Long-Term Care Survey Alert
IMMEDIATE JEOPARDY CITATIONS: 2 Scenarios Can Land You With An IJ Tag When Using Paid Feeding Assistants
PDF
Forewarned means you can be on guard to prevent problems. • A paid feeding assistant is assisting a resident who is NOT eligible to receive the services due to complicated feeding problems whether or not the resident has experienced negative outcomes.
Paid feeding assistants can help improve residents' nutrition and quality of life. But beware these two types of situations that the Centers for Medicare & Medicaid Services says surveyors might consider to be immediate jeopardy:
• A paid feeding assistant is improperly assisting a resident who meets the criteria for the program (that is, he doesn't have swallowing issues or other complicated feeding problems). The resident chokes. And the facility has no call system readily available ...quot; and/or the supervising nurse was not available to assist, and the resident dies.
Lessons learned: Make sure feeding assistants know how to quickly summon the supervising licensed nurse when they are helping residents with snacks or meals. And document your assessments to show residents meet the criteria for the program. Also identify residents in real time who no longer meet that criteria (e.g., they have a choking episode or a change in needs requiring more expert assistance with eating).
Long-Term Care Survey Alert
- MEDICATION MANAGEMENT:
Don't Let Your Med Pass Be A Pathway To F Tags
Inject these 4 safety measures into this vital care task.
Med pass has become much harder [...] - Survey Management Tipster:
Mismanagement Of Narcotics Can Create A Survey Headache
Is your facility consistently performing these 2 quality checks?
Adequate oversight of narcotic medications can help [...] - CLINICAL CARE:
Acronym For Topical Wound Therapy Spells Out Rx Essentials
Follow this reminder for a best-practice wound-care program.
"DIWAMOPI" isn't an acronym you can readily commit [...] - ENVIRONMENTAL SAFETY:
Make That Accident Waiting To Happen Go Away
This approach closes common gaps in a facility's safety approach.
"What wasn't I thinking?" is often [...] - ABUSE REPORTING:
To Report Or Not To Report A Resident Injury That Occurred During A Family Outing
Wonder if you're falling short on or overstepping your reporting obligation?
A non-verbal resident with severe [...] - MDS CODING CORNER:
Know Where, How To Code A Skin Tear On The MDS
Are you documenting this critical difference?
Frail elders can easily suffer a skin tear. In order [...] - SPECIAL FOCUS:
SURVEY GUIDANCE--Feed Residents, Not F Tags--Master New F373 (Paid Feeding Assistants) Requirements
Interpretive guidance paves way for improved nutrition, new survey scrutiny.
Paid feeding assistants can definitely help [...] - SPECIAL FOCUS:
CASE STUDY--Check Out This Facility's Positive Experience With Paid Feeding Assistants
Improve quality of life, tap existing staff as feeding assistants.
What might you expect paid feeding [...] - SPECIAL FOCUS:
SURVEY MANAGEMENT--F373 Isn't The Only F Tag In Store For Non-Compliant Facilities
A problem with your feeding assistant program can mushroom.
Facilities that don't meet survey requirements for [...] - CLIP AND SAVE:
Would Your Med Pass Made The Grade With Surveyors?
This checklist can help you make sure. - CLIP AND SAVE (Continued)
- SURVEY & CLINICAL NEWS
Starting Oct. 1, Medicaid prescriptions are reimbursable by the federal government only if they are [...] - Shore Up Your Fire Safety Compliance
A fire is everyone’s worst nightmare. You want to make sure your facility stays out [...] - Don't Monkey Around:
Let Us Know What You Need From Long-Term Survey Alert
We want you feedback.
For almost a decade, many of you have counted on Long-Term Care [...] - SPECIAL FOCUS:
IMMEDIATE JEOPARDY CITATIONS: 2 Scenarios Can Land You With An IJ Tag When Using Paid Feeding Assistants
Forewarned means you can be on guard to prevent problems.
Paid feeding assistants can help improve [...]