42 C.F.R. PART 488--SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES
TITLE 42--Public Health
CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES
SUBCHAPTER G--STANDARDS AND CERTIFICATION
PART 488--SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES
Subpart A--GENERAL PROVISIONS
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| Conditions of participation; conditions for coverage; and long-term care requirements.
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| Application and reapplication procedures for accreditation organizations.
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| Effect of JCAHO or AOA accreditation of hospitals.
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| Other national accreditation programs for hospitals and other providers and suppliers.
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| Federal review of accreditation organizations.
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| Onsite observation of accreditation organization operations.
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| State survey agency review: Statutory provisions.
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| State survey agency functions.
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| Effect of survey agency certification.
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| Documentation of findings.
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| Periodic review of compliance and approval.
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| Certification of noncompliance.
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| Providers or suppliers, other than SNFs and NFs, with deficiencies.
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Subpart B--SPECIAL REQUIREMENTS
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| Temporary waivers applicable to hospitals.
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| Temporary waivers applicable to skilled nursing facilities.
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| Special procedures for approving end stage renal disease facilities.
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| Remote facility variances for utilization review requirements.
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| State Agency responsibilities for OASIS collection and data base requirements.
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SUBPART C--SURVEY FORMS AND PROCEDURES
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| Long term care survey forms, Part A.
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| Long term care survey forms, Part B.
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Subpart D--RECONSIDERATION OF ADVERSE DETERMINATIONS--DEEMING AUTHORITY FOR ACCREDITATION ORGANIZATIONS AND CLIA EXEMPTION OF LABORATORIES UNDER STATE PROGRAMS
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| Withdrawal of request for reconsideration.
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| Right to informal hearing.
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| Informal hearing procedures.
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| Hearing officer's findings.
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| Final reconsideration determination.
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Subpart E--SURVEY AND CERTIFICATION OF LONG-TERM CARE FACILITIES
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| Consistency of survey results.
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| Inadequate survey performance.
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| Sanctions for inadequate survey performance.
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| Disclosure of results of surveys and activities.
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| Certification of compliance or noncompliance.
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| Informal dispute resolution.
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| Investigation of complaints of violations and monitoring of compliance.
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| Action on complaints of resident neglect and abuse, and misappropriation of resident property.
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Subpart F--ENFORCEMENT OF COMPLIANCE FOR LONG-TERM CARE FACILITIES WITH DEFICIENCIES
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| Factors to be considered in selecting remedies.
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| Action when there is immediate jeopardy.
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| Action when there is no immediate jeopardy.
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| Action when there is repeated substandard quality of care.
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| Denial of payment for all new admissions.
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| Secretarial authority to deny all payments.
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| Directed plan of correction.
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| Directed inservice training.
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| Transfer of residents, or closure of the facility and transfer of residents.
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| Civil money penalties: Basis for imposing penalty.
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| Civil money penalties: When a penalty is collected.
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| Civil money penalties: Notice of penalty.
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| Civil money penalties: Waiver of hearing, reduction of penalty amount.
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| Civil money penalties: Amount of penalty.
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| Civil money penalties: Effective date and duration of penalty.
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| Civil money penalties: Due date for payment of penalty.
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| Civil money penalties: Settlement of penalties.
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| Continuation of payments to a facility with deficiencies.
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| State and Federal disagreements involving findings not in agreement in non-State operated NFs and dually participating facilities when there is no immediate jeopardy.
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| Termination of provider agreement.
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