F-Tag Review (SNF)

§483.80-Infection Control

The Centers for Medicare and Medicaid Services made changes to the §483.80-Infection Control, and include the following:

• F880-Infection Control. Facility must have an infection prevention and control program that includes explanations of standard and transmission-based precautions, droplet precautions, contact precautions, cleaning and disinfection and a water management program. 
• F881-Antibiotic Stewardship Program. Facility must monitor closely the antibiotics being prescribed to residents and provide feedback to prescribing practitioners. 
• F882-Infection Preventionist. Facility must have a specially trained infection preventionist working at least part time in the facility.
• F883-Influenza and Pneumococcal Immunizations. Pneumococcal conjugate vaccine (PCV13) is no longer routinely recommended.
• F868-QAA Committee. Infection Preventionist (IP) must be a member of the QAA committee and report to the committee on a regular basis.

AHCA members may also refer back to the following existing member resources:

• Action Brief: Infection Prevention and Control
• Tool: Infection Preventionist Role
• Infection Prevention Control Officer (IPCO) Version 2
• Water Management Training Course

Detailed information can be found in the Appendix PP-State Operations Manual.

§483.70-Administration

The Centers for Medicare & Medicaid Services (CMS) made changes to the §483.70-Administration guidance. Changes include the following: 

• F847-Entering Binding Arbitration Agreements. CMS added a new F-tag (F847) and guidance outlining requirements, which a facility must comply with if a facility chooses to ask a resident or his or her representative to enter into an agreement for binding arbitration. 
• F848-Select Arbitrator/ Venue, Retention of Agreements. CMS added new the new F-tag (F848) and guidance outlining requirements a facility must comply with when selecting an arbitrator and venue, as well as retention requirements of agreements.
• F851-Mandatory Submission of Staffing Information Based on PBJ in Uniform Format. CMS updated the guidance to reflect surveyors can obtain PBJ data to/from CASPER to verify compliance with the requirement, as well as added submission requirements to the key elements of noncompliance. 

AHCA members may also refer back to the following existing member resources:

• 2022 HealthCap Arbitration Agreement Webinar
• 2022 Arbitration Toolkit by HealthCap 
• Model SNF Arbitration Agreement

Detailed information can be found in the Appendix PP-State Operations Manual.

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