Long-Term Care Survey Process (LTCSP)

7200 - Long-Term Care Survey Process (LTCSP) (Rev. 244; Issued: 06-26-26; Effective: 06-26-26; Implementation: 06-26-26) Skilled nursing facilities (SNFs) and nursing facilities (NFs), and dually-participating facilities (SNF/NFs) must be in compliance with the requirements in 42 CFR Part 483, Subpart B to receive payment under Medicare or Medicaid. In order to certify compliance, State Survey Agencies must conduct both the Life Safety Code (LSC) and the Standard Health Surveys. Compliance with the Emergency Preparedness requirements (described in Appendix Z) will be determined in conjunction with the existing survey process for Standard Health surveys or LSC surveys for each facility. Follow the procedures in the Long-Term Care Survey Process (LTCSP) Procedure Guide for conducting all standard health surveys of SNFs and NFs, whether freestanding, distinct parts, or dually-participating. Surveyors should refer to Appendix I for guidance when conducting a LSC survey.