Resources | Functional Pathways

What Skilled Nursing Facilities Need to Know About Risk-Based Surveys

Written by Functional Pathways | Aug 7, 2026, 5:54:39 PM

Beginning September 8, 2026, the Centers for Medicare & Medicaid Services will implement the Risk-Based Survey, or RBS, process nationwide for qualifying nursing homes.

The new approach allows consistently higher-performing facilities to undergo a more focused standard recertification survey. CMS estimates that approximately 12% of nursing homes will initially qualify based on factors such as overall quality ratings, staffing performance, accurate data reporting and survey history.

Risk-Based Surveys will still evaluate all required areas of compliance, but they are expected to take approximately half the time of the traditional Long-Term Care Survey Process and require fewer surveyors. All nursing homes will continue to receive a standard recertification survey at least every 18 months, and CMS or State Survey Agencies may use the traditional survey process when resident health and safety concerns arise.

To help organizations understand the new process, the Functional Pathways Clinical Team developed a concise Risk-Based Survey Quick Sheet outlining eligibility requirements, disqualifying events and what facilities should monitor as implementation approaches.

Download the quick sheet to learn:

  • When the Risk-Based Survey process will begin
  • How the streamlined survey differs from the traditional survey process
  • The quality, staffing and survey-history requirements facilities must meet
  • How Care Compare ratings and health inspection scores affect eligibility
  • Which PBJ and MDS audit findings can prevent qualification
  • What complaints, citations or operational changes may disqualify a facility
  • How qualifying facilities will be identified on Care Compare
  • What leaders should monitor before an RBS begins

DOWNLOAD THE RISK-BASED SURVEY QUICK SHEET