1. SURVEYS CONDUCTED BY REGIONAL OFFICE SURVEY STAFF 1. Conduct 5% surveys of all nursing home surveys conducted by State Agency 2. Conduct 1% surveys of other designated Providers/Suppliers surveyed by State Agency

2. FEDERAL OVERSITE SUPPORT SURVEYS State Agency conducts the survey. RO surveyor’s role is to observe and to collect information to evaluate the SA team’s performance. The RO Evaluator is assessing the SA Team’s effectiveness—not facility performance.

3. Comparative Surveys RO surveyors conduct the survey Prior to survey obtain information from the state agency. Conducted within 30 days of state survey. Results of survey sent to state agency.

4. ROLE OF CERTIFICATION AND ENFORCEMENT ALL CERTIFICATION ACTIVITIES FOR MEDICARE PROVIDERS/SUPPLIERS ALL ENFORCEMENT ACTIVITIES ASSIST OFFICE OF GENERAL COUNSEL PERFORMANCE STANDARD REVIEWS DATA SYSTEMS BUDGET