{"data":{"id":"us/42-cfr-488.318","jurisdiction":"us","citation":"42 CFR 488.318","heading":"Inadequate survey performance.","body":"(a) CMS considers survey performance to be inadequate if the State survey agency—\n(1) Indicates a pattern of failure to—\n(i) Identify deficiencies and the failure cannot be explained by changed conditions in the facility or other case specific factors;\n(ii) Cite only valid deficiencies;\n(iii) Conduct surveys in accordance with the requirements of this subpart; or\n(iv) Use Federal standards, protocols, and the forms, methods and procedures specified by CMS in manual instructions; or\n(2) Fails to identify an immediate jeopardy situation.\n(b) Inadequate survey performance does not—\n(1) Relieve a SNF or NF of its obligation to meet all requirements for program participation; or\n(2) Invalidate adequately documented deficiencies.","path":["Title 42—Public Health","CHAPTER IV—CENTERS FOR MEDICARE \u0026 MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES","SUBCHAPTER G—STANDARDS AND CERTIFICATION","PART 488—SURVEY, CERTIFICATION, AND ENFORCEMENT PROCEDURES","Subpart E—Survey and Certification of Long-Term Care Facilities"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-42.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:26:11Z","sha256":"51e79b2cfd7401c60374b77a4414f4a91b23f0b6a081b13273d49978d978a308","source_id":"us-cfr","stale":true,"prev":"us/42-cfr-488.314","next":"us/42-cfr-488.320"},"notice":"GroundRules: Original legal text. Not legal advice."}