Strengthening Performance to Meet Special Focus Facility Exit

Special Focus Facility support provides intensive, high‑accountability services for nursing homes designated by CMS as persistently poor performers. This service focuses on rapid stabilization, root‑cause identification, and corrective‑action implementation to address chronic deficiencies. It supports leadership in strengthening oversight, improving documentation, and demonstrating measurable improvement in quality and compliance.

The service also prepares facilities for the rigorous monitoring and follow‑up surveys associated with SFF designation. It ensures that corrective actions are sustained, verifiable, and aligned with CMS expectations. The objective is to support the facility in meeting exit criteria and restoring regulatory standing while preventing regression. We provide support in:

• Survey‑cycle performance mapping — Analysis of past survey patterns to identify recurring failure points and prevent repeat citations.
• SFF rapid‑stabilization plan — Rapid reinforcement of clinical and operational systems most vulnerable to repeat deficiencies or IJ‑level findings.
• Root‑cause remediation — Correction of systemic operational failures.
• SFF corrective‑action validation — Verification that corrective actions are implemented, sustained, and supported by measurable evidence.
• Quality‑indicator performance improvement — Targeted support to improve quality measures (QMs) and quality reporting program (QRP) measures that influence survey outcomes and SFF status.
• Enhanced regulatory monitoring — High‑frequency compliance oversight.
• SFF exit readiness — Preparation for CMS removal from the SFF list.