Additional Development Required for Spell of Illness

2168 - Additional Development Required for Spell of Illness Certifications (Rev. 1, 05-21-04) Ordinarily, the SA has sufficient information available in certification, licensure, welfare, or other records to certify the spell of illness status of an institution under the rules and criteria set forth in the previous sections. If the facility assigns staff specifically to separate patient care units, the SA records separate data for each such unit on the appropriate survey report (i.e., page 12 of Form CMS-1537 for hospitals or Form CMS-671 for LTC facilities), identifying the location of the units or the room numbers of each unit. A. Additional Development Where existing records are inadequate, the SA uses any reliable method (e.g., letters and phone calls) to obtain additional evidence to determine spell of illness status. If any doubts exist, the SA visits to verify. B. Institution Consists of Single Building If an institution consists of a single building, the SA completes separate spell of illness determinations for the nonparticipating part(s) of the institution. C. Institution Consists of More than One Building If an institution consists of more than one building, the SA completes separate spell of illness determination for the nonparticipating parts of the institution in each building. Home Health Agencies (HHAs)