QUALITY OF CARE ROUNDS - Nursing Home Help

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Thawing foods put in refrigerator correctlyMenus posted and followed each mealSubstitutes posted in dining roomSubstitutes freely offered by staff/all mealsTherapeutic diets served per M.D.’s orderStock stored correctly/rotatedDisaster stock labeled/adequateCleaning procedures adequate/followed3 compartment sink used correctly/written policyDishes/pots dried correctly. No clothsGarbage stored/removed properlyDumpster area clean/doors closedConsultant reports on fileFollow-up documentation availableYearly hood inspection availableLAUNDRY/HOUSEKEEPING “U” “S” COMMENTSLinen in good repair/adequate amountLinen available on 11-7 shiftSystem to “rag” out linenCheck par level/if linen appears lowSoiled linen handled properly by staff4.15
Clean linen stored properly/coveredResidents’ satisfied with laundry serviceCheck closets for storage/neatnessAppropriate number of workers availableCleaning schedules posted and followedChemicals used and stored correctlyCarts have locked boxes for chemicalsInfection control procedures followedCaution signs used when buffing floorsCheck electric cords in hallwaysWet floor signs clean/used correctlyPersonnel folders complete/accuratePersonal clothing and bibs washed separatelySOCIAL SERVICES “U” “S” COMMENTSProgress notes current/adequate (quarterly)Psycho-social needs are being met (resident interviews)Resident Council active with documentationCheck written responses/minutesInterview Resident Council PresidentActive Family Council (if applicable)Admission packet reviewed and signed by resident4.16
Page 1 and 2: Quality ofCare RoundsUnlike the Moc
Page 4 and 5: RR SS PE IC EP F-Tag Observations S
Page 12 and 13: Exit lightsRESIDENT ROOMS “U”
Page 14 and 15: OTHER AREAS “U” “S” COMMENT
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:
Figure A.7Survey tag assignment (co
Page 68 and 69:
Page 70 and 71:
Page 72:
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QUALITY OF CARE ROUNDS - Nursing Home Help

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