Extended Survey/Partial Extended Survey

7203.6 - Extended Survey/Partial Extended Survey (Rev. 244; Issued: 06-26-26; Effective: 06-26-26; Implementation: 06-26-26) If, as a result of its findings during the standard survey or abbreviated standard survey, the team suspects substandard quality of care as defined in 42 CFR 488.301, it expands the survey sample. If the expanded survey sample verifies substandard quality of care, the State or CMS Location conducts an extended survey or a partial extended survey in accordance with procedures in the LTCSP Procedure Guide. (See §7210.2 and the LTCSP Procedure Guide.) Extended Survey: An extended survey is conducted when SQC has been verified. The purpose is to explore the extent to which structure and process factors may have contributed to systemic problems causing SQC. This is accomplished by further evaluating the facility’s compliance with all provisions. (Refer to the Extended Survey Pathway for more information). An extended survey includes all of the following: • Review of a larger sample of resident assessments than the samples used in a standard survey; • Review of the staffing and in-service training; • If appropriate, examination of the contracts with consultants; • A review of the policies and procedures related to the requirements for which deficiencies exist; and • Investigation of any Requirement for Participation at the discretion of the SA. Conduct an extended survey: • Prior to the exit conference, in which case the facility will be provided with findings from the standard and extended survey; or, • After the standard survey, but no later than 14 calendar days after the completion of the standard survey. Advise the facility’s Administrator that there will be an extended or partial extended survey conducted and that an exit conference will be held at the completion of the survey. Partial Extended Survey: Must be conducted after SQC is found during an abbreviated standard survey or during a revisit, when SQC was not previously identified.