Post Survey Revisit (Follow-Up)

7203.4 - Post Survey Revisit (Follow-Up) (Rev. 244; Issued: 06-26-26; Effective: 06-26-26; Implementation: 06-26-26) When deficiencies are cited, the state agency must conduct either an onsite or offsite post survey revisit to determine if the facility now meets the requirements for participation and to verify correction of deficiencies. In accordance with the guidance at §7317 of this chapter, the SA conducts a revisit to confirm that cited deficiencies have been corrected, and the facility is in substantial compliance and has the ability to remain in compliance. The purpose of the post-survey revisit (follow-up) is to re-evaluate the specific findings of care and services that were cited as noncompliant during the original standard, abbreviated standard, extended or partial extended survey(s). Because the long-term care survey process focuses on the care of the resident, on-site revisits are generally necessary to determine if deficient practices have been corrected. The nature of the noncompliance dictates the scope of the revisit. For example, do not perform another drug pass if no drug distribution related deficiencies were cited on the initial survey. Do interviews and closed record reviews, as appropriate. Prior to the revisit, review appropriate documents, including the plan of correction, to focus the revisit review. Refer to the LTCSP Interim Revisit Instructions for technical directions on conducting an on-site revisit, including obtaining the sample size for the revisit. Conduct as many survey tasks as needed to determine compliance. Always conduct the QAPI/QAA review. However, the team is not prohibited from gathering information related to any requirement during a post-survey revisit. Focus on selecting residents who are most likely to have those conditions/needs/problems cited in the original survey. If possible, include some residents identified as receiving SQC during the prior survey. If, after completing the revisit, it is determined that the cited incidence(s) of noncompliance was not corrected, inform the SA and/or CMS Location as applicable. The SA and/or CMS Location are responsible for initiating enforcement action, as appropriate.