“Really Big Book” Updated with New F-Tags and Survey Guidance

The Really Big Book of Nursing Home Regulations – Twelfth Edition – is now available for purchase.  A longstanding, core resource for care centers, the Really Big Book allows you to compare federal and state nursing home regulations side-by-side. 

The Centers for Medicare & Medicaid Services has comprehensively revised the State Operations Manual, Appendix PP: Guidance to Surveyors for Long Term Care Facilities, and the 12th Edition of The Really Big Book captures all of these essential changes, including:

  • Renumbering all F-tags (the prior numbering is obsolete effective Nov. 28, 2017)
  • Final regulatory language for Phase 1, Phase 2 and Phase 3 requirements; and
  • Significantly revised and expanded interpretive guidelines relating to the federal requirements.

LeadingAge Minnesota offers the Really Big Book in a printed manual format or on a flash drive in PDF format to both members and nonmembers. 

To learn more about this resource or to place an order, visit our online store (be sure to log to the website in order to view member-pricing) or contact Alecia Crumpler ( or 651.603.3528).

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