ANNUAL SURVEY PREPARATION. For Year-Long Compliance May 21, 2014 Adam Snyder, RVP, Unidine Jenny Overly, Director of Innovation, Unidine

Size: px
Start display at page:

Download "ANNUAL SURVEY PREPARATION. For Year-Long Compliance May 21, 2014 Adam Snyder, RVP, Unidine Jenny Overly, Director of Innovation, Unidine"

Transcription

1 ANNUAL SURVEY PREPARATION For Year-Long Compliance May 21, 2014 Adam Snyder, RVP, Unidine Jenny Overly, Director of Innovation, Unidine

2 Objectives: Identify key components of federal & state regulations specific to dining services; Evaluate own operation for areas of potential citation during the annual survey process; Compare examples of survey results to regulations;

3 Federal Tags: Dining Services F325 Nutrition F360 Dietary Services F Staffing F363 Menu & Nut l Adequacy F364 Food F365 Modified Menu F366 Substitutes F367 Therapeutic Menu F368 Frequency of Meals F369 Assistive Devices F371 Sanitary Conditions

4 Federal Tags Impacted by Dining Quality of Care F314 Pressure Sores F322 Feeding Tubes F329 Unnecessary Drugs Quality of Life F246 Accommodation of needs F252 Environment F253 Housekeeping & Maintenance Resident Assessment F272 Comprehensive Assessment F279 Comprehensive Plan of Care Administration F492 Compliance with Laws F495 Competency F516 Confidentiality F517 Emergency & Disaster Plan

5 Top 10 Most Common Citations 1.F309: Provide necessary care for highest practicable well-being; 2.F371: Store/prepare/distribute food under sanitary conditions; 3.F281: Services provided meet professional standards; 4.F324: Supervision/devices to prevent accidents; 5.F323: Facility is free of accident hazards; 6. F253: Housekeeping and Maintenance Services; 7. F279: Develop comprehensive care plans; 8. F314: Proper treatment to prevent/heal pressure sores; 9. F514: Clinical records meet professional standards; 10. F225: Not employ persons guilty of abuse

6 Michigan Tags: Dietary Services Michigan Survey Regulations are part of the annual survey process during the even year The survey process essentially remains the same except a few key items will be reviewed to qualify for State Re- Certification If deficiencies are identified in a state regulation, the federal regulation can be cited as well State regulations do not supersede the federal, only make the federal regulation more definitive

7 Michigan Tags: Dietary Services Qualifications of Dietary Supervisor Policies and Procedures Nutritional Needs of Patients Menus: Posting & Filing Meal Census & Food Record

8 Surveyor Routine Kitchen Visits Upon entering the building, a surveyor reports directly to the kitchen First Impressions Count! Initial walk-through often brief Follow-up Visits: Check Food Temperatures Test Tray Check Dish Machine and Monitoring Reminders Surveyors collect information through: Observation Record Review Resident & Staff Interview Don t neglect off-shift times, surveyor may start at times other than usual business hours

9 Resident Interview Surveyors conduct resident interviews either one-on-one or during resident council: Is the flavor and appearance of your food satisfactory? Do you receive food here you like to eat? If you ever refused a particular food, did the center provide you with something else? Is the temperature of your hot and cold foods appropriate? About what time do you receive your meals? Are the meals generally on time or late? What are you offered for a bedtime snack? If you ever shared your concerns about the food with staff, how did they respond?

10 Typically Requested Items Meal Times Resident Menu Specific past dates Current week s menu Number of residents ordered mechanically altered diet Number of residents with significant weight loss

11 Year-Long Survey Preparation Prepare, prepare, prepare. Monthly Planner Monthly Audits Food Service & Clinical Resident Interviews Dining Room & Operational Observations Survey-Ready Binder Survey Preparation Checklist Federal State

12 Year-Long Survey Preparation Create a Monthly Planner Completion of Quality Monitoring Test Trays & Tray Accuracy Diet Accuracy Audit Routine Staff In-Servicing Observe the Dining Room & Kitchen through the eyes of a surveyor CMS Forms Resident Interview Culinary Council Meal Rounds

13 Create a Monthly Planner Incorporate Surveyor Forms Surveyor Observation Forms Developed by: Department of Health and Human Services Centers for Medicare & Medicaid Services Dining Observations Kitchen & Food Service Observation Critical Elements for Nutrition, Hydration, and Tube Feeding Status Critical Elements for Pressure Ulcers

14 Year-Long Survey Preparation Survey-Readiness Binder Menus: Week at Glance for Regular, Mechanical, & Therapeutic Diets Signed by Registered Dietitian Meal Times for all Dining Locations Emergency Plans: Water Agreement Letter Emergency Water Supply P&P Emergency Menu

