Other Options for Nursing Facilities and Assisted Living Facilities
In addition to the IDR, nursing facilities may be able to use the independent IDR or informal reconsideration process. Assisted Living facilities also may be able to use the informal reconsideration process.
Independent IDR (IIDR) for Nursing Facilities
The IIDR is an informal administrative procedure intended to provide nursing facilities an opportunity to refute cited deficiencies after any survey in which federal civil monetary penalties (CMP) are imposed, and that CMP is to be collected or placed in an escrow account under 42 CFR §488.431. If notified of the opportunity for an IIDR by the Centers for Medicare and Medicaid Services (CMS), nursing facilities may submit a request for the IIDR process.