CMS CAH New Swing Bed Requirements and Changes

Date: November 16, 2020
Time: 10:30 AM ET
Duration: 120 Minutes
Speaker: Laura A. Dixon




Every hospital should be prepared in case a surveyor shows up at your door tomorrow. This webinar will focus on the protocol changes and the swing bed changes that were promulgated by CMS on October 12, 2018 and amended November 29, 2019. In fact, CMS completely rewrote all of the swing bed regulations.  The swing bed interpretive guidelines and survey procedures are now under Appendix PP.  Many CAHs are not aware of these changes or are still struggling to comply. It was very difficult for CAHs to figure out what the interpretive guidelines and survey procedure are since there was no crosswalk. This webinar was created to take the mystery out of this. This is a must attend webinar for any CAHs with swing beds. CMS is also changing all of the CAH tag numbers and the new numbers for the swing beds will be included.

Hospitals have seen a significant increase in survey activity by CMS along with an increase number of deficiencies. Common deficiencies and how to avoid them will be discussed. Information on how to locate the CAH manual and other resources will be discussed.

CMS has a new address to access all of the CMS manuals. CMS also has a new email to address questions directly to CMS and both of these will be included.



·  Discuss that CMS made some recent changes to the protocol process

·  Recall that CMS has rewritten the entire section on swing beds

·  Describe what is required by CMS to be in the resident assessment which is done to do the care plan

·  Recall the CMS requirements on patient activities of swing bed patients

Changes to the CAH Manual and Introduction to CAH CoPs

·  How to Locate the CAH Manual-new website

·  Introduction

·  CMS Surveyor training material for CAHs

·  Important CMS Memos for CAHs

·  Notice of survey

·  Revised survey protocol

·  Review of telemedicine contract

·  4 changes November 29, 2019 in Hospital Improvement Rule

·  Top swing bed deficiencies

·  CAH CoP surveyor classes

Special Requirements for CAH Providers of Long-Term Care Services (Swing beds)

·  Swing bed regulations rewritten October 12, 2018

·  Interpretive guidelines and survey procedure under Appendix PP

·  Eligibility

·  Payment

·  Healthcare literacy

·  SNF Services

·  Resident Rights

·  Exercise of Rights

·  Notice of Rights and Services

·  Free Choice

·  Privacy and Confidentiality

·  Work

·  Mail

·  Access and Visitation Rights

·  Personal Property

·  Married Couples

·  Admission, Transfer and Discharge Rights

·  Transfer and Discharge

·  Payment of care

·  Content of notice

·  Resident Behavior and Facility Practices

·  Restraints, Abuse

·  Staff Treatment of Residents

·  Hiring of employees

·  Patient Activities

·  Social Services

·  Dental requirements changes

·  Resident Assessment

·  Comprehensive Care Plans


·  Discharge Summary

·  Nutrition

·  Provision of Services

·  Websites for CAH

·  CAH resources

Who Should Attend?

Basically anyone who is responsible for taking care of swing bed patients in a CAH or for implementing the CMS swing bed requirements. This includes the following:

CEOs, COOs, CFOs, nurse executives, accreditation and regulation director, nurse managers, pharmacists, quality managers, risk managers, healthcare attorneys, health information management personnel, social workers, dieticians, health information management,  nurses, nurse educators, nursing supervisors, patient safety officer, director of Rehab (OT, PT, speech pathology, and audiology), dietician, director of health information management, infection preventionist, dietician, activities director of swing bed patients,  and compliance officers.


Laura A. Dixon

Laura A. Dixon served as the Director, Facility Patient Safety and Risk Management and Operations for COPIC from 2014 to 2020.  In her role, Ms. Dixon provided patient safety and risk management consultation and training to facilities, practitioners and staff in multiple states.  Such services included creation of and presentations on risk management topics, assessment of healthcare facilities; and development of programs and compilation of reference materials that complement physician-oriented products.

Ms. Dixon has more than twenty years of clinical experience in acute care facilities, including critical care, coronary care, peri-operative services and pain management.  Prior to joining COPIC, she served as the Director, Western Region, Patient Safety and Risk Management for The Doctors Company, Napa, California.  In this capacity, she provided patient safety and risk management consultation to the physicians and staff for the western United States.

Ms. Dixon’s legal experience includes representation of clients for Social Security Disability Insurance providing legal counsel and representation at disability hearings and appeals, medical malpractice defense and representation of nurses before the Colorado Board of Nursing.

As a registered nurse and attorney, Laura holds a Bachelor of Science degree from Regis University, RECEP of Denver, a Doctor of Jurisprudence degree from Drake University College of Law, Des Moines, Iowa, and a Registered Nurse Diploma from Saint Luke’s School Professional Nursing, Cedar Rapids, Iowa.  She is licensed to practice law in Colorado and California.