State Operations Manual (Pub. 100-07), Ch. 7 § 7205.6
Standard Survey Interval for Special Focus Facilities
7205.6 – Standard Survey Interval for Special Focus Facilities
(Rev. 244; Issued: 06-26-26; Effective: 06-26-26; Implementation: 06-26-26)
Sections 1819(f)(8) and 1919(f)(10) of the Act require CMS to conduct a Special Focus
Facility (SFF) program which focuses on enforcement of requirements on facilities that have
a persistent record of noncompliance leading to poor quality of care. CMS’ SFF program
requires the persistently poorest performing facilities selected in each state to be surveyed no
less than once every six months.