Onsite Follow-Up Visits

Since the survey process focuses on the care of the individual, onsite follow-up visits can be conducted to ensure that violations/deficiencies have been corrected.

HHSC staff will follow up on all deficiencies cited on the CMS Form 2567 and all violations cited on HHSC Form 3724, including the State Standards for Participation (S tags).

The purpose of the follow-up visit is to confirm that the facility has regained compliance and can remain in compliance.

The facility can show evidence of monitoring by summarizing what steps it has taken to ensure the deficient practice remains corrected.

Providers may be asked to produce evidence for non-onsite follow-up visits as well as proof elements in the POC were completed (e.g., training documentation with staff signatures).