QUALITY OF CARE ROUNDS - Nursing Home Help

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Figure A.7Survey tag assignment (cont.)Tag descriptionDepartmentalresponsibilityTeammember nameCommentsF 172-177 Access and visitation• Immediate access• Ombudsman system• Telephone• Personal property• Self administration of drugs• Refusal of transfer• Admission/transfer/dischargeF 201-208 Transfer and discharge• Notification of family/physician• Documentation• Advance notice• Bed hold• Equal access to care• Medicare/Medicaid rightsF 221-222 Restraints• Physical restraints• Chemical restraints• Use for discipline or convenienceF 223 Abuse• Free from physical, sexual, verbal, andmental abuse• Free from corporal punishment• Free from involuntary seclusionF 224-226 Staff treatment of resident• Mistreatment, neglect, or misappropriationof property• Facility’s implementation and developmentof policies and procedures• Employment of those convicted of abuse,neglect, and mistreatmentF 240-241 Quality of life and dignity• Dress and groom according to wishes• Activities of resident’s choosing• Respect privacy and individuality• Promote independence in dining4.63
Figure A.7Survey tag assignment (cont.)Tag descriptionDepartmentalresponsibilityTeammember nameCommentsF 242 Self-determination and participation• Activities, schedule, and healthcareconsistent with resident’s wishes• Interact with the community• Make significant decisionsF 243-245 Participation in resident and familygroups and other activities• Resident’s right to organize and participate• Family’s right to private meetings• Staff member provided• Participation in social, religious, other activitiesF 246-247 Accommodation of needs• Spaces large enough to meet needs• Functional bed and furniture• Notification of roommate changeF 248-249 Activities• Room-bound residents provided with activities• Qualified activities directorF 250-251 Social services• Medically related social services• Qualified social workerF 252-258 Personal property and environment• Retain and use personal property• <strong>Home</strong>-like environment• Housekeeping and cleanliness• Closet space• Lighting• Comfortable temperature and sound levelF 271 Admission orders• Physician orders for immediate careF 272-275 Resident assessment• Initial and periodic assessments• Use of RAIF 276-286 Quality review assessment• State’s quarterly review requirements• Maintain active record4.64
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Quality ofCare RoundsUnlike the Moc
Page 4 and 5:
RR SS PE IC EP F-Tag Observations S
Page 6 and 7:
Page 8 and 9:
Page 10 and 11:
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 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 66 and 67: Figure A.7Survey tag assignment (co
Page 72: Figure A.7Survey tag assignment (co
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