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Immediate Jeopardy - Recent Changes and Plan of Removal Keys

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Date Published

September 1, 2020


Ohio Health Care Association


Skilled Nursing


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CMS recently revised surveyor guidance for assessing Immediate Jeopardy. The session will review the CMS changes that went into effect and their impact on your next survey, including recognizing and citing psychosocial harm for IJ concerns. CMS directs that IJ situations be resolved as quickly as possible. Key steps to implement your Plan of Removal will be discussed. During the course, we will discuss real-time situations that have occurred in long term care settings. The discussion will include how these situations quickly turned into an IJ situation, and the steps that were taken to abate the IJ. We will also discuss how good immediate situation management helped avoid an IJ citation altogether.


  • understand keys elements of recent CMS changes to Immediate Jeopardy and Appendix Q.
  • understand important parts of the plan of the removal process to remove an Immediate Jeopardy.
  • learn from real-life situations steps taken to abate the IJ and management tips to avoid IJ situations.

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Sean Fahey, JD

Sean represents the needs of skilled nursing and assisted living facilities in all areas of healthcare compliance,... Read More

Heather Adcock

Heather Adcock graduated from Bowling Green State University in 1992 with a Bachelor of Science degree in Gerontology with a... Read More

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Program Titles and Supporting Materials

This program contains the following components:

Video Presentation
Slide Deck Copy
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If applicable, you may obtain credit in multiple jurisdictions simultaneously for this program (see pending/approved list below). If electing credit for this program, registrants in jurisdictions not listed below will receive a Certificate of Completion that may or may not meet credit requirements in other jurisdictions. Where applicable, credit will be only awarded to a paid registrant completing all the requirements of the program as determined by the selected accreditation authority.

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How to Attend

Join the self-paced program from your office, home, or hotel room using a computer and high speed internet connection. You may start and stop the program at your convenience, continue where you left off, and review supporting materials as often as you like. Please note: Internet Explorer is no longer a supported browser. We recommend using Google Chrome, Mozilla Firefox or Safari for best results.

Technical Requirements
You may access this course on a computer or mobile device with high speed internet (iPhones require iOS 10 or higher). Recommended browsers are Google Chrome or Mozilla Firefox.

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