---
kind: "section"
citation: "42 C.F.R. § 488.318"
title: "42"
number: "488.318"
heading: "Inadequate survey performance."
url: "https://uscodex.org/cfr/42/488.318"
---

# §488.318. Inadequate survey performance.

- (a) **CMS considers survey performance to be inadequate if the State survey agency—**
  - (1) **Indicates a pattern of failure to—**
    - (i) Identify deficiencies and the failure cannot be explained by changed conditions in the facility or other case specific factors;
    - (ii) Cite only valid deficiencies;
    - (iii) Conduct surveys in accordance with the requirements of this subpart; or
    - (iv) Use Federal standards, protocols, and the forms, methods and procedures specified by CMS in manual instructions; or
  - (2) **Fails to identify an immediate jeopardy situation.**
- (b) **Inadequate survey performance does not—**
  - (1) Relieve a SNF or NF of its obligation to meet all requirements for program participation; or
  - (2) **Invalidate adequately documented deficiencies.**

## Notes

### Source

Source: 59 FR 56238, Nov. 10, 1994, unless otherwise noted.

### Authority

Authority: 42 U.S.C 1302 and 1395hh.

### Source

Source: 53 FR 22859, June 17, 1988, unless otherwise noted.