On January 16, 2025, the Centers for Medicare & Medicaid Services (“CMS”) announced revisions to its proposed updates to Appendix PP of the CMS State Operations Manual, originally released on November 18, 2024. The revised Appendix PP regulations include changes to Admission, Transfer & Discharge, Chemical Restraints/Unnecessary Psychotropic Medication, Resident Assessment, Quality of Life and Quality of Care, Administration, Quality Assurance Performance Improvement (QAPI), Infection Prevention and Control, Nurse Staffing and other areas including clarifications and technical corrections. The effective date of these revisions is April 28, 2025.








