In response to released guidance for Requirements of Participation (RoP) Phase 3 and updates for Phase 2, the American Health Care Association (AHCA) is providing focused information to help skilled nursing facilities remain in compliance and avoid any failed practice. We give special thanks to the AHCA Survey and Regulatory staff for compiling and distributing this information. Elena Madrid, WHCA's Executive Vice President for Regulatory Affairs, co-chairs the AHCA Survey and Regulatory Committee and is a member of AHCA's Quality Cabinet.


The Centers for Medicare and Medicaid Services (CMS) made updates to §483.21(b)(3) Comprehensive Care Plans. This includes changes to F656 which adds a new requirement that comprehensive care plans must be culturally competent and trauma-informed. A facility must ensure that each resident’s person-centered comprehensive care plan includes approaches that address the resident’s cultural preferences and reflects trauma-informed care when appropriate.

AHCA members may also refer to existing member resources: 


Detailed information can be found in the Appendix PP-State Operations Manual. AHCA has also provided an expanded and full summary. If you have any questions, please email me or call me at (800) 562-6170, extension 105.