Are You Prepared for Your Next Survey? These Are Not Your Usual Surveys!

Our Consultants in California have provided the following information regarding recent facility surveys

Surveyors:

  • 6 surveyors, including one trainee and one Pharmacist, x4 days.
  • Surveyors tended to be younger and more skilled at accessing PCC information.

Here are the highlights: 

ADVANCE CARE PLANNING   

  • Did you educate resident/resident representative re: formulating an advanced directive? 
  • Where did you document this?

ROOM CHANGE

  • Was follow-up visit done to check on
    rt adjustment? 
  • Where is this documented?

SURVEY RESULTS & OMBUDSMAN INFORMATION  

  • Where is info posted?
  • Are residents aware of where it is
    posted?

ALL RESIDENTS WERE INTERVIEWED AND WERE ASKED

  • How are they treating you? 
  • Do they follow-up on your
    requests? 
  • How is the food? etc.

DISCHARGE DOCUMENTATION

  • Discharge documentation was
    reviewed. 
  • Where is your D/C documentation
    recorded?

CONSULTANT

  • Do you have a Social Work Consultant? 
  • How often does she/he come?
  • How many hours does Consultant
    provide?
  • Licenses were checked

PHARMACIST SURVEYOR

  • Reviewed medication pass, including psychiatric meds
  • Behavior manifestations needed to be specific and observable. For example, resident on Ativan for anxiety m/b inability to relax VS. Rt on Ativan for anxiety m/b pacing hallways/picking at skin/verbalizing fear that he will not be able to return home.
  • Care Plan needs a numerical goal eg., Resident will not cry more than
    2 times a week in the next 90 days
  • GDRs were also reviewed.
  • Discontinuing psychiatric medications documentation was also reviewed  

These issues were all addressed in one survey and reported by
several facilities

September 17, 2019

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