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Center for Clinical Standards and Quality/Survey ...

DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services 7500 Security Boulevard, Mail Stop C2-21-16 Baltimore, Maryland 21244-1850 Center for Clinical Standards and Quality/Survey & Certification Group Ref: S&C: 16-15-NH DATE: March 25, 2016 TO: State Survey Agency Directors FROM: Director Survey and Certification Group SUBJECT: State Operations Manual (SOM) Surveyor Guidance Revisions Related to Psychosocial Harm in Nursing Homes Background In 2006, CMS issued the Psychosocial Outcome Severity Guide in Appendix P of the SOM. The guide provided instructions, definitions, and criteria to help surveyors determine the correct levels of negative psychosocial outcomes that developed, continued, or worsened because of a facility s noncompliance.

DEPARTMENT OF HEALTH & HUMAN SERVICES . Centers for Medicare & Medicaid Services . 7500 Security Boulevard, Mail Stop C2-21-16. Baltimore, Maryland 21244-1850

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