CORRECT ANSWERS LATEST UPDATE 2024 GRADED A+
Plan of Correction (POC)
- Description of each identified deficiency
- How the facility will monitor corrective action to ensure deficiency is remedied and won't reoccur
- Completion date that shall be no longer than 30 days and will deem it can achieve compliance.
Completed Plan of Correction
- Signed by Administrator
- Submitted to the department with 10 days after written notice of deficiencies
Client Care Advocate and grievances
- Contact resident within 3 days after grievance
- After investigation, respond to resident within 15 days
- Provide final outcome within 30 days
Influenza Reporting
- By May 15th of every year
- Must maintain documentation for 3 years.
- 90% vaccination rate for all staff and contractors
Activities Department
- At least one evening activity per week
,- Provide activities on weekends to include religious services
- Provide social/recreational, intellectual, physical, spiritual and creative activities monthly.
Social Services
- Update assessments and care plans at least quarterly
- Review health information at least annually
Dietary Department
- Progress notes on each resident at 6 month intervals at a minimum.
Transfer or Discharge notice
In writing at least 30 days before transfer/discharge and notify resident and/or resident
representative
Discharge Planning
Start on day of admission
Extended Survey
Conducted after substandard quality of care is determined during a standard survey (within 14 days)
Hospice Care
Final 6 months of life
, Interdisciplinary Team
Professionals, pharmacist, doctor, nurse, social worker, dietitian, therapy
MDS Completion Date
The date at which the RN assessment coordinator attests that all portions of the MDS have been
completed.
MDS (minimum data set) reporting
All residents at the time of admission (no later than 14 days), annually, quarterly, and when there is a
significant change
Palliative Care
Comfort measures/alleviating pain. Care designed not to treat an illness but to provide physical and
emotional comfort to the patient and support and guidance to his or her family.
PASARR
Preadmission screening and an annual review. Done before admission to determine if resident is
intellectually disabled.
Short-term stay
Less than 14 days
Standard Survey time frame