The Michigan Department of Licensing and Regulatory Affairs (LARA) will never ask you to provide credit card numbers or other personal information by phone, text, email, or mail. LARA has identified fraudulent communications impersonating department staff. These scams may include requests for payment or personal information. Please do not respond to these messages and report any suspicious activity to LARA‑Safety@michigan.gov. (This email is for fraud purposes only; messages unrelated to LARA‑related fraud will not receive a response.)
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 https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/som107ap_pp_guidelines_ltcf.pdf
The State Operations Manual – Appendix P details the certification and survey process in Michigan.