15 Year-Long Survey Preparation Survey-Readiness Binder Certifications: RD CDM ServSafe, etc Nutrition: Nutrition at Risk P&P High Risk Lists: Significant weight loss x 30 days, Tube Feeding, Dialysis, & Wounds Weight Monitoring P&P Unit Pantry & Resident Refrigerator Responsibility Community Policy and Procedure

16 Year-Long Survey Preparation Survey-Readiness Binder Work Orders Submitted to Community Maintenance and Outside Vendors Current Cleaning Schedule Thermometer Calibration Annual Survey Results Adaptive Equipment List

17 Year-Long Survey Preparation Survey-Readiness Binder Food Allergies Departmental In-Service Schedule Past 6 Months of. Pest Control Service Hood Cleaning Verification Chemical Partner (Eco Lab) Audit Copy of Signature Page of Approved Diet Manual

18 Year-Long Survey Preparation Survey Preparation Checklist Incorporate a checklist for all pertaining federal and state regulations Complete checklist & identify areas of concern Create a plan of action Re-evaluate readiness

19 Survey Preparation Checklist F325 Nutrition Assessment Nutrition at Risk Policy & Procedure * Meeting sign-in sheets Meeting notes for past 3 months Weight Policy & Procedure Who is responsible for weighing Timeframe to obtain admit & monthly wts Process to identify re-weights Who is responsible to calibrate scales When are scales calibrated Scale calibration documentation *Survey Ready Binder Item

20 Survey Preparation Checklist F325 Nutrition Assessment Residents at High Nutritional Risk List of residents with significant weight change past 30 days * Documentation standards for High Risk List of residents ordered sliding scale insulin Estimated needs re-estimated with declines and/or resolution of risk issues Communication of issues with RD for timely documentation *Survey Ready Binder Item once window opens

21 Survey Preparation Checklist F361 & 362 and MI 801 & 802 Staffing Federal Checklist Credentials * Call-in Procedure * Master Schedule & Position Description * In-Service Records for past year * Michigan Checklist Credentials * Certified Dietary Manager In-Service Records for past year * *Survey Ready Binder Item

22 Survey Preparation Checklist F363 and MI 804 Menu Federal Checklist Approved Menu * Substitution Log Recipes 100% for all items served Michigan Checklist Menu Posting Menu as Served Nutritional Adequacy *Survey Ready Binder Item

23 Survey Preparation Checklist F363 & F367 Menu & Therapeutic Diets Diet Manual Signed Face Sheet * Nutritional Adequacy P&P * when window opens List of Residents Ordered Pureed Diet * Test Trays & Tray Accuracy Audits *Survey Ready Binder Item

24 Survey Preparation Checklist F363 & F367 and MI 803 Menu & Therapeutic Diets Federal Checklist Diet Order Policy & Procedure * Community Specific Diet Guide Diet Order Accuracy Processing of diets Michigan Checklist Complete Diet Order Includes all supplements, portion changes, enriched, etc. *Survey Ready Binder Item

25 Survey Preparation Checklist F368 & F369 Frequency of Meals & Adaptive Equipment HS Snack Community-wide Policy & Procedure * Meal Times * Adaptive Equipment when window opens Updated List * Tray Accuracy *Survey Ready Binder Item

26 Survey Preparation Checklist F371 Sanitation Temperatures (Logs x 3 months) Dish Machine Temperatures Pot & Pan Sanitation Log Refrigerator & Freezer Storage Temp Logs Tray Line / Satellite Serving Area Logs Calibration of Thermometers Re-Heating Food Cooling Log *Survey Ready Binder Item

27 Survey Preparation Checklist F371 Sanitation Date Marking Policy & Procedure * Included in In-Service Schedule Routine Monitoring Within and outside of Dining Service Operation Daily Routine of Staff Kitchen Walk-Through Air Gap Storage Under Sinks *Survey Ready Binder Item

28 Survey Preparation Checklist MI 805: Meals & Food Usage A meal census, to include patients, personnel, and guests, for the preceding 3 months shall be kept on file in the home A record of the kind and amount of food used for the preceding 3 months shall be kept on file in the home

29 Survey Preparation Checklist MI 806: Food Acceptance Record The food acceptance of a patient shall be recorded as follows: For a period of 14 days immediately following admission. For a period of 14 days immediately following initiation of a change in diet, unless otherwise ordered by a physician. Under any other circumstances, such as abnormal weight loss, for a period ordered by a physician. Food acceptance records shall be retained in the facility.

