State Operations Manual (Pub. 100-07), Ch. 10 § 10002.2
IDR Process
10002.2 – IDR Process
(Rev. 221; Issued: 05-10-24; Effective: 05-10-24; Implemetation:05-10-24)
When survey findings indicate a condition-level deficiency (or deficiencies), CMS or the State, as
appropriate, will notify the facility in writing of its opportunity to request an IDR of those
deficiencies. This notice will be provided at the time the Statement of Deficiencies is issued to
the facility. The facility's request for IDR must be submitted in writing, should include the
specific deficiencies that are disputed, and should be submitted within the same 10 calendar day
period that the facility has for submitting an acceptable plan of correction.
A facility's initiation of the IDR process will not postpone or otherwise delay the effective date of
any enforcement action. The failure to complete an IDR will not delay the effective date of any
enforcement action. Further, if any findings are revised or removed based on IDR, the official
Statement of Deficiencies is revised accordingly, and any enforcement actions imposed solely
because of those revised or removed deficiencies are adjusted accordingly.