State Operations Manual (Pub. 100-07), Ch. 7 § 7203.7
State Monitoring Visits
7203.7 -State Monitoring Visits
(Rev. 244; Issued: 06-26-26; Effective: 06-26-26; Implementation: 06-26-26)
“State monitoring visits” are visits by the State to oversee a provider’s compliance status
and are not done as part of the State monitoring remedy. Some CMS Locations and
States call these State monitoring visits “monitoring visits”. For example, these visits
may occur:
•
During bankruptcy, in those cases in which CMS has authorized such visits.
•
After a change of ownership, as authorized by the CMS Location;
•
During or shortly after removal of immediate jeopardy when the purpose of the
visit is to ensure the welfare of the residents by providing an oversight presence,
rather than to perform a structured follow-up visit; and
•
In other circumstances, as authorized by the CMS Location.
When a State monitoring visit results in a Federal deficiency, the State will identify the
survey in iQIES as “complaint” and create an intake and survey record. (See Chapter 5
of this manual for additional instructions.)