State Operations Manual (Pub. 100-07), Ch. 5 § 5220
Investigation Conducted Directly by the CMS location
5220- Investigation Conducted Directly by the CMS location
(Rev. 243; Issued: 06-12-26; Effective: 06-12-26; Implementation: 06-12-26)
This less frequent class of complaints includes allegations retained by the CMS location
or forwarded to the CMS location by the SA for investigation. The CMS location’s
responsibilities vary based on the type of complaint.
The CMS location uses the appropriate survey protocol and interpretive guidelines for the
provider/supplier. These procedures apply when a direct CMS location investigation is
conducted, such as for Federal facilities, Religious Non-Medical Health Care Institutions
(RNHCIs), or special situations. When directly investigating, the CMS location begins
by ensuring that it or the SA has met all initial data collection and acknowledgement
requirements.
If the allegation involves an IJ, the CMS location investigates within two working days.
Otherwise, the CMS location schedules the investigation based on the severity of the
allegation. (See §5075.9 for time frames related to Federal onsite investigations.)