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QSO-25-23-ALL: SMK Medical's 2025 CMS Memo Overview

July 30, 2025•2 min read

Historical article: this post discusses guidance, research, or events from its original publication period. Time-specific requirements should be checked against the current primary source before operational use.

Published by SMK Medical | Your Partner in Compliance, Auditing, and MDS Support







On July 30, 2025, CMS released a revised guidance memo—QSO-25-23-ALL—with updates related to the expiration of the COVID-19 Public Health Emergency (PHE). While the changes are minimal, every long-term care facility should take a moment to review, realign, and adjust their internal policies and procedures accordingly.

📌 Key Takeaways from the July 2025 CMS Memo:

  • Focused Infection Control (FIC) surveys are no longer required in FY2024.
  • Emergency Preparedness testing exemptions have ended—full compliance is now expected.
  • COVID-19 vaccine education requirements remain active through May 21, 2024.
  • NHSN COVID-19 reporting continues through December 31, 2024.

These updates might seem small, but surveyors won’t ignore them—and neither should you.



🔍 What Should You Do?

Review your current:

  • Emergency preparedness training cycles
  • Infection control documentation
  • MDS admissions tracking (especially for PASARR and 3-day QHS compliance)
  • Internal reporting practices aligned with NHSN

And most importantly, update your Policies and Procedures to reflect the current expectations.


✅ SMK Medical Is Here to Help

SMK Medical works with long-term care facilities across the country to ensure survey readiness, regulatory compliance, and optimized revenue.

We specialize in:

  • Mock Surveys with real-time feedback and post-visit planning
  • MDS Completion & Auditing to prevent costly errors
  • Policy Reviews to align with the latest CMS requirements
  • Turnkey LTC Consulting with solutions tailored for administrators, DONs, and regional teams

📞 Don’t wait until a citation arrives. Call 313-314-8267 or visit smkmedical.com to schedule your mock survey or MDS review today.


Tags: CMS QSO Memo, LTC Compliance, Nursing Home Audit, MDS Help, QSO-25-23-ALL, Infection Control, Mock Survey, SMK Medical, LTC Consulting, Nursing Home Regulations, Emergency Preparedness, NHSN Reporting

Dr Demetrius Kirk

Dr Demetrius Kirk

Dr. Demetrius “DJ” Kirk is the Founder and CEO of SMK Medical, a healthcare consulting firm specializing in long-term care regulatory compliance, survey readiness, quality improvement, and operational excellence. A healthcare executive, Registered Nurse, and Licensed Nursing Home Administrator, Dr. Kirk brings extensive experience in post-acute care leadership, including executive, regional, and clinical management roles. His expertise includes CMS regulations, nursing home surveys, risk management, MDS and PDPM optimization, QAPI, and leadership development. Through his writing, Dr. Kirk translates complex regulatory requirements into practical strategies that help healthcare leaders strengthen compliance, improve quality outcomes, and build high-performing teams.

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