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Facility Self-Assessment (Mock Survey) Tool - Nursing Home Help

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F-320 Adjustment Difficulty. The facility must ensure that a<br />

resident whose assessment did not reveal a mental or<br />

psychosocial adjustment difficulty does not display a<br />

pattern of decreased social interaction and/or increased<br />

withdrawn, angry, or depressive behaviors, unless the<br />

resident’s clinical condition demonstrates that such a<br />

pattern is unavoidable.<br />

F-321 Naso-Gastric Tubes. The facility must ensure that a<br />

resident who has been able to eat enough alone or with<br />

assistance is not fed by naso-gastric tube unless the<br />

resident’s clinical condition demonstrates that the use<br />

of a naso-gastric tube was unavoidable.<br />

F-322 Services to Present Aspiration. The facility must<br />

ensure that a resident who is fed by an N/G or G/T<br />

receives the appropriate treatment and services to<br />

prevent aspiration pneumonia, diarrhea, vomiting,<br />

dehydration, metabolic abnormalities, and nasalpharyngeal<br />

ulcers and to restore, if possible, normal<br />

eating skills.<br />

F-323 Accidents. The facility must ensure that the resident’s<br />

environment remains as free of accident hazards as is<br />

possible, and each resident receives adequate<br />

supervision and assistance devices to prevent accidents.<br />

F-325 Nutrition. The facility must ensure that:<br />

1. A resident maintains acceptable parameters of<br />

nutritional status, such as body weight and protein<br />

levels, unless the resident’s clinical condition<br />

demonstrates that this is not possible.<br />

2. A resident receives a therapeutic diet when there is a<br />

nutritional problem.<br />

F-327 Hydration. The facility must provide each resident<br />

with sufficient fluid intake to maintain proper<br />

hydration and health.<br />

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