State Operations Manual - CMS

State Operations Manual Appendix J - Guidance to Surveyors: Intermediate care Facilities for Individuals with Intellectual Disabilities Table of Contents (Rev. 178, 04-13-18) Transmittals for Appendix J Part 1 - Survey Protocol for Intermediate care Facilities for Individuals with Intellectual Disabilities I - Introduction II - Survey Levels A - Focused Fundamental Survey B - Extended Survey C - Full Survey III - Entrance IV - Task One - Sample Selection V - Task Two - Review of Facility Systems to Prevent Abuse, Neglect and Mistreatment and To Resolve Complaints A - Task Two Phase One 1. Phase One Observations 2. Phase One Interviews 3. Phase One Record Reviews B - Task Two Phase Two VI - Task Three - Focused Observation VII -Task Four - Required Interviews with Individuals and/or Family/Advocate Direct care Staff A - Purpose B - Interview Procedure C - Content of In-depth Interviews 1 - General Impressions 2 - Specific Activities and Interactions 3 - Individuals in Sample 4 - Areas fo

§483.430(d) Standard: Direct Care Residential Living Unit Staff §483.430(e) Standard: Staff Training Program §483.440 Condition of Participation: Active Treatment Services §483.440(a) Standard: Active Treatment §483.440(b) Standard: Admissions, Transfers, and Discharge §483.440(c) Standard: Individual Program Plan

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