30 Miscellaneous Items Staff questioned regarding: Resident Abuse What do you do when you witness resident abuse? What do you do if you suspect resident abuse? Who do you report incidence of abuse to? What is a catastrophic reaction? What to do in the event of a fire? Surveyor request for background checks on Dining Service managers

31 Questions?

COMPETENCIES FOR FOOD AND NUTRITION SERVICES EMPLOYEES

COMPETENCIES FOR FOOD AND NUTRITION SERVICES EMPLOYEES COMPETENCIES FOR FOOD AND NUTRITION SERVICES EMPLOYEES The following checklists are intended to verify that individual employees have met the competencies and skill sets listed to carry out the functions

More information

Nutrition F-Tags & Survey. Objectives. Who needs to know 8/22/2016

Nutrition F-Tags & Survey. Objectives. Who needs to know 8/22/2016 Nutrition F-Tags & Survey Elaine Farley-Zoucha, RD, LMNT Objectives Identify 3 ways nutrition is involved in resident care. Demonstrate a basic knowledge of nutrition related F-Tags and how they affect

More information

Food & Nutrition Services

Food & Nutrition Services Food & Nutrition Services ( 483.60) Presenter: Joan Haskins Summary CMS focus of the food and nutrition services revisions was on the inclusion of person centered care practices that foster choices in

More information

2014 Interpretive Guidelines for 2013 Review Nutrition programs (C1, C2 & NSIP meals)

2014 Interpretive Guidelines for 2013 Review Nutrition programs (C1, C2 & NSIP meals) 2014 Interpretive Guidelines for 2013 Review Nutrition programs (C1, C2 & NSIP meals) COMPLIANCE REQUIREMENT INTERPRETIVE GUIDELINES VERIFICATION ACTIVITIES NUTRITION-Menu Development Menus may be designed/developed

More information

IOWA. Downloaded January 2011

IOWA. Downloaded January 2011 IOWA Downloaded January 2011 481 58.24(135C) Dietary. 58.24(1) Organization of dietetic service department. The facility shall meet the needs of the residents and provide the services listed in this standard.

More information

Content Edited for Food and Nutrition Services only. F Food and nutrition services

Content Edited for Food and Nutrition Services only. F Food and nutrition services Appendix PP - Regulatory Text Only Content Edited for Food and Nutrition Services only. Ref: S&C 17-07-NH Printed for Training Purpose Only Appendix PP - Full version https://www.cms.gov/regulations-and-guidance/guidance/transmittals/2017downloads/

More information

POSITION DESCRIPTION

POSITION DESCRIPTION State of Michigan Civil Service Commission Capitol Commons Center, P.O. Box 30002 Lansing, MI 48909 Position Code 1. DIETUTE POSITIO DESCRIPTIO This position description serves as the official classification

More information

SOUTH DAKOTA. Downloaded January 2011

SOUTH DAKOTA. Downloaded January 2011 SOUTH DAKOTA Downloaded January 2011 44:04:01:01. Definitions 13) "Dietary manager," a person who is a dietitian, a graduate of an accredited dietetic technician or dietetic manager training program, a

More information

Dietary Services Survey Requirements in Assisted Living

Dietary Services Survey Requirements in Assisted Living Dietary Services Survey Requirements in Assisted Living Presented by: Heidi McCoy, RDN, LD Amy Kotterman RD, LD April 25, 2018 Five Year Rule Review Every five years, the Ohio Department of Health conducts

More information

Based on the comprehensive assessment of a resident, the facility must ensure that:

Based on the comprehensive assessment of a resident, the facility must ensure that: 7. QUALITY OF CARE Each resident must receive, and the facility must provide, the necessary care and services to attain or maintain the highest practicable physical, mental and psychosocial wellbeing,

More information

(2) Must, if necessary or if requested, assist the resident. (ii) By arranging for transportation to and from the dental services locations;

(2) Must, if necessary or if requested, assist the resident. (ii) By arranging for transportation to and from the dental services locations; 678 (2) Must, if necessary or if requested, assist the resident * * * * * (ii) By arranging for transportation to and from the dental services locations; (3) Must promptly, within 3 days, refer residents

More information

CHECKLIST FOR SURVEY READINESS. Business Office and Personnel. 100% audit until in compliance and then 50% audit every year

CHECKLIST FOR SURVEY READINESS. Business Office and Personnel. 100% audit until in compliance and then 50% audit every year CHECKLIST FOR SURVEY READINESS Business Office and Personnel 100% audit until in compliance and then 50% audit every year Issue Quarterly statements sent as per regulations Surety bond Survey data readily

More information

2/24/2017. Food & Nutrition- Regulations Roundup LEARNING OBJECTIVES. Hospitals-Acute Care & Critical Access (CAH)

2/24/2017. Food & Nutrition- Regulations Roundup LEARNING OBJECTIVES. Hospitals-Acute Care & Critical Access (CAH) Food & Nutrition- Regulations Roundup Elaine Farley-Zoucha RD, LMNT EZ Nutrition Consulting LEARNING OBJECTIVES Learn difference between hospital, assisted living, skilled nursing and nursing home facilities

More information

New Long Term Care Survey Process

New Long Term Care Survey Process New Long Term Care Survey Process Disclaimer The information provided within these slides are current as of May 15,2017. It provides information related to the CMS' intent to implement the survey process

