Focus F-Tag §483.12 – Freedom from Abuse, Neglect, and Exploitation (SNF)

The Centers for Medicare and Medicaid Services (CMS) made changes to the guidance of §483.12 Freedom from Abuse, Neglect, and Exploitation and updated the Psychosocial Outcome Severity Guide. Changes include the following: 

• F600 – Abuse/Neglect: CMS removed language regarding sexual abuse and included additional guidance related to neglect. 
• F604 – Physical Restraints: CMS provided clarification for when bed rails meet the definition of a physical restraint. 
• F607 – Abuse Policies: CMS added guidance for coordination with QAPI and provisions from the former F608. 
• F608 – Reporting of Suspected Crimes: CMS deleted this guidance and added it to F-tags F607 and F609.  
• F609 – Reporting Alleged Violations: CMS revised definitions and guidance related to the timing of reports, added language related to what facilities must report, and added provisions from the former F608.  

CMS also updated the Psychosocial Outcome Severity Guide. This guide assists surveyors in determining the severity of the psychosocial outcome resulting from noncompliance and to assist surveyors in applying the reasonable person concept. 

Members may wish to refer to existing member AHCA resources: 

• Action Brief: § 483.12-Freedom from Abuse, Neglect, and Exploitation 
• Psychosocial Outcome Severity Guide

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