HFEL Long Term Care – Routine Relicense/Recertification Survey (1/7/2014)
Team
Supervisors
Assign case load to
teams
Office
Supervisor
Phase
Prepare interval
reports with case
loads for teams
Review and edit
survey report
Share team
calendar’s with LTC
Complaints/RE
Enter survey dates
into ASPEN
Survey Team Leader
Correct Calendar
and submit to office
and team
supervisors
Y
Create draft survey
calendar for
upcoming 12
months
Complete upcoming
months calendar on
the standard form
Provide next
month’s calendar to
the office supervisor
Any schedule
changes prior to
survey?
N
Conduct
Survey
Draft survey report
Upload report to
ASPEN
Any deficiencies
of ‘D’ or above?
Y
Notify OPC
Enforcement
for POC
N
Close out survey in
ASPEN
N
Revisit
necessary?
Y
Perform revisit
HFEL Long Term Care – Routine Relicense/Recertification Survey (1/7/2014) – Survey Subprocess
Survey Team
Member
Survey Team
Leader
Phase
Review facility
history
Gather survey
documents to be
completed
Coordinate and
assign tasks to team
members
Document survey
findings
Draft findings
Receive and execute
survey tasks
Document survey
findings
Draft findings
Generate draft
survey report
HFEL Long Term Care – Routine Relicense/Recertification Survey (1/7/2014) – Enforcement/POC Subprocess
Office
Supervisor
Phase
Mark in tracking log,
facility with pending
POC
Notify OPC
enforcement for
signature by mail
Copy and mail letter
to the facility
Receive POC from
the facility
Generate new for
CMS
Team Leader
Contact facility to
make updates/
corrections
N
OPC
Enforcement
Notify office
supervisor
Generate POC letter
Review POC
Sign letter1
Comments:
1. Signature required from OPC Enforcement to meet federal requirements
2. Form is faxed by Office Supervisor to ‘stand out’ from other documents
Return by mail to
Survey
Approve POC?
Y
Sign and date POC
letter
Fax info to OPC
enforcement2
HFEL Long Term Care – Routine Relicense/Recertification Survey (1/7/2014) – Revisit subprocess
Team Leader
Office
Supervisor
Phase
Receive proposed
revisit date
Schedule revisit
Perform revisit
SURVEY