CMS CAH Swing Bed Requirements and Changes

Laura A. Dixon
Recording Webinar Available @All Days
Recorded Webinar


This webinar will focus on swing bed requirements and changes made by CMS. The swing bed regulation is in Appendix W for Critical Access Hospitals, but the interpretive guidelines and survey procedures are under Appendix PP – Long Term Care Manual.

Many CAHs are unaware of the changes or are still struggling to comply. It is challenging to figure out the interpretive guidelines and survey procedures as there is no crosswalk between Appendix W for CAH and Appendix PP for Long-Term Care. This webinar was created to assist hospitals in understanding what needs to be done.

Hospitals had seen a significant increase in survey activity by CMS and an increased number of deficiencies pre-COVID-19. Common deficiencies and how to avoid them will be discussed. Information on locating the CAH manual and other resources will be addressed.

Learning Objectives:-

  • Discuss that CMS made some recent changes to the protocol process
  • Recall that CMS has rewritten the entire section on swing beds
  • Describe what is required by CMS to be in the resident assessment, which is done to do the care plan
  • Recall the CMS requirements on patient activities of swing bed patients


Changes to the CAH Manual and Introduction to CAH CoPs

  • How to Locate the CAH Manual-new website
  • Introduction
  • CMS Surveyor training material for CAHs
  • Important CMS Memos for CAHs
  • Notice of survey
  • Revised survey protocol
  • Review of telemedicine contract
  • Four changes in November 2019 in the Hospital Improvement Rule
  • Top swing bed deficiencies
  • CAH CoP surveyor classes

Special Requirements for CAH Providers of Long-Term Care Services (Swing beds)

  • Interpretive guidelines and survey procedure under Appendix PP
  • Eligibility
  • Payment
  • Healthcare literacy
  • SNF Services
  • Resident Rights
  • Exercise of Rights
  • Notice of Rights and Services
  • Free Choice
  • Privacy and Confidentiality
  • Work
  • Mail
  • Access and Visitation Rights
  • Personal Property
  • Married Couples
  • Admission, Transfer, and Discharge Rights
  • Transfer and Discharge
  • Payment of care
  • Content of notice
  • Resident Behavior and Facility Practices
  • Restraints, Abuse
  • Staff Treatment of Residents
  • Hiring of employees
  • Patient Activities
  • Social Services
  • Dental requirements change
  • Resident Assessment
  • Comprehensive Care Plans
  • Discharge Summary
  • Nutrition
  • Websites and resources for CAH

Who Should Attend?

  • CEOs
  • COOs
  • CFOs
  • Nurse executives
  • Accreditation and Compliance/Regulation Director
  • Nurse managers
  • Pharmacists
  • Quality managers
  • Risk managers
  • Health information management personnel
  • Social workers
  • Dieticians
  • Nurses
  • Nurse educators
  • Nursing supervisors
  • Patient safety officer
  • Director of Rehab (OT, PT, speech pathology, and audiology)
  • Infection prevention.
  • Anyone responsible for the care of swing bed patients in a CAH
  • Persons responsible for implementing the CMS swing bed requirements

Training Options

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Digital Download

Transcript (PDF)


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