SMQT REVISION QUESTIONS WITH VERIFIED ANSWERS 100% CORRECT LATEST VERSION A+ GRADE

SMQT REVISION QUESTIONS WITH VERIFIED ANSWERS 100% CORRECT LATEST VERSION A+ GRADE What is severity level 2 - ANSWER️Noncompliance that has potential to cause more than minimal harm that is not IJ resident has no more than minimal discomfort, their is a potential to compromise residents ability to reach highest practicable level, shame/embarassment without loss of interest minimal episodic pain, facility has no system to prevent problems Entity compliance and noncompliance -When an entity complies with the requirements applicable to the survey conducted, the form CMS-2567 should consist of an explicit statement that the entity is in compliance. - If an entity does not comply with one or more applicable requirements, the form CMS-2567 includes corresponding citations of noncompliance - ANSWER️Principles of Documentation #1 Using Plain Language - The deficiency citation is written clearly, objectively and in a manner that is easily understood. - ANSWER️Principles of Documentation #2 Components of a Deficiency Citation - regulatory reference - deficient practice statement - relevant findings - ANSWER️Principles of Documentation #3 Relevant onsite correction of findings - if during the survey the entity corrects the situation that resulted in the deficiency, a determination of "not met" must be documented on the 2567. The entity may indicate its corrections in the right-hand column of the 2567. During IJ, if the facility initiates corrective actions that abate a finding for IJ, follow the guidance in appendix Q - ANSWER️Principles of Documentation #4 Interpretive Guidance - the deficiency citation explains how the entity fails to comply with the regulatory requirements, not the interpretation of those requirements. - ANSWER️Principles of Documentation #5 Citation of State or Local Code Violations - state code are not cited on the 2567 - ANSWER️Principles of Documentation #6 Cross-References - Cross referencing from one citation to another is acceptable, but each deficiency must stand by itself - ANSWER️Principles of Documentation #7 Condition of Participation Deficiencies - COP (requirements with which an entity must comply in order to participate in the programs) citation includes deficient practice statements and findings to support the determination of noncompliance with a condition level requirement. The finding may be incorporated either by cross references to those which must be corrected to find the COP in compliance or by narrative description of the individual findings - ANSWER️Principles of Documentation #8 ABUSE PROHIBITION REVIEW: Description - ANSWER️The Abuse Prohibition Review is a determination of whether the facility has both DEVELOPED & OPERATIONALIZED policies and procedures designed to protect residents from the following: - Abuse - Neglect - Involuntary seclusion - Misappropriation of their property This includes policies and procedures for: - Hiring practices - Training - Ongoing supervision for employees and volunteers who provide services - Reporting and investigation of allegations and occurrences that may indicate abuse ABUSE PROHIBITION REVIEW: General Procedures - ANSWER️General Procedures: The review includes components of the facility's policies and procedures as contained in the Guidance to Surveyors. These include policies and procedures for: - Screening of potential hirees (or employees) - Training of employees (both for new employees and ongoing training for all employees) - Prevention policies and procedures - Identification of possible incidents or allegations that need (or require) investigation - Investigation of incidents and allegations - Protection of residents during investigations - Reporting of incidents, investigations, and facility response to their investigations - The general procedure for the Abuse Prohibition Review is to use/follow the Abuse Prohibition Investigative Protocol to complete the task. QUIZ QUESTION: What is the general objective of the Abuse Prohibition Review? - ANSWER️ANSWER: The general objective of the Abuse Prohibition Review is to determine if the facility has BOTH developed & operationalized policies & procedures that PROHIBIT 1) abuse 2) neglect 3) involuntary seclusion 4) misappropriation of property for all residents. Investigative Protocol for Abuse Prohibition - ANSWER️The investigative protocol for abuse prohibition is to be used in EVERY long term care standard survey. This protocol requires your team to perform certain procedures. They are as follows: - Obtain and review policies and procedures - Interview the responsible individual(s) - Request written evidence - Interview several residents and families - Interview at least FIVE direct care staff persons - Interview at least THREE front line supervisors - Obtain a list of recently hired employees Investigative Protocol for Abuse Prohibition 1) Obtain & Review Policies & Procedures - ANSWER️- Obtain and review the facility's abuse prohibition policies and procedures. - Determine if the policies and procedures include these key components: - Screening - Training - Prevention - Identification - Investigation - Protection - Reporting/response - Note that it is not necessary for these items to be collected in one document or manual. - In other words, you may have to obtain and review multiple documents to find all of the key components. Investigative Protocol for Abuse Prohibition: 2) Interview the Responsible Individual(s) - ANSWER️Interview the individual(s) identified by the facility as responsible for coordinating the policies and procedures that prohibit abuse, neglect, involuntary seclusion, and misappropriation. The individual(s) identified should be responsible for evaluating how each component of the policies and procedures is operationalized. The components include screening, training, prevention, etc. as specified in F226. You will need to conduct interviews of such individuals if it is not obvious from the policies how each component is operationalized. INTERVIEW QUESTIONS: - ANSWER️INTERVIEW QUESTIONS: - During your interview of the individual(s) responsible for evaluating how each component of the facility's abuse prohibition policies and procedures are operationalized, ask the following questions: 1) How do you monitor the staff when they are providing and/or supervising the delivery of resident care and services to make sure care is provided in a way to ensure neglect of care does not occur? 2) How do you determine which injuries of unknown origin should be investigated as alleged occurrences of abuse?