Survey and Certification Responsibility

7300.2 - Survey and Certification Responsibility (Rev. 213; Issued: 02-10-23; Effective: 02-10-23; Implementation: 02-10-23) Except as specified in §7300, the following entities are responsible for surveying and certifying a skilled nursing facility’s or nursing facility’s compliance or noncompliance with Federal requirements: • State-Operated Skilled Nursing Facilities or Nursing Facilities or State- Operated Dually Participating Facilities - The State conducts the survey, but the CMS Location certifies compliance or noncompliance and determines whether a facility will participate in the Medicare or Medicaid programs. • Non-State Operated Skilled Nursing Facilities - The State conducts the survey and certifies compliance or noncompliance, and the CMS Location determines whether a facility is eligible to participate in the Medicare program. • Non-State Operated Nursing Facilities - The State conducts the survey and certifies compliance or noncompliance. The State’s certification is final. The State Medicaid Agency determines whether a facility is eligible to participate in the Medicaid program. • Non-State Operated Dually Participating Facilities (Skilled Nursing Facilities/Nursing Facilities) - The State conducts the survey and certifies compliance or noncompliance. The State’s certification of compliance or noncompliance is communicated to the State Medicaid Agency for the nursing facility and to the CMS Location for the skilled nursing facility. In the case where the State and the CMS Location disagree with the certification of compliance or noncompliance, see §7807 for rules to resolve such disagreements.