On March 11, 2016 the Centers for Medicare and Medicaid Services (CMS) issued Survey and Certification Memo 16-11-ALL to the State Survey Agency Directors. This memo was made public to providers, and it clarifies guidance to surveyors regarding the procedure for conducting the Exit Conference of a survey. The memo was issued due to many questions to the CMS regarding the level of specificity that surveyors should give during the Exit Conference regarding the deficiencies found during the conduct of federal surveys. The policy will affect all Surveyors conducting Federal surveys and for all types of Federal Surveyors. The CMS has revised the State Operations Manual (SOM), Chapters 2 and 5, and Appendix P to reflect these changes.