C.F.R. » Title 42 » CHAPTER IV—CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES › SUBCHAPTER G—STANDARDS AND CERTIFICATION › PART 488—SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES › Subpart E—Survey and Certification of Long-Term Care Facilities

42 C.F.R. § 488.318

Inadequate survey performance

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(a) CMS considers survey performance to be inadequate if the State survey agency—

(1) Indicates a pattern of failure to—

(i) Identify deficiencies and the failure cannot be explained by changed conditions in the facility or other case specific factors;

(ii) Cite only valid deficiencies;

(iii) Conduct surveys in accordance with the requirements of this subpart; or

(iv) Use Federal standards, protocols, and the forms, methods and procedures specified by CMS in manual instructions; or

(2) Fails to identify an immediate jeopardy situation.

(b) Inadequate survey performance does not—

(1) Relieve a SNF or NF of its obligation to meet all requirements for program participation; or

(2) Invalidate adequately documented deficiencies.

Notes of Decisions
Cited in 4 cases, 1999–2019 · leading case: Rosewood Care Ctr. of Swanse v. Thomas E. Price, 868 F.3d 605 (7th Cir. 2017).
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Rosewood Care Ctr. of Swanse v. Thomas E. Price, 868 F.3d 605 (7th Cir. 2017). “The plain language of 42 C.F.R. § 488.318 (b) states: “Inadequate survey performance does not — (1) [r]elieve a SNF or NF of its obligation to meet all requirements for program participation; or (2) [i]nvalidate adequately documented deficiencies.”
Hofmister v. Mississippi State Dep't of Health, 53 F. Supp. 2d 884 (S.D. Miss. 1999). “See 42 C.F.R. § 488.318 (a)(1)(iii). The HCFA may impose sanctions for a State’s inadequate survey performance, including reduction of federal funding.”
Beverly Healthcare Lumberton v. Leavitt, 338 F. App'x 307 (4th Cir. 2009). “” 42 C.F.R. § 488.318 (b). Further, as the DAB decision noted, the ALJ knew of the conflict of interest and could weigh the credibility of Surveyor Campbell’s testimony accordingly.”
Avon Nursing & Rehab. v. Azar (S.D.N.Y. 2019). · cites it 3× “) Citing 42 C.F.R. § 488.318 (b), 42 C.F.R. § 488.”
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