Update of State Operations Manual (SOM) Chapter 5, Complaint Investigation
13-27-Deemed Providers/Suppliers & Hospitals
Post-Complaint Survey Procedure - Deemed Providers/Suppliers:
• A full survey of a deemed provider/supplier after a complaint survey with condition-level findings will be made on a selective
rather than an automatic basis.
• All survey reports and related correspondence must be shared promptly with a deemed provider/supplier’s accrediting organization
Hospital Restraint/Seclusion Death Reporting: This section is being moved, to reflect the fact that the procedures therein
apply to all hospitals, not just deemed hospitals. We are also streamlining the procedure for making disclosures to State
Protection and Advocacy (P&A) agencies, to reduce burden.