What’s happening: CMS recently posted the Fiscal Year (FY) 2024 State Performance Standards System (SPSS) findings through the release of Admin Memo: 25-04-ALL.

• With the program, CMS annually assesses each State Survey Agency’s (SA) performance on measures included in the SPSS program and then state agencies must submit a corrective action plan for each SPSS measure that they did not meet in FY24 or partially met for the second consecutive year.
• Virginia was assessed as not meeting numerous SPSS measures.

Going deeper: According to tables in the memo, Virginia was assessed as not meeting the following measures:

Survey and Intake Process Domain SPSS Measures

• Timeliness of Upload of Recertification Surveys. SAs’ average time from survey completion to successful data upload into the National Survey Database must be 70 calendar days or less.
• Intakes prioritized as IJ started within the required time period.  At least 80 percent of SAs’ investigations of IJ intakes must be started within the required time period.
• Frequency of Nursing Home Recertification Surveys. SAs must conduct a health recertification survey at each active nursing home at least once every 15.9 months.
• Frequency of Tier 1 Acute and Continuing Care Recertification Surveys. This measure includes three sub-measures. SAs must conduct a health recertification survey at: (1) each active intermediate care facility for individuals with intellectual disabilities (ICF-IIDs) at least once every 15.9 months; (2) each active non-deemed hospice at least once every 36.9 months; and (3) each active, non-deemed home health agency at least once every 36.9 months.

Survey and Intake Quality SPSS Measures

• Data Submission. This measure includes two sub-measures: (1) nursing home surveys that have not been uploaded to the National Database may not exceed five percent of all surveys conducted between FY2022 and FY2024; and (2) nursing homes surveys missing CMS-2567 text uploaded to the National Database may not exceed one percent of all surveys conducted between FY2022 and FY2024.

Noncompliance Resolution SPSS Measure

• Timeliness of Revisits. States must conduct at least 70 percent of onsite revisits within the required timeframes.

More information and a breakdown of each state’s results can be found in the memo.