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LTC Ftags #3
| Question | Answer |
|---|---|
| This regulation outlines the performance review and in-service education components that are required for nurse aides. Nurse aides must receive a minimum of 12 hours of in-service education per year. | Ftag 730- Record reviews will show surveyors if a performance review of each nurse aide was conducted at least once every 12 months. Annual in-service education hours calculation should be based on employment date rather than the calendar year. |
| “A facility must maintain all resident assessments completed within the previous 15 months in the resident’s active record.” | Ftag 639- Facilities are specifically directed to use the results of those 15 months of assessments to “develop, review and revise the resident’s comprehensive care plan.” |
| “A facility must be administered in a manner that enables it to use its resources effectively and efficiently to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident” | Ftag 835- Surveyors must conduct an investigation that demonstrates how the Administration knew/should have known that there was a deficient practice, as well as how lack of Administration contributed to the issue. |
| Residents have the right to be fully informed of their total health status, including medical condition, in a language that they can understand. | Ftag 552- This means that communication is made in plain language where any medical/technical jargon is explained in a way that non-health professionals can understand. |
| residents must receive, and the facility must provide, at least three meals per day. | Ftag 809 |
| Requires nursing facilities to ensure that residents who have prostheses are provided with care and assistance to wear and use the prosthetic device. | Ftag 696- Care/ assistance given must be in accordance with the person-centered care plan. Requirement means that the non-availability of program funding does not relieve the facility of its obligation to ensure residents received all services needed. |
| Residents have the right to be informed in advance of the types of care to be provided and the type of caregiver that will be providing that care. | Ftag 552- This includes having a physician or other health professional respond to resident/representative concerns as well as when a change in treatment is being proposed. |
| “Suitable, nourishing alternative meals & snacks,” – meals/snacks that are of similar nutritive value as meal/snack that is offered during normally scheduled meals. | Ftag 809- Must be provided to residents who prefer to eat at non-traditional times or outside of scheduled meal times, so long as this is consistent with the care plan. |
| Allows self-administration of meds if Interdisciplinary Team (IDT) has determined it is clinically appropriate & safe to do so. | Ftag 554- Facilities must show via documentation how IDT decided the resident is capable. Must have process that validates resident has taken self-administered medication. These med errors are not counted in the facility’s med error rate. |
| Residents have the right to be informed in advance of the risks/benefits of proposed care and treatment options, as well as alternatives. | Ftag552- There is a major responsibility to keep residents/reps informed of health status, care provided, & giving resident option to choose treatments in advance. Guidance addresses use of qualified sign language & language interpreters for residents. |
| Meals must be served “at regular times” based on normal mealtimes in the community, or, adding in the person-centered focus, may also be served in accordance with resident needs, preferences, requests & plan of care. | Ftag 809 |
| Responsible for supervising care & participating in resident assessment/care planning, monitoring & addressing change in medical status, writing medication & treatment orders, as well as responding when contacted by facility. | Ftag 710- Physician is responsible for conducting routine visits, but if he/she delegates follow-up visits to an non-physician practitioner the physician’s supervision responsibilities remain. |
| Requires facilities maintain all mechanical, electrical and patient care equipment in safe operating condition. | Ftag 908- “All” types of equipment includes everything from unit refrigerators, kitchen equipment to laundry machines. The regulation also states that all equipment must be maintained according to manufacturer’s recommendations. |
| Ability to obtain records, both medical & personal. Access to records, or copies of these records, must be provided, even if the request is only made orally. | Ftag 573- Need to be provided in a form/format requested by resident, a “readable” hard copy or other format may be provided if agreed upon by the facility & individual requesting records. Access to be provided w/in 24 hrs except on weekends & holidays. |
| What regulation would these citations fall under; broken shelf in nourishment refrigerator, suction machine w/ no inspection label on it, lack of backflow protection in sanitizer sink, shower stall filled with equipment? | Ftag 908 |
| Discarding expired meds, labeling/dating/discarding multi-use vials, cleanliness of med rooms & carts, med refrigerator temps are all regulated under this Ftag? | Ftag 761- Labeling & Storage of Drugs & Biologicals. |
| Ensure all residents receive the proper treatment & assistive devices required to maintain their hearing and vision. | Ftag 685- Requires the facility assist residents w/ making appointments & arrange for transport to/from doctor’s office specializing in vision or hearing impairments. They are tasked w/ assisting resident/rep w/ locating & using available resources. |
| Ensure ordered x-rays/ diagnostic tests are completed, notification of medical practitioner of results (especially abnormal) is done & appropriate medical follow-up conducted should be a basic standard of practice | Ftag 777- Dr/Practitioner notification of test results that are “outside of reference ranges” or as directed by practitioner are clearly spelled out. P & P should be developed in consultation w/ Medical Director & follow current standards of practice. |
| This Ftag outlines a nursing facility's requirements for not admitting new residents with a mental disorder or intellectual disability except where certain criteria have been met. | Ftag 645 |
| What Ftag does pre-employment screening requirements fall under? | Ftag 607: Develop/Implement policies & procedures to prevent Abuse/ Neglect/ Mistreatment. |
| What Ftag outlines the facility’s responsibilities towards screening of a potential employee prior to employment? | Ftag 606: This tag also states facility's responsibility to make a report to State nurse aide registry/ licensing authorities when it becomes aware of court actions against an employee that would make them unfit for hire in a nursing facility. |
| This Ftag requires that facilities need to identify required services needed by a resident & ensure that these services are provided. | Ftag 745: Note- all services do not necessarily have to be provided by a qualified social worker except as required by State law. |
| This regulation regulation expects ongoing communication & coordination between departments & staff to ensure residents’ nutritional & dietary needs are met according to resident’s assessment & care plan, & that plan of care must include choices. | Ftag 800: Provided Diet Meets Needs of Each Resident. There is a clear emphases on resident choice. Common issues cited; those who dine in the room no being provided with info about alternate options, identified food preferences not being addressed. |
| Visitation rights must not infringe on the rights of other residents, this means the facility is responsible for finding a location for visits other than the resident’s room if needed, such as when resident’s roommate is asleep. | Ftag 563: Right to Receive/Deny Visitors. Facilities must have written P&Ps regarding visitation rights for residents. |
| True or False: Immediate family means only blood relatives? | False: Interpretive Guidance (IG) not restricted to blood relatives, & instead refers to multiple family types that provide “a supportive, caring unit,” which is defined by resident. |
| True or False: Immediate family are not subject to any visitation hour limitations. | True: Unless limitations have been set by the resident. |
| Staff orientation and training must cover all forms of abuse, neglect, misappropriation of resident property, exploitation and dementia management; Which Ftag is this? | Ftag 943: Outlines requirements related to staff training on abuse, neglect, exploitation & misappropriation of resident property, & defines specific topics that need to be covered as part of this required education. |
| Requires that a facility have a policy in place that identifies circumstances when the loss/damage of dentures is the facility's responsibility & when a resident may not be charged for a replacement. | Both Ftag 790 & 791: F790 is for SNFs and F791 is for NFs |
| This regulation requires that a negative or potentially negative outcome for a resident is determined to be related to the facility’s failure to meet these standards & surveyors determine that a deficient practice has occurred... | Ftag 658: Facility should be cited under both F658 as well as the appropriate area where concern was identified. |
| What are some areas this tag can be cited? | Failure to provide basic life support, failure to follow professional standards of nursing practice for unresponsive resident with a hypoglycemic episode, failure to meet professional standards for med administration of insulin. |
Created by:
Debra Bernier 1
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