Facility Self-Assessment (Mock Survey) Tool - Nursing Home Help
Facility Self-Assessment (Mock Survey) Tool - Nursing Home Help
Facility Self-Assessment (Mock Survey) Tool - Nursing Home Help
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PHYSICAL PLANT ROUNDS - INITIAL TOUR (continued)<br />
TAG # STANDARD MET NOT MET COMMENTS<br />
F-172 No solicitation<br />
F-323 Smoking Policy<br />
F-165 Grievance Procedure<br />
F-441 Biohazard waste generating permit<br />
F-492 <strong>Facility</strong> license<br />
F-492 Occupational license<br />
F-491 NHA license<br />
F-502 Pharmacy license<br />
F-203 CLIA Waiver<br />
F-456 Underground/above ground (over 500 gal) tank permit<br />
F-456 Boiler certificate of compliance<br />
F-241 ID Badges worn by staff<br />
F-323 Hydrocollator log temps; water color<br />
F-441 No food in patient care areas<br />
F-254 Linen storage<br />
F-323 Chemicals stored appropriately<br />
F-323 MSDS current (ultrasound gel)<br />
F-241 Patient privacy during treatment<br />
F-454 Oxygen storage appropriate<br />
F-323, F-441 Sharp disposal<br />
F-431 Meds separated/stored appropriately<br />
F-431 Externals separate from internals<br />
F-431 Biologicals and vials dated when opened<br />
REHAB ROOM<br />
MED ROOM<br />
5.55
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