Home Events Critical Access Hospital Swing Bed Requirements and Changes

Critical Access Hospital Swing Bed Requirements and Changes

NDHA is an approved provider of continuing education by the North Dakota Board of Examiners for Nursing Home Administrators.

Date: 10/25/2022

9:00 – 11:00 AM Central time


Registration fees:       $225 per NDHA member  |  $275 per non-member


Chief Medical Officer, Chief Nursing Officer, Compliance Officer, Emergency Department Personnel, Joint Commission Coordinator, Medical Records, Quality Improvement personnel, Risk Manager, Legal Counsel.


This webinar will focus on the November 2019 swing bed requirements and changes made by the Centers for Medicare & Medicaid Services (CMS). Many CAHs are not aware of the changes or are still struggling to comply. The swing bed regulation is in Appendix W for Critical Access Hospitals (CAHs), but the interpretive guidelines and survey procedures are under Appendix PP. Due to the fact that there is no crosswalk between the two appendices, itis challenging to determine the interpretive guidelines and survey procedures. This webinar will assist hospitals in understanding how to remain in compliance. Hospitals have seen a significant increase in survey activity by CMS, along with an  increased number of deficiencies. Common deficiencies and how to avoid them will be discussed in this webinar. There will also be a discussion of the 1135 Waivers available to CAHs with swing beds.


At the conclusion of this session, participants should be able to:

  • Discuss that CMS made recent changes to the protocol process.
  • Recite that CMS has rewritten the entire section on swing beds.
  • Describe what CMS requires to be in the resident assessment for the care plan.
  • Recall the CMS requirements on swing-bed patients’ activities.



Lena Browning is a nurse leader and accreditation specialist with more than 25 years of experience in clinical leadership in acute care settings. As a principal consultant with Compass Clinical Consulting, Lena served as team lead for the accreditation and regulatory compliance survey team. Most recently, Lena has fulfilled three interim positions as director of accreditation and was responsible for restructuring accreditation departments and leading organizations in compliance. Additionally, Lena has successfully coached numerous organizations through Immediate Jeopardy (IJ) situations with all organizations getting the IJ lifted and no condition level findings noted on return surveys. Prior to consulting, Lena had over two decades of experience in accreditation and regulatory leadership. As an expert for CMS, TJC, and state regulations, she has performed system-wide tracers for continuous readiness and patient safety, coordinated accreditation and regulatory surveys, chaired continuous readiness committees, and coached staff and  leadership in compliance and performance improvement strategies. Lena earned a Master of Healthcare Administration from the University of Southern Indiana and a Bachelor of Science in Nursing from Murray State University. She holds numerous certifications in basic life support, neonatal and pediatric advanced life support, and newborn resuscitation and post resuscitation stabilization. She is also a member of the Association for Professionals in Infection Control and Epidemiology (APIC).


This speaker has no real or perceived conflicts of interest that relate to this presentation.


Oct 25 2022


9:00 am - 11:00 am

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