SMQT Enforcement Remedies and Scope/Severity

Question 1

Which scope-and-severity levels indicate the facility is in substantial compliance despite a cited deficiency?

Accepted Answer

A, B, C

Answer

Levels A, B, and C are no actual harm with potential for no more than minimal harm. A facility whose deficiencies are all at these levels is considered in substantial compliance.

Question 2

If a facility does not achieve substantial compliance within 3 months after the last day of the survey, which remedy is mandatory?

Accepted Answer

Denial of payment for new admissions (DPNA)

Answer

Under 42 CFR 488.417(b), CMS must deny payment for new admissions when a facility is not in substantial compliance 3 months after the last day of the survey.

Question 3

Absent Immediate Jeopardy, by when must a facility's provider agreement be terminated if it still has not achieved substantial compliance?

Accepted Answer

6 months from the last day of the survey

Answer

Under 42 CFR 488.412(d), a facility not in substantial compliance within 6 months of the last day of the survey faces mandatory termination of its provider agreement.

Question 4

If Immediate Jeopardy is not removed, how soon must CMS or the State terminate the facility's provider agreement?

Accepted Answer

Within 23 calendar days of the last day of the survey

Answer

Under 42 CFR 488.410, when IJ is not removed, termination must occur no later than 23 calendar days from the last day of the survey, or temporary management must be imposed to remove the IJ.

Question 5

For which deficiency level is a Plan of Correction NOT required?

Accepted Answer

Level A (isolated, potential for minimal harm)

Answer

Isolated deficiencies with no actual harm and only potential for minimal harm (level A) do not require a Plan of Correction. All higher levels do.

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT - Surveyor Minimum Qualifications Test Practice Test

SMQT Enforcement Remedies and Scope/Severity