LTCSP-1
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What is a partial extended survey? | show 🗑
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show | The participation requirements subsequent to a finding of substandard quality of care during an abbreviated standard survey.
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What does a facility lose the ability to do when a partial extended survey is conducted? | show 🗑
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What is an Extended Survey? | show 🗑
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What is included in an Extended Survey review? | show 🗑
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show | 1. Prior to exit conference of the standard survey OR
2. No later than 14 days after the completion of a standard survey .
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show | Facilities being out of compliance before a standard survey, but regained substantial compliance before the standard survey began.
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What three requirements must be met in order to cite non compliance with a specific F or K tag? | show 🗑
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Where would you find the criteria for Determining Citations of Past Noncompliance at time of current survey? | show 🗑
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What is considered severe weight loss? | show 🗑
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True or False: Functional status and medical/clinical statuses are considered the same things. | show 🗑
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show | 1. Completing of the MDS
2. Care Area Assessment (CAA)
3. Development of a comprehensive care plan.
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show | 1. MDS
2. CAA
3. RAI utilization guidelines
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show | Information about a resident's functional status, strengths, weaknesses & preferences as well as offering guidance on further assessment once care area issues/concerns have been identified.
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show | False: A CAA is only required for comprehensive clinical assessments (Admission, Annual, Significant Change in Status {SCSAs} or Significant Correction of a Prior Full Assessment {SCPA}).
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What is the Function of a Care Area Assessment? | show 🗑
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show | Along with the CAA it forms a critical link between the MDS and care planning.
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show | They are the specific response options from the MDS that are indicators of 20 particular care areas that affect nursing home residents.
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show | They are specific resident responses for one or a combination of MDS elements. They identify those who have or are at risk for developing specific functional problems & require further evaluation.
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show | Certification & Survey Provider Enhanced Reporting System
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show | There are four reports:
1. Characteristics Report
2. Facility QM Report
3. Resident Level QM Report
4. Submission Statistics. They are all generated from the MDS.
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show | MDS
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What determines the Severity of Deficiency Level? | show 🗑
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What are the four Severity Levels? | show 🗑
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show | The number of residents who were or could have been affected.
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show | 1. Isolated; one or limited number of residents involved.
2. Pattern; more than a minimal number affected, situation has occurred in several locations, or same residents repeatedly affected.
3. Widespread; throughout facility or systemic failure
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show | When a facility has isolated deficiencies that constitute potential for no more than minimal harm, or in cases of past noncompliance.
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What are Category 1 Remedies? | show 🗑
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What are Category 2 Remedies? | show 🗑
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What are Category 3 Remedies? | show 🗑
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show | S/S value
Facility history
Repeat deficiencies
Culpability
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show | 1. How corrective action will be accomplished.
2. How facility will identify other potential affected residents.
3. What measures will be put in place or changes to be made.
4. How facility will monitor.
5. Dates corrective actions will be completed.
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What is a DPoC? | show 🗑
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show | An extraordinary reaction of a resident to ordinary stimuli.
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Created by:
Debra Bernier 1
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