QUALITY OF CARE ROUNDS - Nursing Home Help

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Pumps/poles and equipment cleanWEIGHT VARIANCE “U” “S” COMMENTSWeight variance being addressedActive “Nutrition at Risk” committee/weeklyWeight loss/gain addressed on care planCurrent height/weight recorded on chartRD recommends interventions as neededNotification of MD & Family per policy/timelyMEDI<strong>CARE</strong> “U” “S” COMMENTSNurses notes address need for skilled careNotes are written dailyCertifications are current and signedStaffing meets needs of residents (2:1 ratio)Procedure in place to review stay/coverageTherapy notified of orders promptlyTherapy notes current and on chartMedicare sign-in sheets being usedAssignments reflect certified rooms for sign-in sheetsINFECTION CONTROL “U” “S” COMMENTSPolicy and Procedures current & reviewed annuallySurveillance log current and updated on an ongoing basisduring the month4.21
Clusters identified and appropriate measures takenMonthly stats of nosocomial infection rateProtocol in place for MRSA residentsAbnormal cultures addressed timelyLABORATORY SERVICES “U” “S” COMMENTSPolicy and procedures current/reviewedLab waiver on file for simple tests – CLIABlood Glucose log in place and usedLab protocol adequate for facilityCurrent lab on chartAbnormal labs addressed promptlyMEDICATIONS “U” “S” COMMENTSMedication pass audit conducted on 10% of residents with less than5% error rateMedications have reasonPsychoactive flow records used/accuratePharmacy consultant reviews flow sheetsConsultant reports reviewed and addressedMed carts clean, in good repair and lockedApplesauce is in covered container, datedWater pitcher is clean, coveredMedication rooms neat, orderly, locked4.22
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 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 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 72:
Figure A.7Survey tag assignment (co
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QUALITY OF CARE ROUNDS - Nursing Home Help

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