Federal (United States) · Agency guidance
Chapter 5
124 sections
124 sections
- State Operations Manual (Pub. 100-07), Ch. 5 § 5000.1Purpose of the Complaint/Incident Process
- State Operations Manual (Pub. 100-07), Ch. 5 § 5000.2Overview
- State Operations Manual (Pub. 100-07), Ch. 5 § 5010General Intake Process
- State Operations Manual (Pub. 100-07), Ch. 5 § 5010.1Information to Collect From Complainant
- State Operations Manual (Pub. 100-07), Ch. 5 § 5010.2Information to Provide to Complainant
- State Operations Manual (Pub. 100-07), Ch. 5 § 5010.3Notification to the CMS Location
- State Operations Manual (Pub. 100-07), Ch. 5 § 5050CMS Regional Office Responsibility for Monitoring SA
- State Operations Manual (Pub. 100-07), Ch. 5 § 5060ASPEN Complaints/Incidents Tracking System (ACTS)
- State Operations Manual (Pub. 100-07), Ch. 5 § 5060.1Data Entry
- State Operations Manual (Pub. 100-07), Ch. 5 § 5060.2Reports
- State Operations Manual (Pub. 100-07), Ch. 5 § 5070Priority Assignment for Nursing Homes, Deemed and Non-
- State Operations Manual (Pub. 100-07), Ch. 5 § 5075Priority Definitions for Nursing Homes, Deemed and Non-
- State Operations Manual (Pub. 100-07), Ch. 5 § 5075.1Immediate Jeopardy (for Nursing Homes, Deemed and Non-
- State Operations Manual (Pub. 100-07), Ch. 5 § 5075.2Non-Immediate Jeopardy - High Priority (for Nursing Homes
- State Operations Manual (Pub. 100-07), Ch. 5 § 5075.3Non-Immediate Jeopardy - Medium Priority (for Nursing
- State Operations Manual (Pub. 100-07), Ch. 5 § 5075.4Non-Immediate Jeopardy – Low Priority (for Nursing Homes
- State Operations Manual (Pub. 100-07), Ch. 5 § 5075.5Administrative Review/Offsite Investigation (for Nursing
- State Operations Manual (Pub. 100-07), Ch. 5 § 5075.6Referral – Immediate (for Nursing Homes, Deemed and Non-
- State Operations Manual (Pub. 100-07), Ch. 5 § 5075.7Referral – Other (for Nursing Homes, Deemed and Non-
- State Operations Manual (Pub. 100-07), Ch. 5 § 5075.8No Action Necessary (for Nursing Homes, Deemed and Non-
- State Operations Manual (Pub. 100-07), Ch. 5 § 5075.9Maximum Time Frames Related to the Federal Onsite Investigation of Complaints/Incidents
- State Operations Manual (Pub. 100-07), Ch. 5 § 5077State Monitoring Visits
- State Operations Manual (Pub. 100-07), Ch. 5 § 5078Pre-Survey Activities
- State Operations Manual (Pub. 100-07), Ch. 5 § 5079Entrance Conference - Non-Long Term Care
- State Operations Manual (Pub. 100-07), Ch. 5 § 5080Investigation Findings and Reports
- State Operations Manual (Pub. 100-07), Ch. 5 § 5080.1Report to the Complainant
- State Operations Manual (Pub. 100-07), Ch. 5 § 5080.2Survey Exit Conference and Report to the Provider/Supplier
- State Operations Manual (Pub. 100-07), Ch. 5 § 5100Investigation of Complaints for Deemed Providers/Suppliers
- State Operations Manual (Pub. 100-07), Ch. 5 § 5100.1Basis for Investigation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5100.2Initial Response to Complainant
- State Operations Manual (Pub. 100-07), Ch. 5 § 5110Post-Survey Procedures
- State Operations Manual (Pub. 100-07), Ch. 5 § 5110.1Substantial Compliance
- State Operations Manual (Pub. 100-07), Ch. 5 § 5110.2Condition-Level, IJ
- State Operations Manual (Pub. 100-07), Ch. 5 § 5110.3Condition-Level, Non-IJ
- State Operations Manual (Pub. 100-07), Ch. 5 § 5110.4Full Survey after Complaint Survey with Condition-level
- State Operations Manual (Pub. 100-07), Ch. 5 § 5120Life Safety Code Guidance for Deemed Providers/Suppliers
- State Operations Manual (Pub. 100-07), Ch. 5 § 5130Deemed Provider/ Supplier Refusal of Complaint Investigation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5140Complaints Involving HIV-Infected Individuals
- State Operations Manual (Pub. 100-07), Ch. 5 § 5150Investigating Complaints Involving ESRD Services Provided by
- State Operations Manual (Pub. 100-07), Ch. 5 § 5160Investigating Complaints Against ESRD Suppliers
- State Operations Manual (Pub. 100-07), Ch. 5 § 5170Hospital Restraints/Seclusion Death Reporting and Investigation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5170.1Background
- State Operations Manual (Pub. 100-07), Ch. 5 § 5170.2Responsibilities
- State Operations Manual (Pub. 100-07), Ch. 5 § 5170.3Process
- State Operations Manual (Pub. 100-07), Ch. 5 § 5200Investigating Complaints for Non-Deemed Providers/Suppliers,
- State Operations Manual (Pub. 100-07), Ch. 5 § 5200.1General Procedures
- State Operations Manual (Pub. 100-07), Ch. 5 § 5200.2Special Procedures for Psychiatric Hospitals
- State Operations Manual (Pub. 100-07), Ch. 5 § 5210Processing of Complaints Originating with or Investigated by the
- State Operations Manual (Pub. 100-07), Ch. 5 § 5220Investigation Conducted Directly by the CMS location
- State Operations Manual (Pub. 100-07), Ch. 5 § 5230Special CMS location Processing
