US · guidance
CMS SOM App. A, Tag A-0821
§482.43(c)(4) - The hospital must reassess the patient’s discharge plan if there are factors
that may affect continuing care needs or the appropriateness of the discharge plan.
Interpretive Guidelines §482.43(c)(4)
Changes in a patient’s condition may warrant adjustments to the discharge plan. Hospitals must
have in place either a routine reassessment of all plans or a process for triggering a reassessment
of the patient’s post-discharge needs, capabilities and discharge plan when significant changes in
the patient’s condition or available supports occur.
Survey Procedures §482.43(c)(4)
• Review a sample of cases to determine if any significant changes in the patient’s condition
were noted in the medical record that changed post-discharge needs, and if the discharge plan
was updated accordingly.
• In making this determination, ask staff responsible for discharge planning when and how
they reassess a patient’s discharge plan. If none of the records being used for the tracers
suggest a need to revise the discharge plan, ask staff to present one or more clinical records
that document reassessment.
History
Rev. 87, Issued: 07-19-13, Effective: 07-19-13, Implementation: 07-19-13
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
b5aee8c2539244809e056eaa91d1c2e4ffc3b111c2e51273f466046a75ccac04
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