You are the consultant for a long-term care facility that recently

You are the consultant for a long-term care facility that recently has undergone a long-term care survey in which the facility received several deficiency notations for noncompliance with federal requirements. The most significant deficiency involved a noted pattern (7 of 10 examples reviewed in the surveyor sample) in which comprehensive assessments (MDSs) were not completed within the required timeframe (within 14 days of admission). In addition, the surveyors identified that no documentation supported the use of triggered care areas in the assessment and care-planning process. This resulted in related quality-of-care deficiencies for failure to adequately assess and manage urinary incontinence and psychosocial needs. In three additional examples, the surveyors identified that residents had experienced a significant change in condition without evidence of a new assessment being done. Within the statement of deficiencies, the surveyors noted that the director of nursing stated that she was unaware that assessments had not been done. And the nursing staff members stated that they did not under-stand what the care area triggers were, and that they were unaware of the federal criteria for determining when a significant change had occurred. The administrator of this facility has asked you to help develop a plan to correct these deficiencies. Here are the questions:

1. What would be your recommendations for overall system evaluation and revision?

2. What would be your recommendations for staff education?

3. How could the facility medical records designee be utilized to prevent similar problems from occurring in the future?

21 hours ago

23.0

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You’re a consultant for a long-term care institution that recently received many defect notations for noncompliance with federal requirements during a long-term care survey. The most serious flaw was a pattern in which thorough assessments (MDSs) were not completed within the required timeframe (7 of 10 occurrences assessed in the surveyor sample) (within 14 days of admission). Furthermore, the surveyors discovered that there was no documentation supporting the usage of triggered care spaces in the evaluation and planning process. Failure to appropriately identify and manage urine incontinence and psychosocial requirements resulted in related quality-of-care issues. Residents in three other cases had experienced a considerable change in condition without proof of a new assessment, according to the surveyors.