LTCE 500 Administration Policies (Required by the Federal Surveyors) 7 CEUs
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Contents
Page
- 1
- F490 Administration §483.75
- 1
- F491 Licensure of facility §483.75(a)
- 1
- F492 Comply with federal, State, local laws and professional standards §483.75(b)(c)
- 3
- F493 Governing body §483.75(d)
- 4
- F519 Transfer agreement §483.75(n)
- 4
- F522 Disclosure of ownership §483.75(p)
Federal requirements essential to medical records work:
(by federal tag number in ascending order)
Page
- 7
- F150 Definition SNF, NF, resident rights overview §483.5; 483.10)
- 8
- F153 Resident rights to all records §483.10(b)(2)
- 9
- F154 Resident right to full total health status information §483.10(b)(3)
- 9
- F155 Resident rights to advance directives, to refuse treatment and/or research §483.10(b)(4)
- 11
- F156 Resident rights to information on medical care and insurance coverage §483.10(b)(5) through (10)
- 15
- F167 Examination of survey results by residents §483.10(g)
- 16
- F168 Information reception by residents from client advocate agencies (§483.10(g)(1)(2))
- 16
- F172 Access and visitation rights §483.10(j)(1)(2)
- 18
- F173 State Ombudsman access to patient's clinical records §483.10(j)(3)
- 19
- F224 Staff treatment of residents §483.13
- 19
- F225 Not employ certain individuals §483.13(c)(1) through (5)
- 26
- F244 Quality of Life: required facility responses to resident or family groups §483.15(c)(6)
- 26
- F517 Disaster and emergency preparedness §483.75(m)
- 26
- F518 Training for all employees in emergency procedures §483.75(m)
Survey Protocols
Page
- 28
- I Introduction
- 33
- II The Survey Tasks
- 33
- Task 1 Offsite Survey Preparation
- 42
- Task 2 Entrance Conference/Onsite Preparatory Activities
- 46
- Task 3 Initial Tour
- 50
- Task 4 Sample Selection
- 59
- Task 5 Information Gathering
- 71
- Investigative Protocol: Adverse Drug Reactions
- 78
- Investigative Protocol: Pressure Sore/Ulcer
- 81
- Investigative Protocol: Hydration
- 84
- Investigative Protocol: Unintended Weight Loss
- 87
- Investigative Protocol: Dining and Food Service
- 92
- Investigative Protocol: Nursing Services, Sufficient Staffing
- 94
- J. Closed Record Reviews
- 95
- K. Review of a Resident Receiving Hospice Care
- 97
- L. Review of a Resident Receiving Dialysis Services
- 98
- Task 5D Quality of Life Assessment
- 104
- Task 5E Medication Pass
- 105
- Task 5F Quality Assessment and Assurance Review
- 108
- Abuse Prohibition Review
- 109
- Investigative Protocol Abuse Prohibition
- 112
- Task 6 Information Analysis for Deficiency Determination
- 118
- Task 7 Exit Conference
- 119
- III. The Extended Survey and Partial Extended Survey
- 121
- IV. Writing the Statement of Deficiencies
- 122
- V. Deficiency Categorization
- 125
- VI. Post Survey Revisit (Follow-up)
- 126
- Abbreviated Standard Surveys
- 131
- Confidentiality and Respect for Resident Privacy
- 132
- Information Transfer