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The second year in my current position we had survey with Feds and
State. The previous year we had 4 deficiencies and when the Feds were with
them we had 25. Go figure.
----- Original Message -----
Sent: Tuesday, November 04, 2003 8:28
PM
Subject: Survey-North Jersey
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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