Nursing Home Federal Requirements: Guidelines to Surveyors and Survey Protocols, 7th Edition / Edition 7

Nursing Home Federal Requirements: Guidelines to Surveyors and Survey Protocols, 7th Edition / Edition 7

by James E. Allen
     
 

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ISBN-10: 0826107907

ISBN-13: 9780826107909

Pub. Date: 11/24/2010

Publisher: Springer Publishing Company

[The book] lists all the federal requirements that are evaluated by state surveyors during the annual survey visit to nursing homes and for complaint visits. The exhibit section contains forms used by surveyors to gather data during the survey visit. Visually, the format makes the regulations easy to read. If nursing home staff used the book to prepare for a

Overview

[The book] lists all the federal requirements that are evaluated by state surveyors during the annual survey visit to nursing homes and for complaint visits. The exhibit section contains forms used by surveyors to gather data during the survey visit. Visually, the format makes the regulations easy to read. If nursing home staff used the book to prepare for a survey, they would be well prepared.

Marcia Flesner, PhD, RN, MHCA
University of Missouri-Columbia
From Doody's Review

The Federal government, together with more than 50 advocacy groups, has spent the past 40 years writing and refining the rules and guidelines in this manual.

This book presents the latest federal guidelines and protocols used by federal surveyors in certifying facilities for participation in Medicare and Medicaid funding. It is an essential resource for long-term care facilities to have on hand to be ready for a survey at any time. It provides information straight from CMS's Internet-Only Manual-in print and at your fingertips for easy access.

Divided into four accessible and user-friendly parts, this manual includes:

  • Federal requirements and interpretive guidelines
  • Rules for conducting the survey
  • Summary of the requirements for long-term care facilities and surveyors
  • CMS forms commonly used by surveyors

    This newly updated and revised edition spans every aspect and service of a nursing home and represents the latest requirements to ensure that outstanding quality assurance and risk management programs are in place.

    New to This Edition:

    • Section on how to use manual
    • Summarization of federal requirements
    • Updated definitions of Medicare and Medicaid
    • Compliance requirements with Title VI of the Civil Rights Act of 1964
    • SNF/Hospice requirements when SNF serves hospice patients
    • SNF-based home health agencies
    • Life safety code requirements
    • Changes in SNF provider status
    • Surveyor qualifications standards
    • Management of complaints and incidents
    • New medical director guidelines

  • Product Details

    ISBN-13:
    9780826107909
    Publisher:
    Springer Publishing Company
    Publication date:
    11/24/2010
    Edition description:
    Seventh Edition
    Pages:
    616
    Product dimensions:
    8.40(w) x 10.90(h) x 1.50(d)

    Table of Contents

    Part One

    Federal Requirements and Guidelines to Surveyors

    §483.1 Basis and Scope

    §483.5 Definitions

    §483.10 Resident rights

    (a) Exercise of rights
    (b) Notice of rights and services
    (c) Protection of resident funds
    (d) Free choice
    (e) Privacy and confidentiality
    (f) Grievances
    (g) Examination of survey results
    (h) Work
    (i) Mail
    (j) Access and visitation rights
    (k) Telephone
    (l) Personal property
    (m) Married couples
    (n) Self-administration of drugs
    (o) Refusal of certain transfers

    § 483.12 Admission, transfer, and discharge rights

    (a) Transfer and discharge
    (b) Notice of bed-hold policy and readmission
    (c) Equal access to quality care
    (d) Admissions policy

    § 483.13 Resident behavior and facility practices

    (a) Restraints
    (b) Abuse
    (c) Staff treatment of residents

    §483.15 Quality of life

    (a) Dignity
    (b) Self-determination and participation
    (c) Participation in resident and family groups
    (d) Participation in other activities
    (e) Accommodation of needs
    (f) Activities
    (g) Social services
    (h) Environment

    § 483.20 Resident assessment

    (a) Admission orders
    (b) Comprehensive assessments
    (c) Accuracy of assessments
    (d) Comprehensive care plans
    (e) Discharge summary
    (f) Preadmission screening

