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Quality, Safety & Oversight- Guidance to Laws & Regulations Psychiatric Residential Treatment Facilities

Guidance for Psychiatric Residential Treatment Facilities (PRTFs) and PRTF surveyors providing protocols and guidelines directing the surveyor’s attention to certain avenues for investigation in preparation for the survey, in conducting the survey, and in evaluation of the survey findings. The PRTF survey is conducted in accordance with the appropriate protocols and substantive requirements in the statute and regulations to determine whether a citation of non-compliance is appropriate. Deficiencies are based on a violation of the statute or regulations, which, in turn, is to be based on observations of the hospice’s performance or practices.

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 30, 2016

Survey protocols and Interpretive Guidelines are established to provide guidance to personnel conducting surveys.  They serve to clarify and/or explain the intent of the regulations and all surveyors are required to use them in assessing compliance with Federal requirements. The purpose of the protocols and guidelines is to direct the surveyor’s attention to certain avenues for investigation in preparation for the survey, in conducting the survey, and in evaluation of the survey findings.

The PRTF survey is conducted in accordance with the appropriate protocols and substantive requirements in the statute and regulations to determine whether a citation of non-compliance is appropriate.  Deficiencies are based on a violation of the statute or regulations, which, in turn, is to be based on observations of the hospice’s performance or practices. 

The Interpretive Guidelines include three parts:

  • The first part contains the survey tag number. 
  • The second part contains the wording of the regulation. 
  • The third part contains guidance to surveyors, including additional survey procedures and probes.

 

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DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.