- State Operations Manual (Pub. 100-07), Ch. 5 § 5240Complaints - HHA Hotline
- State Operations Manual (Pub. 100-07), Ch. 5 § 5300Investigation of Complaints for Nursing Homes
- State Operations Manual (Pub. 100-07), Ch. 5 § 5300.2Task 2: Entrance Conference/Onsite Preparatory Activities
- State Operations Manual (Pub. 100-07), Ch. 5 § 5300.3Task 5: Information Gathering
- State Operations Manual (Pub. 100-07), Ch. 5 § 5300.5Task 7: Exit Conference
- State Operations Manual (Pub. 100-07), Ch. 5 § 5310Action on Allegations of Resident Neglect and Abuse, and
- State Operations Manual (Pub. 100-07), Ch. 5 § 5310.1Written Procedures
- State Operations Manual (Pub. 100-07), Ch. 5 § 5310.2Review and Triage of Allegations
- State Operations Manual (Pub. 100-07), Ch. 5 § 5310.3Investigating Allegations
- State Operations Manual (Pub. 100-07), Ch. 5 § 5310.4Factors Beyond the Control of the Individual
- State Operations Manual (Pub. 100-07), Ch. 5 § 5320Reporting Findings of Abuse, Neglect, or Misappropriation of
- State Operations Manual (Pub. 100-07), Ch. 5 § 5320.1Notification Procedures - Preliminary Determinations
- State Operations Manual (Pub. 100-07), Ch. 5 § 5320.2Conduct of Hearing for Nurse Aides
- State Operations Manual (Pub. 100-07), Ch. 5 § 5330Reporting Abuse to Law Enforcement and the Medicaid Fraud
- State Operations Manual (Pub. 100-07), Ch. 5 § 5340Post-Survey Certification Actions for Nursing Homes
- State Operations Manual (Pub. 100-07), Ch. 5 § 5350Data Entry
- State Operations Manual (Pub. 100-07), Ch. 5 § 5360Processing of Complaints Originating with or Investigated by the
- State Operations Manual (Pub. 100-07), Ch. 5 § 5370Pre-Investigation Actions on Allegations Originating Through
- State Operations Manual (Pub. 100-07), Ch. 5 § 5380CMS location Processing of CMS location Investigated
- State Operations Manual (Pub. 100-07), Ch. 5 § 5390CMS location Oversight of Complaint-Related Processes
- State Operations Manual (Pub. 100-07), Ch. 5 § 5400Investigations Involving Alleged Emergency Medical Treatment
- State Operations Manual (Pub. 100-07), Ch. 5 § 5410EMTALA and Born-Alive Infants Protection Act of 2002
- State Operations Manual (Pub. 100-07), Ch. 5 § 5410.1Interaction of the Born-Alive Infant Protection Act and
- State Operations Manual (Pub. 100-07), Ch. 5 § 5410.2Conduct of Investigations
- State Operations Manual (Pub. 100-07), Ch. 5 § 5420Basis for Investigation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5430CMS location Direction of Investigation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5430.1Evaluation of Allegation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5430.2Request for Investigation of Allegations
- State Operations Manual (Pub. 100-07), Ch. 5 § 5440Conducting an Investigation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5440.1Selecting the Team
- State Operations Manual (Pub. 100-07), Ch. 5 § 5440.2Scheduling the Investigation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5440.3Guidelines for Surveyors Conducting Investigations
- State Operations Manual (Pub. 100-07), Ch. 5 § 5440.4Conducting the Investigation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5440.5Exit Conference
- State Operations Manual (Pub. 100-07), Ch. 5 § 5450Forwarding Report of Investigation to the CMS location
- State Operations Manual (Pub. 100-07), Ch. 5 § 5460CMS location Review of Investigation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5460.1Hospital Is In Compliance - No Past Violation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5460.2Hospital Is In Compliance - Past Violation, No Termination
- State Operations Manual (Pub. 100-07), Ch. 5 § 5460.3Hospital Is Not in Compliance - Immediate Jeopardy to Patient
- State Operations Manual (Pub. 100-07), Ch. 5 § 5460.4Hospital Is Not in Compliance - Situation Does Not Pose an
- State Operations Manual (Pub. 100-07), Ch. 5 § 5465Procedures for the 5-day QIO Review of Alleged Violations of 42
- State Operations Manual (Pub. 100-07), Ch. 5 § 5470Termination Procedures for EMTALA Violations
- State Operations Manual (Pub. 100-07), Ch. 5 § 5470.1Procedures for Termination when the EMTALA Violation is an
- State Operations Manual (Pub. 100-07), Ch. 5 § 5470.2Procedures for Termination When the EMTALA Violation is
- State Operations Manual (Pub. 100-07), Ch. 5 § 5480Procedures for QIO Review of Confirmed EMTALA Violation
- State Operations Manual (Pub. 100-07), Ch. 5 § 5480.1Procedures for Coordinating 60 day QIO Review
- State Operations Manual (Pub. 100-07), Ch. 5 § 5480.2EMTALA Case Referral to OIG
- State Operations Manual (Pub. 100-07), Ch. 5 § 5480.3Releasing QIO Assessment
- State Operations Manual (Pub. 100-07), Ch. 5 § 5500Complaint Investigations in Non-Accredited, Non-Exempt
- State Operations Manual (Pub. 100-07), Ch. 5 § 5500.1Control