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Final Survey, Certification, and Enforcement Rules for Nursing Facilities

By Toby Edelman & The National Senior Citizens Law Center

The final rules governing survey, certification, and enforcement of Requirements of Participation for Medicare skilled nursing facilities and Medicaid nursing facilities have been published by the Health Care Financing Administration (HCFA). This article describes the background of the rules, their major provisions, and HCFA's plans for implementation of its new enforcement system.

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