CMS Makes Revisions to State Operations Manual (SOM) Chapters 5 and 7
Published: 04/07/2026
Sources:
- Centers for Medicare and Medicaid Services
Relevant To:
- Long Term Care
CMS has updated Chapters 5 and 7of the State Operations Manual to align instructions and guidance with current policies in QSO memos and established practices.
CMS released the following guidance in Chapter 5 of the SOM:
- Revisions to Immediate Jeopardy Priority Definition examples for Nursing Homes
- Clarification of Off-site investigations.
CMS has also updated and revised guidance in Chapter 7 of the SOM that includes:
- Survey Team Composition, Survey Procedures, Plans of Co…