November 2019 was supposed to see the implementation of Phase 3 of the changes to Nursing Home Rules of Participation. That has been rolled back to 2019. Moreover, CMS has proposed a new rule that will cause significant changes in some areas.
In the proposed rule, posted to the Federal Register Tuesday evening, CMS recommends having surveyors look at QAPI plans at the end of an inspection. That could limit the possibility that areas identified for improvement would be used as “gotcha” items.