Knowledge, Skills and Abilities required at this level include knowledge of the principles, practices, and ethics for the surveyor's licensed or registered professional status; of administrative and organizational principles and practices regarding health care facility operations; of the principles of interviewing; of word processing software applications and computer operations; of federal and state laws, regulations, and policies regarding licensure and certification of health care facilities; of what constitutes immediacy of threat to a client; of the requirements for determining culpability of a facility; and of residents/patients/clients relocation protocols. Investigates allegations and makes determinations of resident/patient/client abuse and neglect; makes determinations of immediate jeopardy in which immediate corrective action is necessary because a facility practice has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident/patient/client; makes determinations of actual harm in which a facility practice has cause a negative outcome that has compromised the resident's/patient's/client's ability to maintain and/or reach his/her highest practicable physical, mental, and psychosocial well-being.