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Most Commonly Cited Deficiencies for Critical Access Hospitals

Date: 07/17/2019

10:00 AM - 12:00 PM

Program Overview

All Critical Access Hospitals (CAHs) are required to comply with CMS conditions of participations. There are deficiencies that are commonly cited throughout the nation during standard surveys and complaint investigations of CAHs. This presentation identifies the top-cited regulations, explains the regulations and why they are found non-compliant.


Nancy Ruzicka is a recognized expert on state and federal rules, regulations and interpretative guidelines who has presented at many organizations and educational events. She has previously worked as director of integrity and compliance and privacy official at MercyOne Des Moines, as director of regulatory compliance at UnityPoint Health-Des Moines and has more than 20 years of experience with the Iowa Department of Inspections and Appeals. Ruzicka holds master’s degrees in health law and business administration and a bachelor’s degree in pharmacy, all from Drake University. She is certified in health care compliance and maintains her Iowa pharmacy license.

Learning Objectives

  • Describe and discuss why an accredited hospital must comply with CMS regulations.
  • Explain the implications of a condition-level deficiency.
  • Describe the most commonly cited deficiencies.
  • Explain the regulation and related interpretative guidelines for each deficiency.