Click on 2006 Transmittals and select R19SOMA.

The content of the transmittal has been updated by CMS on the web version of the State Operations Manual (SOM) and may be accessed in Appendix PP of the SOM on the CMS web site.

CMS Sponsored Video-on-Demand Web casts.

CMS has developed a free web cast program entitled, “Surveying the Activities Requirements – Introduction of New Activities Guidelines”. This web cast has been developed to train surveyors regarding the revised Interpretive Guidelines and investigative protocol for the Activities requirements F248 and F249.

It may be accessed at: http://www.cms.internetstreaming.com

These changes are part of an ongoing CMS project to issue guidance relating to the expanded clinical interpretive guidelines, surveyor investigative protocols and specific severity guidance for determining the correct level of severity of outcome to residents from deficiencies issued at tag F 248, Activities and F249, Activities Director. These revised guidelines include examples of deficient practices.

Follow-up Communication

Under guidance of a joint provider, consumer and MDH Stakeholder Workgroup, four statewide follow-up telephone conference calls will be conducted related to implementation experiences for:

  • F248, Activities and F249, Activities Director;
  • Psychosocial Outcome Severity Guide and,
  • F520 Quality Assessment and Assurance.

All nursing home providers and interested parties are invited to participate. All phone conferences are scheduled from 11:00 a.m. to 12:00 noon. Each nursing home is requested to use one line. There is no charge to participate.

  • Call in number is 1-800-619-9985. Meeting ID# for participants is 7082253.
     November 20, 2006     January 22, 2007

     March 19, 2007 - Rescheduled for: March 26, 2007

     July 23, 2007

If you have any questions regarding this Information Bulletin, please contact in writing:

Minnesota Department of Health
Compliance Monitoring Division
Licensing and Certification Program
85 East Seventh Place, Suite 300
PO Box 64900
St. Paul, MN 55164-0900
Telephone: (651) 201-4101

 

Updated Tuesday, March 15, 2011 at 11:08AM