QUALITY OF CARE ROUNDS - Nursing Home Help

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Exit lightsRESIDENT ROOMS “U” “S” COMMENTSDrapes/blinds are clean and maintained/fire retardantCubicle curtain provides full privacy & cleanResident chairs maintained/adequate #Other furniture in good repair/adequateBathrooms are clean, in good repairSoap & towels available, free of clutterBathroom ventilation adequate/vent cleanToilet anchored, set in good repair/cleanSink secure, fixtures clean, no leaksWalls/ceilings in good repairBed is dust free and in good repairCall light in reach, working properlyA/C and heating unit operable and cleanAdequate lightingWaste basket, fire retardant, availableGENERAL BATH AREAS “U” “S” COMMENTSVentilation is adequate, vents cleanCurtains adequate length, stain freeTile in good repair, walls/ceiling clean4.11
Toilet area with adequate privacy curtainToilet, sink, tub, showers in good repairLighting adequate/covered and workingFree of soiled linen, clutter & personal itemsSupplies/chemicals stored properlySoap, towels availableGrab bars securely mountedShower heads clean and free of lime build upHeating unit operable and cleanThermometer available & usedSanitizing procedure postedDINING ROOM “U” “S” COMMENTSTables are proper height for wheelchairsTables are in good repair and cleanAdequate # of chairs available and cleanChairs are in good repairFloor in good repair and clean. No stainsRoom is free of clutter, dishesNapkins available instead of clothing protectorsPre-post meal grooming materials availableResidents can choose where to sit4.12
Page 1 and 2: Quality ofCare RoundsUnlike the Moc
Page 4 and 5: RR SS PE IC EP F-Tag Observations S
Page 14 and 15: OTHER AREAS “U” “S” COMMENT
Page 16 and 17: Thawing foods put in refrigerator c
Page 18 and 19: SS follows upon discharge needs of
Page 20 and 21: - re-feeding/walk and dine- bowel/b
Page 22 and 23: Pumps/poles and equipment cleanWEIG
Page 24 and 25: No expired medications on handSharp
Page 26 and 27: Medical Director review of all repo
Page 28 and 29: MDS/CARE PLAN TRACKING FORMName: Ro
Page 30 and 31: HOT HOLDINGHot holding unit / steam
Page 32 and 33: Step ladders are sturdy and in good
Page 34 and 35: Yes No Buckets, tubs and pans are i
Page 36 and 37: Yes No Cleaning schedules posted an
Page 38 and 39: INFECTION CONTROL AND SAFETY SURVEI
Page 40 and 41: Yes No Electric cords for lights, r
Page 52 and 53: Yes No All wandering bracelets are
Page 54 and 55: Extended menusavailableDumpster lid
Page 56 and 57: Housekeeping Carts, Equipment, and
Page 58 and 59: Facility InspectionFacility _______
Page 60 and 61: Facility Inspection ReportPossibleA
Page 62 and 63:
Facility Inspection ReportAREAScore
Page 64 and 65:
Figure A.7Survey tag assignment (co
Page 66 and 67:
Page 68 and 69:
Page 70 and 71:
Page 72:
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