Nursing Home Culture Change Regulatory Compliance Questions and Answers
This memorandum provides the State Survey Agencies and CMS regional offices with: 1. Responses we have made to inquiries concerning
compliance with the long-term care health and life safety code requirements in nursing homes that are changing their cultures
and adopting new practices; 2. Summarizes questions and answers from a June, 2006 CMS Pic-Tel conference with leaders of the
Green House Project (Attachment A); and 3. Provides information about an upcoming series of 4 CMS culture change satellite
webcasts (Attachment B).