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

F-512 Transportation To/From. The facility must assist the
resident in making transportation arrangements to and
from the source of service, if needed.
F-513 X-Ray Reports in Resident File. The facility will file
in the resident’s clinical record, signed and dated
reports of x-rays and other diagnostic services.
F-514 Clinical Records. The facility must maintain clinical
records on each resident in accordance with accepted
professional standards and practices that are:
1. Complete;
2. Accurately documented;
3. Readily accessible; and
4. Systematically organized.
F-515 Retention of Clinical Records. The facility must retain
clinical records for:
1. The period of time required by State law; or
2. Five years from the date of discharge when there is
no requirement in State law; or
3. For a minor, three years after a resident reaches legal
age under State law.
F-516 Safeguard Clinical Records. The facility must
safeguard clinical record information against loss,
destruction, or unauthorized use.
F-517 Disaster & Emergency. The facility must have detailed
written plans and procedures to meet all potential
emergencies and disasters, such as fire, severe weather,
and missing residents.
F-518 Training for Emergency. The facility must train all
employees in emergency procedures when they begin
to work in the facility and periodically review the
procedures with existing staff.
F-519 Transfer Agreement. The facility must have in effect a
written transfer agreement with one or more hospitals
approved for participation under the Medicare and
Medicaid programs, that reasonably assures timely
admission to the hospital when transfer is medically
appropriate.
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