Medications
Scope and
Severity
Appendix PP & LTCSP
Diagnosis
Random
100

Apixaban, Lovenox, Aspirin, Warfarin

What is Anticoagulant.

100

One or a very limited number of residents and/or a very limited number of staff involved

and/or the situation occurred only occasionally or in a very limited number of locations.

What is Isolated.

100

right to a dignified existence, self-determination, and communication with and access 

to persons and services inside and outside the facility.

What are Residents Rights

100

Occurs when chronic kidney disease reaches an advanced state.

What is End Stage Renal Disease (ESRD).

100

Safety First

Excellence in Service

Responsive Action

Continuous Growth

What is Core Principles.

200

Used to treat acute episodes of psychosis and maintain schizophrenia and 

schizoaffective disorders. Also effective for treating symptoms of schizophrenia, such

as hallucinations and delusions.

What is Antipsychotics.

200

J,K, L, H, I and F

What is Substandard Quality of Care.

200

Hospice, Smoking Death

What is mandatory care area

200

A chronic condition in which the heart doesn't pump blood as well as it should, symptoms include

shortness of breath, fatigue, shortness of breath and rapid heartbeat

What is Congestive Heart Failure (CHF).

200

Written instructions, such as living will or durable power of attorney for healthcare, 

recognized under state law relating to healthcare provisions when the 

individual is incapacitated.

What is Advance Directives. 

300

Fluoxetine, Escitalopram, Mirtazapine, Duloxetine

What is Antidepressants.

300

More than a limited number of residents affected, and/or more than a limited number of staff 

involved, and/or the situation occurred in several locations and/or the same resident(s) 

have been affected by repeated occurrences of the same practice.

What is Pattern.

300

the individual’s action was deliberate (not inadvertent or accidental), regardless of 

whether the individual intended to inflict injury or harm.

What is "Willful" action.

300

A condition that happens because of a problem in the way the body regulates and uses sugar as a fuel.

What is Type 2 Diabetes.

300

Personal Funds, Environment, Resident Assessment

What is Triggered Facility Tasks.

400

30cc x resident's body weight in kilograms

What is Fluid Needs.

400

Situation was pervasive throughout the facility or represented a systemic failure

that affected or had the potential to affect a large portion or all of the facility's residents.

What is Widespread.

400

Failure to meet one or more federal health, safety, and/or quality regulations.

What is Noncompliance.

400

Impaired speech, restricted physical abilities, weakness or paralysis of limbs on one side of 

the body, incontinence,  difficulty gripping or holding things and a slowed ability to communicate.

What is Cerebrovascular Accident (CVA) or commonly referred to as "Stroke".

400

The highest level of functioning and well-being possible, limited by the individual's

presenting functional status and potential for improvement or reduced rate of 

functional decline.

What is "Highest Practicable."

500

Occurs in two separate quarters with at least one month in between within the 

first year a resident is admitted or put on the medication and annually after the

first year the resident has been on the medication.

What is Gradual Dose Reduction (GDR).

500

The resident’s care plan was not revised following a significant change assessment which identified 

an occurrence of resident-to resident sexual abuse, placing the abused resident and other residents 

at risk for serious injury, impairment or death.

What is Immediate Jeopardy.

500

occurs when noncompliance has occurred in the past, but the facility corrects the deficiency and is in substantial compliance at the time of the current survey

What is Past Noncompliance.

500

Alzheimer's, Vascular, Lewy Body, Frontotemporal

What is types of Dementia

500

Diarrhea, vomiting, stomach distention, aspiration, dehydration and 

nasopharyngeal ulcers.


What is complications from nasogastric or gastrostomy feedings.

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