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The following federal regulation revisions and F numbers apply to surveys started on or after November 28, 2017.
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1. |
The facility
conducts, initially and periodically, a comprehensive, accurate, standardized
reproducible assessment of each resident’s functional capacity from direct
observation and communication with the resident and direct care staff. (42CFR 483.20(b)(1)(2)(i)(iii) F 636 )
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2. |
The facility provides
a prompt assessment after residents experience a significant change in
physical or mental condition. (42CFR 483.20(b)(2)(ii) F 637 )
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3. |
A facility must maintain all
resident assessments completed within the previous 15 months in the
resident’s active record and use the results of the assessments to develop,
review and revise the resident’s comprehensive care plan. (42CFR 483.20(d) F 639 )
and/or;
The facility develops and implements comprehensive person-centered care plans for
each resident that include measurable objectives and time frames to meet each
resident's medical, nursing and mental and psychosocial needs which describe
services to be furnished to attain or maintain residents highest practical
well-being and assess resident or resident representative goals for desired
outcomes. (42CFR 483.21(b)(1) F 656 )
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4. |
The facility
ensures that each resident receives and the facility provides the necessary
care and services to attain or maintain the highest practicable physical,
mental and psychosocial well-being in accordance with the comprehensive
assessment and plan of care. (42CFR 483.24 F 675)
and/or;
The facility ensures that residents receive treatment and care in accordance with
professional standards of practice, the comprehensive person-centered care
plan, and the residents’ choices (42CFR 483.25 F 684)
and/or;
The facility ensures that pain management is provided to residents who require
such services, consistent with professional standards of practice, the
comprehensive person-centered care plan, and the residents’ goals and
preferences. (42CFR 483.25(k) F 697)
and/or;
The facility ensures that residents who require dialysis receive such services,
consistent with professional standards of practice, the comprehensive
person-centered care plan, and the residents’ goals and preferences. (42CFR 483.25(l) F 698)
and/or;
Resident who displays or are diagnosed with dementia, receive the appropriate
treatment and services to attain or maintain his or her highest practicable
physical, mental, and psychosocial well-being. (42CFR 483.40(b)(3) F 744)
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5. |
The facility
provides the appropriate treatment and services to ensure residents’
abilities in activities of daily living do not diminish unless circumstances
of the individual's clinical condition demonstrate that diminution was
unavoidable. (42CFR 483.24(a)(1)(b)(1)-(5)(i)-(iii) F 676 )
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6. |
The facility
ensures residents receive care to prevent pressure ulcers unless resident's
clinical condition demonstrates that they were unavoidable and residents with
pressure ulcers receive treatment and services to promote healing, prevent
infection and prevent new ulcers from developing. (42CFR 483.25(b)(1)(i)(ii) F 686 )
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7. |
The facility ensures that; residents who enter the facility without limited range of
motion do not experience reduction in range of motion unless the resident’s
clinical condition demonstrates that a reduction in range of motion is
unavoidable; residents with limited range of motion receive appropriate
treatment and services to increase range of motion and/or to prevent further
decrease in range of motion; residents with limited mobility receive
appropriate services, equipment, and assistance to maintain or improve
mobility with the maximum practicable independence unless a reduction in
mobility is demonstrably unavoidable. (42CFR 483.25(c)(1)-(3) F688)
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8. |
The facility ensures that residents continent of bladder and bowel on admission receive
services and assistance to maintain continence unless his or her clinical
condition is or becomes such that continence is not possible to maintain. The
facility ensures residents incontinent of bladder receive appropriate
treatment and services to prevent urinary tract infections and to restore as
much normal bladder function as possible, specifically not catheterizing
residents incontinent of urine who enter the
facility without an indwelling catheter and assessing residents who enter
with an indwelling catheter for removal of the catheter as soon as
possible. (42CFR 483.25(e)(1)-(3)) F 690 )
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9. |
Resident maintain acceptable parameters of nutritional status, such as usual body
weight or desirable body weight range and electrolyte balance, unless a
resident’s clinical condition demonstrates that this is not possible or resident
preferences indicate otherwise and are offered sufficient fluid intake to
maintain proper hydration and health and a therapeutic diet when there is a
nutritional problem and the health care provider orders a therapeutic diet (42CFR 483.25(g)(1)-(3) F692)
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10. |
The facility ensures that its medication error rates are not 5 percent or greater. (42CFR
483.45(f)(1) F 759 )
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The following federal regulation revisions and F numbers apply to previous surveys before November 28, 2017.
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1. |
The facility conducts initially and
periodically a comprehensive, accurate, standardized reproducible
assessment of each resident's functional capacity. (42CFR 483.20(b)(1) F 272 )
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2. |
The facility provides a
comprehensive assessment of a resident within 14 days of a significant
change in the resident’s physical or mental condition. (42CFR 483.20(b) (2)
(ii) F 274 )
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3. |
The facility develops, reviews
and revises comprehensive care plans for each resident based on resident assessments
that include measurable objectives and timetables to meet each resident's
medical, nursing, mental and psychosocial needs and describe services that
are to be furnished to attain and maintain the resident’s highest practical
physical, mental and psychosocial well-being.
(42CFR 483.20(d), 483.20(k)(1) F 279 )
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4. |
The facility ensures that each
resident receives and the facility provides the necessary care and services
to attain or maintain the highest practicable physical, mental and
psychosocial well-being in accordance with the comprehensive assessment and
plan of care. (42CFR 483.25 F 309 )
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5. |
The facility ensures resident
abilities in activities of daily living do not diminish unless
circumstances of the individual's clinical condition demonstrate that
diminution was unavoidable. (42CFR 483.25(c) F 310 )
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6. |
The facility ensures residents receive
care to prevent pressure ulcers unless resident's clinical condition
demonstrates that they were unavoidable and residents with pressure ulcers
receive treatment and services to promote healing, prevent infection and
prevent new ulcers from developing. (42CFR 483.25(c) F 314 )
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7. |
The facility ensures residents
incontinent of bladder receive appropriate treatment and service to prevent
urinary tract infections and to restore as much normal bladder function as possible.
(42CFR 483.25(d) (2) F 316 )
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8. |
The facility ensures residents
with limited range of motion receives appropriate treatment and services to
increase range of motion and/or to prevent further decrease in range of
motion. (42CFR 483.25(e) (2) F 318 )
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9. |
The facility ensures each
resident maintains acceptable parameters of nutritional status, such as
body weight and protein levels, unless the resident's clinical condition demonstrates
that this is not possible, and receives a therapeutic diet when there is a
nutritional problem. (42CFR 483.25(i) F 325 )
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10. |
The facility provides each
resident with sufficient fluid intake to maintain proper hydration and health.
(42CFR 483.25 (j) F 327 )
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11. |
The facility is free of significant medication errors.
(42CFR 483.25(m)(1) F 332 )
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