Fiscal Year (FY) 2018 State Performance Standards System (SPSS) Guidance
• SPSS Framework: The three dimensions of frequency, quality, and enforcement continue to serve as the Centers for Medicare
& Medicaid Services’ (CMS) framework to organize and measure the value associated with the survey process overall.
• FY 2018 Changes: With the implementation of the new survey process, CMS made revisions to the Conduct of Nursing Home Health
Survey Reports; Frequency of Nursing Home Surveys; Timeliness and Quality of Complaint and Incident Investigations.