CMS SOM App. A, Tag A-1123

If the hospital provides rehabilitation, physical therapy, occupational therapy,

audiology, or speech pathology services, the services must be organized and staffed

to ensure the health and safety of patients.

Interpretive Guidelines §482.56

This is an optional hospital service. However, if a hospital provides any degree of

rehabilitative services to its patients, the hospital must comply with the requirements of

the Condition of Participation.

If rehabilitative services are provided, they must be organized and staffed in such a

manner to ensure the health and safety of patients. This includes providing rehabilitative

services in accordance with practitioner orders and acceptable standards of practice.

Acceptable standards of practice include compliance with any applicable Federal or State

laws, regulations or guidelines, as well as standards and recommendations promoted by

nationally recognized professional organizations (e.g., American Physical Therapy

Association, American Speech and Hearing Association, American Occupational

Therapy Association, American College of Physicians, American Medical Association,

etc.).

The hospital’s rehabilitation services must be integrated into its hospital-wide QAPI

program.

Survey Procedures §482.56

• Determine if the hospital provides any degree of rehabilitation services.

• Determine if the hospital’s rehabilitation services are integrated into its hospital-wide QAPI program.