State Operations Manual (Pub. 100-07), Ch. 7 § 7203.2
Initial Certification Surveys
7203.2 - Initial Certification Surveys
(Rev. 244; Issued: 06-26-26; Effective: 06-26-26; Implementation: 06-26-26)
(See also Chapter 2 and §7300 of this manual.)
All initial surveys must verify substantial compliance with the regulatory requirements
contained in 42 CFR 483.5 through 42 CFR 483.95. See LTCSP instructions for
conducting the Initial Certification Survey. (See also Chapter 2 )
.During the initial survey, focus both on residents and the requirements that relate to
qualification standards and resident rights notification, whether or not problems are
identified during the information gathering tasks. Gather additional information to verify
compliance with requirements. For example, during an initial survey, verify the
qualifications of the social worker, dietitian, and activities professional. Also, review the
rights notification statements on admissions contracts. Complete the Statement of
Deficiencies and Plan of Correction (Form CMS-2567.)
If distinct part status is at issue, determine whether the facility meets the criteria for
certification as a distinct part. (See Chapter 2 .)