State Operations Manual (Pub. 100-07), Ch. 7 § 7201.1
Survey Team Size
7201.1 - Survey Team Size
(Rev. 244; Issued: 06-26-26; Effective: 06-26-26; Implementation: 06-26-26)
Survey team size will vary, depending primarily on the size of the facility being
surveyed. The State (or, for Federal teams, the CMS Location) determines how many
members will be on the team based on guidance provided in the LTCSP Procedure
Guide, Attachment A – Sample Size, Recommended Team Size, and Initial Pool Size
(located in the Survey Resources zip file located at
https://www.cms.gov/medicare/provider-enrollment-and-
certification/guidanceforlawsandregulations/nursing-homes). Survey team size is
normally based upon the following factors:
• The bed size of the facility to be surveyed;
• Whether the facility has a historical pattern of serious deficiencies or complaints;
• Whether the facility has special care units; and
• Whether new surveyors are to accompany a team as part of their training.