Agreed, but I've been through multiple CMS surveys, some with deficiencies, some without. Some POCs were scary, some laughable. Personnel issues can be trivial

Agreed, but I've been through multiple CMS surveys, some with deficiencies, some without. Some POCs were scary, some laughable. Personnel issues can be trivial (somebody's cpr certification expired yesterday) or serious (you hired somebody who claims to be a doctor but isn't). It's really hard to weigh in as an outsider.