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LTCSP Procedure Guide - CMS

Long Term Care Survey Process ( LTCSP ) Procedure Guide Effective November 25, 2019 11/25/19 Page i I. OFFSITE 1 Step 1: Create survey shell in ASPEN Central Office (ACO) .. 1 LTCSP Application 1 Step 2: Export shell from ACO .. 1 Step 3: Import shell into ASPEN Survey Explorer (ASE-Q) .. 2 Step 4: Add team members in ASE-Q (if team composition changes) .. 3 Step 5: Access the survey .. 3 Step 6: TC completes offsite prep screen .. 3 Step 7: TC makes facility unit assignments .. 6 Step 8: TC makes mandatory facility task assignments .. 6 Step 9: TC prints documents .. 6 Step 10: TC shares offsite prep data with team members.

• Review complaints (COMP) and Facility Reported Incidents (FRI) since the last Standard survey to gain a general understanding of repeated issues or concerns that have been reported. • If you are investigating complaints or FRIs with the survey, identify the maximum number of complaints/FRIs that may be included in the initial pool and sample

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