Appendix_ Writing Sample 2

Appendix: CMS- Health Points Description Scope # of Citations Required to Deficiency TAGS Accumulate 100 points No actual harm with potential for A Not possible without points from B 0 minimal harm. isolated other citations. C No actual harm with potential for Not possible without points from D other citations. 0 minimal harm. patterned E Not possible without points from No actual harm with potential for other citations. F 0 minimal harm. widespread A minimum of 25 D level citations G or a combination of D level citations No actual harm with potential for and more severe citations. more than minimal harm that is not A minimum of 13 E level citations or a combination of E level citations 4 immediate jeopardy. isolated and higher-level citations. No actual harm with potential for A minimum of 7 F level citations or a combination of F level citations more than minimal harm that is not and higher-level citations. 8 immediate jeopardy. patterned A minimum of 5 G level citations or a combination of G and other No actual harm with potential for citations. more than minimal harm that is not A minimum of 3 H level deficiencies or a combination of H 16 immediate jeopardy. widespread and other citations 20 Actual harm that is not immediate isolated A minimum of 2-3 I level jeopardy. deficiencies or a combination of I and other citations. Actual harm that is not immediate Between 1-2 J level deficiencies H 35-40 jeopardy. patterned with a combination of other deficiencies. Actual harm that is not immediate A minimum of 1 K level deficiency. I 45-50 jeopardy widespread A minimum of 1 L level deficiency. Immediate jeopardy to resident health J 50-75 or safety. isolated Immediate jeopardy to resident health K 100-125 or safety. patterned Immediate jeopardy to resident health L 150-175 or safety. widespread Note:​ The deficiency information was excerpted from Table 1: ​Health Inspection Score: Weights for Different Types of Deficiencies​ located on page 3. of the Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users’ Guide. The number of citations required to accumulate 100 points was added to provide context to the survey 1 health inspection total scores. The Centers for Medicare & Medicaid Services.a.(2020).Design for Nursing Home Compare Five-Star Quality Rating System: Technical Users’ Guide.Retrieved from:https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/CertificationandComplianc/downloads/usersguide. pdf

Definitions Substantial Compliance Incompliance Immediate Jeopardy