Monday June 18, 2012
Current guidance in Appendix PP of the State Operations Manual
for Tag F 492, 42 CFR ยง483.75(b) and (c) States that this tag
should be cited only when the authority having jurisdiction has
both made a determination of noncompliance and has
taken a final adverse action as a result. There has been confusion
as to whether this requirement may be cited when a facility simply
does not meet a State regulation. This memorandum clarifies and
revises the Centers for Medicare & Medicaid Services (CMS)
guidance to Surveyors in Appendix PP of the SOM regarding citations
under Tag F492.
June 1, 2012 CMS issued a revision and clarification to the
Interpretive Guidance for F492. The effective date of this memo is
immediately. These changes will be incorporated into the next
revision of Appendix PP of the SOM. Please read the attached
document for details.
Revised Guidance for
F492