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 Regulatory Information: Page 2 of the CMS SNF F Tags June 2021 PDF and Pages 708 to 749 of the CMS State Operations Manual Appendix PP for LTC Facilities.

· SNF Regulation Option 5: Federal CMS SNF Regulation: Emergency Plan for LTC Facility 483.73(a)

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· Regulatory Reference: 483.73(a) Emergency Plan. Must develop and maintain an emergency preparedness plan that must be reviewed and updated at least annually.

· Regulatory Tag: E-0004

· Regulatory Information: Page 12 to 15 of the E-Tags Emergency Preparedness CMS State Operations Manual Appendix Z for All Certified Federal Level Providers.

Resources for this Scenario :

· How to locate the specific regulations for this scenario: You can you the Control F function on your PC or Command F function on your Mac to search for a specific regulatory reference/tag/rule. Type in the information that you want to search for in the specific document that you are reviewing, using this search function, to locate your information:

· CMS SNF F Tags June 2021 PDF

· CMS State Operations Manual Appendix PP for LTC Facilities PDF

· E-Tags Emergency Preparedness CMS State Operations Manual Appendix Z for All Certified Federal Level Providers PDF

· Website link to CMS Provider Compare– Main Page:  CMS Provider Compare Search Page

· Website link to CMS – Emergency Preparedness Rule Page:  CMS Emergency Preparedness Rule Landing Page



Creating the PowerPoint Presentation :

· Survey Readiness PowerPoint :

· Must be 10-12 slides, excluding the introduction slide(s) and reference page slide(s).

· Presenter Notes :

· Every slide must have presenter notes except for the reference page(s).

· Your presenter notes will be the information that you will be sharing with your team.

· Your notes should be detailed and contain APA in-text citations.

· References :

· Minimum of five scholarly references, professional publications, and/or academic journals from the last five years.

· Include any references from your assigned LTC facility or setting such as the website, company information, facility website, service-level website, etc.

· Every reference must have a correlating in-text citation(s).

· APA 7th Edition Style :

· PowerPoint slides, cover page, and reference page.

The PowerPoint Must Contain the Following Content Aspects for Your Assigned Scenario:

Aspect A: Introduction Slide(s)

· APA Cover Page – Include the title of the presentation, your name, your instructor’s name, course name, your assigned LTC facility or setting, your assigned regulation, and date submitted.

· Provide bulleted points to identify each Content Aspect that will be presented in the presentation.

Aspect B: Regulatory Survey Readiness Analysis Slide(s)

· Provide an analysis of the regulatory survey process that includes the importance of survey readiness; a mock survey overview; and an assessment of being survey ready, as a means for creating successful survey outcomes.

Aspect C: Stakeholders Evaluation and Leadership Selection Analyses Slide(s)

· Include an evaluation of at least three stakeholders for the regulatory survey process.

· You must include the internal stakeholders of the patients and/or residents.

· The other stakeholders that you present, as part of your evaluation, may be internal or external.

· Include at least two of the applicable items from this list in your evaluation of the stakeholders: (a.) survey awareness; (b.) survey process understanding; (c.) survey engagement; (d.) stakeholder contribution; (e.) stakeholder justification; and/or (f.) importance of the stakeholder.

· Identify at least three specific leadership roles that will be involved in the mock survey process and provide an analysis of the assigned facility-level or service-level leaders involved in the mock survey.

· You must include the Administrator, Executive Director, or a top leader of the LTC facility or service in your analysis.

· The other two leadership roles may be any manager or director-level position at your assigned LTC facility or service for your analysis.

Aspect D: Regulation Assessment Slide(s)

· State the regulation that you assigned from your scenario and provide an assessment of this regulation to your assigned LTC facility or setting.

· You must include the regulatory standard, condition, rule, and/or tag in the assessment.

· Include an evaluation of the mock survey process for the assigned regulation, applying this information to your assigned LTC facility or setting.

· Apply your assigned specific regulation for one mock survey step, as this will act as an introduction for your LTC employees to understand the entire mock survey process.   (Note – Remember you are only introducing the mock survey process to your staff, so this should be an overview of the potential regulatory mock survey steps.)

Aspect E: Conclusion Slide(s)

· Highlight the key takeaways of your presentation and include an explanation to why the information presented in the PowerPoint is essential for the staff to know.

· Include one call to action and share with your team any next steps for the upcoming mock survey.

Aspect F: APA Reference Page Slide(s)

· Provide the list of all references presented in the PowerPoint, formatted in APA 7th Edition.

Resources for Creating PowerPoints:




Resources for Mock Surveys:

Mock Survey Process Example PDF

Home Health Mock Survey Example Guide PDF


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