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

F-328 Special Needs. The facility must ensure that residents
receive proper treatment and care for the following
special services:
1. Injections;
2. Parental and enteral fluids;
3. Colostomy, ureterostomy or ileostomy care;
4. Tracheostomy care;
5. Tracheal suctioning;
6. Respiratory care;
7. Foot care; and
8. Prostheses.
F-329 Unnecessary Drugs. Each resident’s drug regime must
be free from unnecessary drugs. Residents who use
antipsychotic drugs receive gradual dose reductions,
and behavioral interventions, unless clinically
contraindicated, in an effort to discontinue these drugs.
F-332 Medication Errors 5% or Greater. The facility must
ensure that it is free of medication error rates of five
percent or greater.
F-333 Significant/Non-Significant Med. Errors. The facility
must ensure that residents are free of any significant
medication errors.
F-334 Influenza & Pneumococcal Immunizations. The
facility must develop policies and procedures that
ensure the following:
1. Before offering the immunization, each resident or
the resident’s legal representative receives education
regarding the benefits and potential side effects of the
immunization;
2. Each resident is offered an immunization, unless the
immunization is medically contraindicated or the
resident has already been immunized;
3. The resident or the resident’s legal representative has
the opportunity to refuse immunization;
4. The resident’s medical record includes
documentation that indicates, at the minimum, the
following:
a. that the resident or resident’s legal representative
was provided education regarding the benefits and
potential side effects of the immunization; and
b. that the resident either received the immunization
or did not receive the immunization due to medical
contraindications or refusal.
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