CMS SOM App. U, Tag R183

individual or company, to CMS at the time of a change, if a change occurs in any of

the following:

(i) Persons with an ownership or control interest, as defined in §§420.201 and

455.101 of this chapter.

(ii) The officers, directors, agents, or managing employees.

(iii) The religious entity, corporation, association, or other company responsible

for the management of the RNHCI.

(iv) The RNHCI's administrator or director of nonmedical nursing services.

Interpretive Guidelines: §403.738(c)(3)

The RNHCI provides written notice to CMS about any changes to the organization,

including changes to persons with ownership, the business structure, officers and

managers, or the administrator or director of nonmedical nursing services. Written

notice may also take form of delegations of authority which outline the individuals

responsible for the management of the organization.

Survey Procedures:

• Interview the Administrator or Director and determine if the facility should be

knowledgeable of the requirement to submit this information when a change has

occurred, however, there may not be any documentation/specific survey process

for this standard at the time of survey.