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What Changed, What CMS Is Enforcing, and Why Facilities Keep Getting Caught Off Guard In this inaugural episode of the Survey Readiness Podcast (SRP), Dr. Kirk breaks down two major CMS memos released this month that every post-acute care leader needs to understand before their next survey: QSO-26-03-NH, revising State Operations Manual Chapters 5 and 7 QSO-23-01-NH (Revised), reinforcing CMS expectations around enforcement, investigations, and sustained compliance These memos do not create new regulations. They change how CMS and surveyors interpret, investigate, and enforce existing rules. That distinction matters. Joined by Veronica Ceaser, MBA, MSN, LNHA, RN, GERO-BC, QCP, RAC-CT, CEO of Gem Healthcare Consulting, this episode takes a practical, operational look at what survey readiness actually means under today’s enforcement climate. Together, we cover: How surveyors are using expanded Immediate Jeopardy guidance Why complaints are escalating faster and lasting longer What extended surveys, off-hours surveys, and weekend starts expose How photography and environmental evidence are being used against facilities The real financial risk behind per-day versus per-instance CMPs Why Plans of Correction are failing under closer scrutiny How weak QAPI programs are now a liability, not a checkbox This is not a surface-level recap. It is a leadership-level discussion about how CMS thinks, how surveyors act, and why facilities keep reacting instead of preparing. About the Survey Readiness Podcast (SRP) The Survey Readiness Podcast is a bi-weekly podcast dedicated to the real work of survey readiness in post-acute care. Hosted by Dr. Kirk, SRP breaks down CMS 2567s, recurring F-Tags, leadership failures, compliance blind spots, and survey prep shortcuts that do not work. Each episode delivers practical insight, expert analysis, and honest discussion about what surveyors are actually citing and why facilities keep getting caught off guard. This is not a marketing podcast. This is not theory. It is a no-nonsense compliance roundtable for administrators, DONs, compliance officers, owners, and regional leaders who want to think differently, prepare earlier, and stop reacting after the damage is done. Some episodes feature guest experts across post-acute care. Others are solo breakdowns of real survey outcomes and regulatory trends. Short-form episodes provide quick hits on individual F-Tags, emerging risks, and survey signals leaders cannot afford to ignore. The Survey Readiness Podcast exists because post-acute care deserves an honest conversation about survey readiness, without fluff, fear tactics, or shortcuts. Sponsor This episode is sponsored by SurveyGuard, a first-of-its-kind compliance platform built to support proactive survey readiness, real-time risk visibility, and sustained compliance across post-acute care.