The Survey Process for Nursing Facilities

The Survey Process for Nursing Facilities 

The survey process can be a stressful time for nursing facility staff and one of the ways to minimize survey-related stress and anxiety is to have a better understanding of the survey process and its various components. Furthermore, this understanding allows you to identify ways in which you can begin to prepare your facility and its staff for impending surveys. Given the significant impact that survey outcomes can have, improving survey outcomes should be high priority! The purpose of this module is to introduce to and acquaint management level staff with the survey process for nursing facilities. This module will specifically focus on the new OBRA survey process, effective November 28, 2017. Note that any references to regulations throughout the course is specific to federal nursing facility regulations. In addition, the term “nursing facility” in this course refers to both skilled nursing facilities (SNFs) and nursing facilities (NFs) collectively.


Hours: 1.25


Certificates provided by accrediting body (2 Match)

Association of Social Work Boards - Retired*

1.25 HOURS

Essential Learning is approved as a provider for social work continuing education by the Association of Social Work Boards (ASWB) through the Approved Continuing Education (ACE) Program. Essential Learning maintains responsibility for the program. ASWB Approval Period: 11.9.2011-11.9.2014.Social workers should contact their regulatory board to determine course approval for continuing education credits.

Social workers participating in this course will receive 1.25 continuing education clock hours. This activity is approved for 1.25 contact hours.

California Nursing Home Administrator Program - non-P type


This educational offering is approved by the California Nursing Home Administrator Program (NHAP) for full credit as a course relating directly to duties, functions, or responsibilities of the nursing home administrator. Provider # CEP 1701; Course Approval # 1701001-7474. This activity is approved for 1.00 contact hours.

Course Details

Course Code: REL-SRC-0-SPNF
Hours: 1.25
Type: Online Course
Content Expiration Date: 1/31/2021
Learning Objectives:
Identify the purpose of the OBRA survey process for nursing facilities.
Describe the regulations related to types of nursing facility surveys and completion timeframes.
Explain how F-tags are assigned a scope and severity score.
Describe the 3 different parts of the standard survey process.
Identify the 9 mandatory tasks completed during a standard survey.
Identify the minimum content required related to an acceptable Plan of Correction (POC).
Identify 3 other programs that may be impacted by the survey outcomes.

Section 1: Introduction A. About This Course B. Learning Objectives Section 2: Long-Term Care Survey Regulations A. Purpose B. Definitions C. Survey Frequency and Timing D. History E. Review F. Summary Section 3: The New Survey Process A. Off-Site Preparation B. Facility Entrance C. Three Parts of the Survey Process D. Initial Pool Process E. Sample Selection Process F. Investigative Process G. Closed Record Reviews H. Mandatory Tasks I. Dining J. Infection Control K. SNF Beneficiary Protection Notices L. Kitchen Observation M. Medication Administration and Storage N. Resident Council Meeting O. Staffing Review P. QAA/QAPI Q. Environment R. Exit Conference S. Review T. Summary Section 4: Survey Outcomes A. Citations (F Tags) B. Common Survey Citations C. Plan of Correction D. Review E. Summary Section 5: Survey Outcomes and Their Impact A. Special Focus Facility Program B. Surveys and Nursing Home Compare C. Surveys and the Five Star Program D. Being Survey Ready E. Review F. Summary Section 6: Conclusion A. Summary B. Course Contributors C. Resources D. References E. Congratulations! F. Exam

Staff Writer: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer
Ronald Orth, RN, CMAC, CHC  obtained a nursing degree from Milwaukee Area Technical College in 1985 and a B. A. in Health Care Administration from Concordia University in 1996. Mr. Orth possesses over 30 years of nursing experience with over 20 of those in the Skilled Nursing industry. Mr. Orth has extensive experience in teaching Medicare regulations to healthcare providers both in the US and internationally. Mr. Orth is currently the Post-acute Care Curriculum Designer and is certified in Healthcare Compliance through the Compliance Certification Board (CCB). Ron has also successfully completed the Infection Control Officer training through the AHCA and is an AHIMA approved ICD-10-CM trainer. Disclosure: Ron Orth RN, CHC, CMAC, AHIMA-Approved ICD-10-CM Trainer has declared that no conflict of interest, Relevant Financial Relationship or Relevant Non-Financial Relationship exists.
Target Audience:
The target audience for this course is: Administrators; Nurses; in the following settings: Post-Acute Care.
Relias will be transparent in disclosing if any commercial support, sponsorship or co-providership is present prior to the learner completing the course.
Course Delivery Method and Format
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form ( or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.