Is information posted about Medicare, Medicaid and contacting advocacy agencies posted?
What is F156 Notification of Rights and Services
100
Is correct posture and comfortable positioning and assistance provided to residents who need assistance?
What is F246 Accommodation of Needs
100
This quality of care tag : Are appropriate treatment/services to maintain/improve abilities?
What is F311
100
Is there emergency power?
What is F455 Emergency Power/Space, Equipment
100
This is Task 1 of the Traditional Survey Process
What is Off Site Survey Preparation
200
Are survey results readily available and accessible to residents? Are the survey results or a notice concerning survey results posted?
What is F167-Right to Examine Survey Results
200
Is the facility free of objectionable odors? Are resident areas well ventilated? Are non-smoking areas smoke free?
What is F252 Environment safe, clean and homelike
200
Is comfortable positioning and assistance being provided to residents who need assistance?
What is F318 Services to increase ROM and/or prevent further decrease.
200
Is essential equipment safe and effective operating condition? i.e. boiler room equipment, unit refrigerators, medication room equipment, therapy room?
What is F456
200
This is Task II of the Traditional Survey Process?
What is Entrance Conference/On-site preparatory activities
300
PHYSICAL ENVIRONMENT
Do corridors have handrails properly affixed to the walls, intact and free of splinters?
What is F468 Corridors equipped with firmly secured handrails.
300
How clean is the environment, walls floors, drapes and furniture?
What is F252 Environment-Safe, clean and homelike.
300
Are housekeeping / hazards, compounds and other chemicals stored to prevent resident access?
What is F323 Accidents & Supervision
300
Is there a functioning call system?
What is F463 Resident call system
300
This is Task III of the Traditional Survey Process
What is Initial Tour
400
This HCFA form is used to document General Observations of the Facility.
What is HCFA-803.
400
Are water temperatures safe and comfortable at this range?
What is 95F-115
400
Is waste properly maintained (no breaks) cans, dumpsters and or compactors with covers?
What is Dietary Services F 372 Garbage/Refuse Disposl
400
Do space and furnishings in dining and activity areas appear to be sufficient to accommodate all activities?
What is F464 Dining and Resident Activities
400
This is Task IV of the Traditional Survey Process
What is Sample Selection.
500
The tour of the facility/environment is the responsibility of whom?
What is team.
500
Is the residents equipment in common area sanitary, orderly and in good repair?
What is F253 Housekeeping and maintenance services.
500
Is the facility free of rodents, flies, ants, roaches, mosquito?
What is F469 Pest Control
500
Ask 2 staff and a charge nurse (from different shifts) to describe what to do in an emergency? Be specific:
power failure
tornado
flooding
fire
What is F518 Employees trained in emergency procedures.
500
This is Task 5A of the Traditional Survey Process?