CMS LTC Qs & As
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| show | Resident declines tx, they may not be treated
against their wishes, including d/c of weights. §483.10(c)(6), they must be provided w/ info, i.e., risks of d/c weights, to make informed decision & medical record should have appropriate documentation.
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| Can a facility post signs at the head of a resident's bed if they have impaired vision or hearing so staff will know? | show 🗑
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| Allegations of abuse, neglect, exploitation, or mistreatment the regulation refers to reporting immediately but not later than 2 hours, is this reporting internally or externally? | show 🗑
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| show | 1) Allegations of abuse
2) Allegations that a resident has suffered serious bodily injury due to neglect, exploitation, mistreatment, or an injury of unknown source.
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| show | 1) Reasonable suspicion of a crime not involving serious bodily injury.
2) Allegation that doesn’t involve serious bodily injury of neglect,
misappropriation, exploitation, mistreatment, or injury of unknown source.
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| show | The team should ensure they consider the abuse allegation during the initial pool process. If no residents in
the initial pool had concerns with abuse, the TC needs to add a generic place holder so the abuse care area can still be investigated.
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| show | 42 CFR 483.12(a)(3)(iii), facility must not employ, or engage individuals, w/ a disciplinary action against a pro license from abuse, neglect, exploitation, mistreatment or misappropriation of resident property.
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| Are all bedrails considered to be physical restraints? | show 🗑
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| If bed rails are pre-installed on a bed (purchased as one unit or not easily removed), could they be disabled in some way to ensure they are not used for a resident for whom bed rails are not appropriate? (F700) | show 🗑
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| “Staff do not crush & combine meds & then give them all at once either orally or via feeding tube.” Does this mean the nurses need to crush each pill & mix it separately for oral administration? | show 🗑
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| show | Separating crushed meds via feeding tube is a standard of
practice according to the American Society for Parenteral & Enteral Nutrition (A.S.P.E.N.).
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| Does the pharmacist recommendation have to be placed in the residents chart, or can it be in a binder located at the nurses’ station or DON office? | show 🗑
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| show | Compazine is considered an anti-psychotic, though it can be used to treat N/V. According to Federal requirements, a PRN order would be limited to 14 days. A new PRN order can't be renewed unless attending Dr. or practitioner first evaluates resident.
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| What constitutes an evaluation by the attending or prescribing physician? | show 🗑
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| show | If shell is already exported from ACO, you'll want to recalculate MDS information. If start/exit dates have changed, recalculate & then share updated shell to ensure that the team has the most recent MDS information. (Step 2 of LTCSP Procedure Guide)
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| show | Info to complete matrix will come from various places of each resident’s clinical record. All info entered into matrix should be verified by a staff member knowledgeable about the resident population & must be reflective of all residents as of survey.
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| show | F838§483.70(e), If systemic care concerns are identified & are related to the facility’s planning, review facility assessment to determine if these concerns were considered as part of the facility’s assessment process.
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| show | Click on Add Resident icon in the upper right corner OR
if resident is already listed in the LTCSP resident list, add the resident’s ID in the Notes field using Alt+R, or the person icon.
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| If you have no issues with an observation & you mark that, do you have to document your observation in the box? | show 🗑
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| A Resident was added to the resident list in the LTCSP software application but was already in the list. Is there a way to delete the second entry? | show 🗑
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| When do we add a resident on PASARR to the sample? | show 🗑
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| show | This information may be entered into the notes section in the resident representative interview. This information would be saved for future reference.
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| How does the survey process and software handle extended survey? | show 🗑
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| show | The application does not remove any residents from the resident list even if they are marked as being discharged.
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| If we have 60 rooms & each has their own medication storage & we put 60 in the number of locations, the system will ask us to complete 30 reviews, is that the expectation? | show 🗑
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Created by:
Debra Bernier 1
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