About the Course
Introduction
This CLE webinar will provide a comprehensive overview of the Centers for Medicare and Medicaid Services' (CMS) new Risk-Based Survey (RBS) process, which is a modified, more efficient version of the Long-Term Care Survey Process (LTCSP) designed to streamline standard recertification surveys for qualifying high-performing skilled nursing facilities. The panel will discuss RBS eligibility standards, offer best practices for qualification, and examine the industry impact.
Description
CMS recently launched nationwide implementation of the new RBS process, which is a modified, more efficient version of the LTCSP and is designed to streamline standard recertification surveys for qualified high-performing skilled nursing facilities. CMS estimates that the new process will take roughly half the time of the LTCSP with fewer total surveyors. The purpose is to allow State Survey Agencies (SAs) to redirect resources toward complaint investigations at facilities where residents face a higher risk of harm and to catch up on the backlog of facilities that have yet to be surveyed.
To be eligible to be listed on CMS' quarterly RBS-qualified list sent to SAs, facilities must avoid any of a number of disqualifying criteria including: (1) an overall rating below five stars; (2) a staffing rating below three stars; (3) any citation for Actual Harm, Immediate Jeopardy, or Substandard Quality of Care in the last survey cycle; (4) more than 18 months without a standard survey; and (5) a change in ownership since the last standard survey.
Counsel for covered entities should understand the new RBS process, how their clients may be eligible to be included on the RBS facility quarterly qualified list, what may disqualify them from being included on the list or remaining on the list, and the impact that the new process may have on their clients and the industry as a whole.
Listen as our authoritative panel provides a comprehensive overview of CMS' new RBS process.
Presented By
Mr. Brusca dedicates his practice to representing vulnerable individuals and their families in wrongful death, catastrophic injury, negligence and abuse claims arising in nursing homes, assisted living facilities, psychiatric facilities, hospitals, boarding and group homes. He is a frequent lecturer to lay organizations and fellow attorneys at the state and national level on topics such as facility selection, resident care, litigation, trial practice, and technology issues.
Mr. Klele provides counsel to a variety of providers including long-term care facilities, ambulatory surgery centers, hospitals, laboratories, imaging centers, addiction centers, urgent care centers and pharmacies. He routinely represents his provider clients in a variety of healthcare litigation matters including reimbursement issues, False Claims Act allegations, ERISA and other litigation matters. He also represents his provider clients in compliance matters, including allegations of regulatory violations and assists his clients with state and federal licensing agencies. Mr. Klele has defended and represented long-term care facilities in matters involving allegations of regulatory violations and standard of care issues.
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This 90-minute webinar is eligible in most states for 1.5 CLE credits.
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Date + Time
- event
Tuesday, December 15, 2026
- schedule
1:00 PM ET/10:00 AM PT
I. Introduction
A. Overview of standard recertification survey process and purpose
II. New Risk-Based Survey
A. Background and purpose
B. Process
C. Eligibility: qualifying and disqualifying criteria
D. Public identification of qualified facilities
III. Impact on covered entities
IV. Key takeaways
The panel will review these and other important issues:
- What is the purpose behind RBS?
- How does it differ from LTCSP?
- What are the eligibility requirements for making the CMS quarterly RBS-qualified list?
- How might a facility that qualifies for the list lose its eligibility?
- What is the potential impact of RBS on covered entities and the industry as a whole?
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