HHA Training Item Revised ? The Centers for Medicare & Medicaid Services (CMS) provides training on the use of the HHA Survey Protocols. The protocols provide guidance to assist surveyors in determining when a Condition-level deficiency may be considered. Previous trainings emphasized that the phrase ?consider citing the Condition? implied the surveyor ?should? cite the Condition. We have since revised our training in this area to indicate that surveyors may consider citing the Condition when indicated by the regulation but the phrase should not be taken as a prescriptive element of the guidance over surveyor judgment.