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Do you fall in the majority when it comes to deficiencies?

How well you’ve handled duties under 11 Conditions of Participation will play a big part in whether you land on the Special Focus Program list when it comes out next year.

The Centers for Medicare & Medicaid Services has finalized using the most recent three years’ worth of data on condition-level deficiencies for these 11 CoPs it deems most related to quality of care:

1. §418.52 Patient’s rights.
2. §418.54 Initial and comprehensive assessment of the patient.
3. §418.56 Interdisciplinary group, care planning, and coordination of services.
4. §418.58 Assessment and performance improvement.
5. §418.60 Infection control.
6. §418.64 Core services.
7. §418.76 Hospice aide and homemaker services.
8. §418.102 Medical director.
9. §418.108 Short-term inpatient care.
10. §418.110 Hospices that provide inpatient care directly.
11. §418.112 Hospices that provide hospice care to residents of a SNF/NF or ICF/IID.

Source: 2024 HH final rule at .