Clarification and revisions to Interpretive Guidance at F Tag 492, as Part of Appendix PP, State Operations Manual (SOM) for
Long Term Care (LTC) Facilities
Revised Guidance for Tag F492: Current guidance in Appendix PP of the SOM for Tag F 492, 42 CFR §483.75(b) and (c) States
that this tag should be cited only when the authority having jurisdiction has both made a determination of noncompliance and
has taken a final adverse action as a result. There has been confusion as to whether this requirement may be cited when a
facility simply does not meet a State regulation. This memorandum clarifies and revises the Centers for Medicare & Medicaid
Services (CMS) guidance to Surveyors in Appendix PP of the SOM regarding citations under Tag F492.