Manual
State Operations Manual Appendix PP — Guidance to Surveyors for Long Term Care Facilities
Cover: Rev. 232; issued July 23, 2025
The library
Federal skilled nursing manuals, assessment resources, survey tools and guidance, organized for browsing and search.
Snapshot checked October 29, 2026. Counts exclude historical and advance-copy editions.
The current collection is grouped into these topics.
Assessment tools · Manuals and guides · Memos and notices · Reference materials · Reporting resources · Rules and statutes · Survey tools · Updates and changes
These are examples of actual editions in the collection, not a complete catalogue.
Manual
Cover: Rev. 232; issued July 23, 2025
Manual
Final version 1.20.11 — effective October 1, 2026
Procedure guide
Effective October 13, 2026; October 2026 guide from CMS survey-resource bundle
Manual
Version 8.0 — current as of October 1, 2026
The PDF collection currently focuses on federal skilled nursing sources. State agency reference links are available in the application; a complete state PDF collection is not yet available.
Source monitoring and editorial review support maintenance. Edition labels, review notes and known limitations help you assess what you are reading. Posting dates and legal effective dates can differ.
Try the library with your own skilled nursing research.