Responsibilities of the State Survey Agency and the CMS

7304.3 - Responsibilities of the State Survey Agency and the CMS Location when there is an Immediate Imposition of Federal Remedies (Rev. 244; Issued: 06-26-26; Effective: 06-26-26; Implementation: 06-26-26) When federal remedies are to be immediately imposed as outlined in §7304: • Within five (5) business days after the last day of the current survey when any of the criteria in §7304.1 is met the state agency must notify the CMS Location their review and action; and, • The CMS Location will review these cases within five (5) business days of receipt from the state agency and decide if an immediate imposition of remedies is appropriate. Timeliness is important to ensure that remedies are imposed, and notices are sent to the facility before the effective dates of the remedies to be imposed and meet the timelines for notices as outlined in §7305 of this chapter. The state agency (State or Federal) must enter all of these cases as a NO opportunity to correct into the iQIES within five (5) business days of sending the initial notice to the facility. The State Agency and the CMS Location must have systems in place to routinely check and monitor the iQIES database to identify cases that may require enforcement action or additional follow-up, as needed.