CMS SOM App. M, Tag L782

Hospice staff, in coordination with SNF/NF or ICF/IID facility staff, must assure

orientation of such staff furnishing care to hospice patients in the hospice

philosophy, including hospice policies and procedures regarding methods of

comfort, pain control, symptom management, as well as principles about death and

dying, individual responses to death, patient rights, appropriate forms, and record

keeping requirements.

Interpretive Guidelines §418.112(f)

It is a shared responsibility of the hospice in conjunction with the SNF/NF or ICF/IID to

assess the need for staff training and coordinate the staff training with representatives of

the facility, and to determine how frequently training needs to be offered in order to

ensure that the facility staff furnishing care to hospice patients are oriented to the

philosophy of hospice care. Facility staff turnover rates should be a consideration in

determining training frequency.

§418.113 Condition of participation: Emergency preparedness.

(Rev. 210; Issued:02-03-23; Effective:02-03-23; Implementation:02-03-23)

Interpretive Guidelines: § 418.113

Hospice programs must comply with the applicable emergency preparedness

requirements referenced in Appendix Z of the State Operations Manual. For all

applicable requirements, guidance, and survey protocol related to Emergency

Preparedness in hospice programs, please refer to Appendix Z.