Nursing Home Risk-Based Survey: National Implementation

Published: 09/30/2026

Sources:
  • Centers for Medicare and Medicaid Services
Relevant To:
  • Long Term Care

Overview

The Centers for Medicare & Medicaid Services (CMS) has launched the Risk-Based Survey (RBS) nationwide, that began on September 8, 2026. The RBS is a streamlined version of long-term care survey process (LTCSP), reserved for higher-performing nursing homes. It uses a smaller survey team, a smaller resident sample, and roughly half the onsite time of a traditional survey, while still reviewing all required areas of compliance.

In 2023, CMS began testing a Risk-Based Survey (RBS) pr…

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