Initiative and Responsibility
Participation in Medicare/Medicaid mandates that facilities take the initiative and responsibility for monitoring their own performance continuously to ensure they are always in substantial compliance.
Surveyors from Regulatory Services conduct surveys of ICFs/IID to determine if the care they provide meets minimum federal and state standards. When a surveyor finds that evidence exists indicating standards are not being met, he/she will write a violation/deficiency.
Facilities should not rely on surveys or investigations to identify compliance problems.