    §483.25 Quality of care

    (a) Activities of daily living
    (b) Vision and hearing
    (c) Pressure sores
    (d) Urinary incontinence
    (e) Range of motion
    (f) Mental and psychosocial functioning
    (g) Naso-gastric tubes
    (h) Accidents
    (i) Nutrition
    (j) Hydration
    (k) Special needs
    (l) Unnecessary drugs
    (m) Medication errors

    §483.30 Nursing services

    (a) Sufficient staff
    (b) Registered nurse
    (c) Nursing facilities: waiver
    (d) SNFs: waiver

    §483.35 Dietary services

    (a) Staffing
    (b) Sufficient staff
    (c) Menus and nutritional adequacy
    (d) Food
    (e) Therapeutic diets
    (f) Frequency of meals
    (g) Assistive devices
    (h) Sanitary conditions

    §483.40 Physician services

    (a) Physician supervision
    (b) Physician visits
    (c) Frequency of physician visits
    (d) Availability of physicians for emergency care
    (e) Physician delegation of tasks in SNFs
    (f) Performance of physician tasks in NFs

    §483.45 Specialized rehabilitative services

    (a) Provision of services
    (b) Qualifications

    §483.55 Dental services

    (a) Skilled nursing facilities
    (b) Nursing facilities

    §483.60 Pharmacy services

    (a) Procedures
    (b) Service consultation
    (c) Drug regimen review
    (d) Labeling of drugs and biologicals
    (e) Storage of drugs and biologicals

    §483.65 Infection control

    (a) Infection control program
    (b) Preventing spread of infection

    §483.70 Physical services

    (a) Life safety from fire
    (b) Emergency power
    (c) Space and equipment
    (d) Resident rooms
    (e) Toilet facilities
    (f) Resident call systems
    (g) Dining and resident activities
    (h) Other environmental conditions

    §483.75 Administration

    (a) Licensure
    (b) Compliance
    (c) Relationship to other HHS regulations
    (d) Governing body
    (e) Required training of nursing aides
    (f) Proficiency of nurse aides
    (g) Staff qualifications
    (h) Use of outside resources
    (i) Medical director
    (j) Laboratory services
    (k) Radiology and other diagnostic services
    (l) Clinical records
    (m) Disaster and emergency preparedness
    (n) Transfer agreement
    (o) Quality assessment and assurance
    (p) Disclosure of ownership

    Part Two

    Rules for Conducting the Survey

    Part Three

    Summary of the Federal Requirements for Long Term Care Facilities

    § 483.1 Basis and Scope
    § 483.5 Definitions
    § 483.10 Resident Rights
    § 493.12 Admission, Transfer and Discharge Rights
    § 483.13 Resident Behavior and Facility Practices
    § 483.15. Quality of Life
    § 483.20 Resident Assessment
    § 483.25 Quality of Care
    § 483.30 Nursing Services
    § 483.35 Dietary Services
    § 483.40 Physician Services
    § 483.55 Dental Services
    § 483.60 Pharmacy Services
    § 483.65 Infection Control
    § 483.70 Physical Environment
    § 483.75 Administration

    Part Four

    CMS Forms Used by Surveyors

    (these pages are not numbered: are sequenced by ascending CMS form number)

    CMS Form number

    462L Adverse Action Extract for SNFs and NFs
    671 Application for Medicare and Medicaid
    672 Resident Census and Conditions of Residents
    673 Extended/Partial Extended Survey Worksheet
    677 Medication Pass Worksheet
    801 Offsite Survey Preparation Worksheet
    802 Roster Sample Matrix
    802P Roster Sample Matrix Provider Instructions
    802S Roster Sample Matrix Instructions for Surveyors
    803 General Observations of the Facility
    804 Kitchen/Food Service Observations
    805 Resident Review Worksheet
    806A Quality of Life Assessment Resident Interview
    806B Quality of Life Assessment Group Interview
    806C Quality of Life Assessment Family Interview
    807 Surveyor Notes Worksheet
    2786M Fire Safety Survey - 2000 Life Safety Code
    20014 Notice of Exclusions from Medicare Benefits Skilled Nursing Facility

    Index

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