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If these are the only deficiencies you received from a federal survey, you are very fortunate and run a great facility. Don’t fell down. The feds RARELY give a deficiency free survey. Just remember, you’re doing a great job.
Brenda W. Chance, RN, RAC-C MDS Coordinator
CONFIDENTIALITY
NOTICE: This e-mail message, including any attachments, -----Original Message-----
We had our survey from 10/29/03. Exit 11/3/03. This is first time that we have State and Federal at the same time . It's nerve racking. For the last 12 years of working in this facility, we have been deficiency free, this time its a big blow to us. They gave us a deficiency for minor things . 1) Residents Rights bec. they dont have access to private telephone. This particular resident doesnt have a telephone of her own and uses the phone in the nurses station. She has been doing this for years without a problem. No family to provide her a phone. 2) Physical Restraint. We dont have resident on Physical restraint. This particular resident hx. of frequent falls. slides in the wheelchair and OT suggest to use recliner without a table, position with pillow on both sides as she leans to either side and they say tthe resident cannot move so its a restraint. There are 2 more about Quality of care and prevention of falls but its getting long. Anyway they did not find anything on MDS assessment but they look so hard esp. annual assessment with RAPS. They read on RAP notes. In RAP Summary where they see the date and location of documentation, they really look if the date has a corresponding documentation. She mention 1 resident that does not have enough documentation. annual assess with no change but how much more time you put on 1 MDS full assess. and you know that its a never ending job. Everyone in our facility felt so down. Just sharing with you. Thanks for taking the time to read.You are my support group.
Faye |
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