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Links - Survey Guidelines

The federal procedural guidelines for nursing home surveys are codified at 42 CFR 488.110.

The federal care guidelines used by nursing home surveyors are codified at 42 CFR 488.115.

The federal State Operations Manual -- Appendix PP -- Guidance to Surveyors for Long Term Care Facilities, (Center for Medicare and Medicaid Services, January 2011), is available at

The State Operations Manual – Appendix P details the certification and survey process in Michigan.