CMS Releases Advance Copies of S&C Memo and Interpretive Guidance Related to Use of Pasteurized/Unpasteurized Eggs

Nancy Leveille and Karen Morris in Clinical & Quality

CMS provided AHCA with advance copies of a Survey & Certification Memorandum (S&C Memo) and associated surveyor interpretive guidance at F371, Sanitary Conditions.  The focus of these documents is on use and serving of pasteurized and unpasteurized eggs.  Several key points:

  1. A nursing center that uses and serves unpasteurized eggs must ensure the eggs are fully cooked until both the yolk and white are completely firm.
  2. If a nursing center uses pasteurized eggs, they may serve them as “soft-cooked”, “soft-scrambled”, or: sunny-side up”.
  3. The use of signed agreements between the nursing center and a resident/patient (or the resident’s/patient’s legal representative) releasing the nursing center of liability if the patient/resident becomes ill due to eating unpasteurized eggs prepared by the nursing center that are not cooked until the yolk and white are completely firm are not permitted.

CMS also updated the surveyor guidance to include information related to serving food grown in Nursing Home Gardens, which was in a previously released S&C Memo.

These documents are not yet posted on the CMS Website and due to the Memorial Day holiday may not be posted until sometime next week.  The S&C Memo is dated May 20, 2014 and is “Effective Immediately.”

  NYSHFA CONTACTS: Nancy Leveille, RN, MS
Sr. Director, Member Operational Support
518-462-4800 x20
  Karen Morris, RN, MS
Director, Clinical & Quality Services
518-462-4800 x15