Notification of Facility Closure: Revisions to Tags F203 and F204 and Issuance of New Tags F523 and F524 in the State Operations
Manual (SOM), Appendix PP
• Background: Any individual serving as the administrator of a skilled nursing facility (SNF), nursing facility (NF) or dually
participating facility (SNF/NF) must provide written notification of an impending closure of a facility including the plan
for relocation of residents at least 60 days prior to the impending closure. New regulations have been added at 42 CFR §§483.75(r)
and (s) as well as amendments made to §§483.12(a)(8) and 489.52(a)(2) to reflect this requirement.
• SOM Appendix PP: The Centers for Medicare & Medicaid Services (CMS) is providing advanced guidance regarding the federal
requirements for Notification of Facility Closure.