The California Department of Health has issued a new All Facilities Letter, selecting certain skilled nursing facilities as "Special Focus Facilities" as part of the Centers for Medicare and Medicaid Services (CMS) enforcement process. These facilities have been chosen based on three years of performance data, with California required to have six such facilities. The letter outlines the revised selection process and strengthened enforcement process for these facilities. Skilled nursing facilities designated as Special Focus Facilities must comply with the survey and enforcement process detailed in Federal Survey and Certification Letter S&C 05-13. Failure to comply may result in penalties or loss of certification. Facilities with questions about the process should contact their local Licensing and Certification district office.

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