Section 488.318 - Inadequate survey performance(a) CMS considers survey performance to be inadequate if the State survey agency- (1) Indicates a pattern of failure to- (i) Identify deficiencies and the failure cannot be explained by changed conditions in the facility or other case specific factors;(ii) Cite only valid deficiencies;(iii) Conduct surveys in accordance with the requirements of this subpart; or(iv) Use Federal standards, protocols, and the forms, methods and procedures specified by CMS in manual instructions; or(2) Fails to identify an immediate jeopardy situation.(b) Inadequate survey performance does not- (1) Relieve a SNF or NF of its obligation to meet all requirements for program participation; or(2) Invalidate adequately documented deficiencies.