DOH Surveillance Deputy Highlights Nursing Home Guidance Updates
(July 22, 2025) LeadingAge NY hosted a presentation on July 21st by Ashley Cokgoren, Deputy Director of the Department of Health's (DOH) Division of Nursing Home and Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF/IID) Surveillance, on the recent updates to the federal nursing home survey guidance. Ms. Cokgoren provided highlights of the changes in the Centers for Medicare and Medicaid Services (CMS) State Operations Manual, Appendix PP, that took effect in April 2025. Members are encouraged to review the presentation for a comprehensive overview of the 2025 changes, including insights regarding medical director oversight of antipsychotic prescribing and surveyor review of facility assessments and sufficient staffing.
Appendix PP was updated again on July 9th. The updates were principally technical in nature. The July 9th update is available here, and the transmittal notice is posted here. Additional CMS survey resources are posted here.
A recording of Ms. Cokgoren's presentation is available here for LeadingAge NY members. The presentation did not include slides.
Contact: Karen Lipson, klipson@leadingageny.org, or Carrie Mosley, cmosley@leadingageny.org