Important Information

This training is intended for learning purposes only, it is not official guidance. For official policies and guidance please refer to CMS laws and regulations, including the State Operations Manual (SOM) and CMS official guidance memos. Additional information is listed on the Training Disclaimer Page.

Please Note

You must be logged into the QSEP website when you complete each module or you will not receive credit for completion. The QSEP website will log you out automatically after approximately 1 hour of inactivity.

Introduction to Surveying for Non-Long Term Care

This Introduction to Surveying for Non-LTC training intends to introduce Federal & State surveyors to survey processes associated with non-LTC facilities. This training introduces basic terminology & the observation, investigative, and interview skills surveyors use throughout the survey process. The training also provides examples of documentation for several non-LTC survey types, including hospitals, critical access hospitals, ambulatory surgical centers, and others. This training will aid learners in developing surveyor skills & proficiency by establishing a foundational understanding of the non-LTC survey process.

Training Objectives: On completion of this training, you will be able to:

  • Identify the key terms & roles associated with the certification & survey processes.
  • Identify the activities & purpose associated with each process and the differences between providers & suppliers.
  • Determine the proper methods to use when interviewing patients, family members, and facility personnel.
  • Determine if documentation follows guidelines for defensible deficiencies.
  • Determine if documents & statements adhere to the factors & guidelines that contribute to being an effective witness.
  • Identify the facts, responses, and statements that best support the government’s case during a hearing.

Training Duration: 9 hours

Completion Requirements: This self-paced Introduction to Surveying for non-LTC training includes a mandatory pretest, six learning modules, a mandatory posttest, and a CMS-approved training evaluation. Both the posttest and the evaluation must be completed to generate a certificate of completion. To pass the Introduction to Surveying for Non-LTC training, you must score a minimum of 80 percent on the training posttest.

Training CEUs: N/A

Email for Questions: The training is available on-demand online, 24 hours a day, 7 days a week. During the training, questions can be submitted using the comment tool. For all technical issues, including accessing the training, email; for all content-related questions, email

Note: The training is currently available as a PDF but will soon be reuploaded as an interactive online training. The original training used Adobe Flash player and is being converted to an updated format.

Assessment Menu

Introduction to Surveying for Non-Long Term Care Course Introduction (INCOMPLETE)

Module 1: Overview of the Certification and Survey Process

     ﹂ Module 1: Overview (INCOMPLETE)

     ﹂ Lesson 1: Program Background (INCOMPLETE)

     ﹂ Lesson 2: Terminology (INCOMPLETE)

     ﹂ Lesson 3: The Role of Centers for Medicare and Medicaid Services (CMS) (INCOMPLETE)

     ﹂ Lesson 4: Role of State Survey Agencies (INCOMPLETE)

     ﹂ Lesson 5: Accreditation (INCOMPLETE)

     ﹂ Lesson 6: Introduction to the Certification and Survey Process (INCOMPLETE)

     ﹂ Module 1: Summary (INCOMPLETE)

Module 2: Certification and Survey Process

     ﹂ Module 2: Overview (INCOMPLETE)

     ﹂ Lesson 1: Certification Process (INCOMPLETE)

     ﹂ Lesson 2: Survey Process (INCOMPLETE)

     ﹂ Lesson 3: Types of Surveys (INCOMPLETE)

     ﹂ Lesson 4: Types of Non-Long Term Care Providers and Suppliers (INCOMPLETE)

     ﹂ Lesson 5: Roles and Responsibilities of Surveyors (INCOMPLETE)

     ﹂ Module 2: Summary (INCOMPLETE)

Module 3: Interviewing Skills

     ﹂ Module 3: Overview (INCOMPLETE)

     ﹂ Lesson 1: Components, Skills, and Elements (INCOMPLETE)

     ﹂ Lesson 2: Verbal and Nonverbal Considerations (INCOMPLETE)

     ﹂ Lesson 3: Interview Process (INCOMPLETE)

     ﹂ Module 3: Summary (INCOMPLETE)

Module 4: Investigation, Writing, and Preparing Defensible Deficiencies

     ﹂ Module 4: Overview (INCOMPLETE)

     ﹂ Lesson 1: Introduction to the Legal Process (INCOMPLETE)

     ﹂ Lesson 2: Investigating Deficiencies (INCOMPLETE)

     ﹂ Lesson 3: Guidelines for Documentation (INCOMPLETE)

     ﹂ Lesson 4: Writing Defensible Deficiencies (INCOMPLETE)

     ﹂ Lesson 5: Preparing to Defend Deficiencies (INCOMPLETE)

     ﹂ Module 4: Summary (INCOMPLETE)

Module 5: Being an Effective Witness

     ﹂ Module 5: Overview (INCOMPLETE)

     ﹂ Lesson 1: Facts, Inferences, and Judgment (INCOMPLETE)

     ﹂ Lesson 2: Supportive and Defensive Communication (INCOMPLETE)

     ﹂ Lesson 3: Attorney Questions (INCOMPLETE)

     ﹂ Lesson 4: Preparations (INCOMPLETE)

     ﹂ Lesson 5: Direct and Cross-Examination (INCOMPLETE)

     ﹂ Lesson 6: Twenty Guidelines for Prospective Witnesses (INCOMPLETE)

     ﹂ Module 5: Summary (INCOMPLETE)

Module 6: Testifying

     ﹂ Module 6: Overview (INCOMPLETE)

     ﹂ Lesson 1: Review of Facts (INCOMPLETE)

     ﹂ Lesson 2: Government Briefing (INCOMPLETE)

     ﹂ Lesson 3: The Hearing (INCOMPLETE)

     ﹂ Module 6: Summary (INCOMPLETE)

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