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SMQT- Surveyors and Survey Teams Questions and Answers (Latest Update)

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SMQT- Surveyors and Survey Teams Questions and Answers (Latest Update) How the Survey Team Composition is Determined The survey, certification, and enforcement of regulations for nursing homes is codified in past practices regarding the composition of survey teams and expands eligibility requ...

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  • January 1, 2025
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  • SMQT- Surveyors and Survey Teams
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SMQT- Surveyors and Survey Teams
Questions and Answers (Latest Update)

How the Survey Team Composition is Determined



The survey, certification, and enforcement of regulations for nursing homes is codified in past practices
regarding the composition of survey teams and expands eligibility requirements.



Survey team size will vary, depending primarily on the size of the facility being surveyed.



The State Agency (or, for Federal teams, the regional office (RO)) decides how many members will be on
the team.



Survey team size is normally based upon the following factors:



- The bed size of the facility to be surveyed



- Whether the facility has a historical pattern of serious deficiencies or complaints



- Whether the facility has special care units



- Whether new surveyors are to accompany a team as part of their training




Team Composition

, The State Agency (or, for Federal teams, the RO) decides what the composition of the survey team will
be, as long as certain statutory and regulatory requirements are met.



- Sections 1819(g)(2)(E) & 1919(g)(2)(E) of the Act & 42 CFR 488.314 require the following:



- SNF and NF standard surveys must be conducted by a multidisciplinary team of professionals, at least
one of whom must be a registered nurse (RN)



- Surveyors must be free of conflicts of interest



- Surveyors must successfully complete a training and testing program in survey and certification
techniques that has been approved by the Secretary.



*** In other words, surveyors must successfully complete the CMS-approved training AND pass Module
A of the Surveyor Minimum Qualifications Test (SMQT).***



Surveyors who assess the requirements of quality of care, nutritional dietary services, and drug therapy
must also successfully complete Module B of the SMQT.



Within these parameters, the States (or, for Federal teams, the ROs) are free to choose the composition
of each team, and it is the State that determines what constitutes a professional.




QUIZ QUESTION:

Regarding the composition of a Survey Team, who determines what constitutes a professional?

ANSWER:

The State... HOWEVER, CMS offers guidance.



- Consider using more than one RN

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