More information

Overview of the New Long-Term Care Survey Process FOR LONG-TERM CARE (LTC) PROVIDERS

Overview of the New Long-Term Care Survey Process FOR LONG-TERM CARE (LTC) PROVIDERS Overview of the New Long-Term Care Survey Process FOR LONG-TERM CARE (LTC) PROVIDERS Navigation To Start the training, please press Function + F5 To advance through each slide use the icon located at the

More information

COOK JOB SUMMARY AND PERFORMANCE CRITERIA (See full job description for physical demands)

COOK JOB SUMMARY AND PERFORMANCE CRITERIA (See full job description for physical demands) COOK JOB SUMMARY AND PERFORMANCE CRITERIA (See full job description for physical demands) Department Assigned: Dietary Supervisor Title: Director of Food Services/Food Service Supervisor Purpose of Your

More information

COLORADO. Downloaded January 2011

COLORADO. Downloaded January 2011 COLORADO Downloaded January 2011 Part 5. RESIDENT CARE 5.6 NUTRITIONAL CARE PLANNING. (b) In the event the facility elects to utilize paid feeding assistants or feeding assistant volunteers pursuant to

More information

Adult Care Food Program Provider of Multiple Sites Long Monitoring Form Review Date: Site: General Information

Adult Care Food Program Provider of Multiple Sites Long Monitoring Form Review Date: Site: General Information Adult Care Food Program Provider of Multiple Sites Long Monitoring Form General Information Contract # Review Date: Is this review: announced unannounced Site Reviewed: Time Arrived: Address: Time Departed:

More information

New Jersey Department of Children and Families Policy Manual. Date: Chapter: A Office of Education Subchapter: 1 Office of Education

New Jersey Department of Children and Families Policy Manual. Date: Chapter: A Office of Education Subchapter: 1 Office of Education New Jersey Department of Children and Families Policy Manual Manual: OOE Office of Education Effective Volume: I Office of Education Date: Chapter: A Office of Education 5-22-2006 Subchapter: 1 Office

More information

Observations: Observe the resident at a minimum of two meals:

Observations: Observe the resident at a minimum of two meals: Use this pathway for a resident who is not maintaining acceptable parameters of nutritional status or is at risk for impaired nutrition to determine if facility practices are in place to identify, evaluate,

More information

CMS NOW 10/23/2017. New CMS Regs Part I Survey Process and Critical Pathways for November Barbara Thomsen CDM CFPP RAC

CMS NOW 10/23/2017. New CMS Regs Part I Survey Process and Critical Pathways for November Barbara Thomsen CDM CFPP RAC CMS NOW New CMS Regs Part I Survey Process and Critical Pathways for November 2017 -Barbara Thomsen CDM CFPP RAC Learning Objectives Attendees will be able to: Understand CMS Goals for the New Survey Process

More information

WESTMINSTER SCHOOL DISTRICT

WESTMINSTER SCHOOL DISTRICT WESTMINSTER SCHOOL DISTRICT TITLE: ASSISTANT DIRECTOR OF NUTRITION SERVICES BASIC FUNCTION: In association with the Director of Nutrition Services, assists in planning, coordinating, and directing a district-wide

More information

Initial Pool Process: Resident Interview

Initial Pool Process: Resident Interview Initial Pool Process: Resident Interview Care Area Probes Response Options Choices Are you able to make choices about your daily life that are important to you? I d like to talk to you about your choices.

More information

APPROVED: Substitutions: Replacing one food item for another food item of equal or greater nutritive values.

APPROVED: Substitutions: Replacing one food item for another food item of equal or greater nutritive values. GEORGIA DEPARTMENT OF JUVENILE JUSTICE Applicability: { } All DJJ Staff {x} Administration { } Community Services {x} Secure Facilities Chapter 9: FOOD Subject: Attachments: A Approved Substitutions List

More information

Job Description / Performance Evaluation

Job Description / Performance Evaluation Job Description / Performance Evaluation Title: Dietary Aide Effective Date: Department: Food and Nutrition Services Job Code: Reports to: Manager of Clinical Nutrition or designee FLSA Status: Signatures

More information

ELDERLY SERVICES PROGRAM (ESP SM )/TITLE III HOME DELIVERED MEALS SERVICE SPECIFICATIONS. EFFECTIVE September 1, 2016 (BCESP) (CCESP) (HCESP) (WCESP)

ELDERLY SERVICES PROGRAM (ESP SM )/TITLE III HOME DELIVERED MEALS SERVICE SPECIFICATIONS. EFFECTIVE September 1, 2016 (BCESP) (CCESP) (HCESP) (WCESP) ELDERLY SERVICES PROGRAM (ESP SM )/TITLE III HOME DELIVERED MEALS SERVICE SPECIFICATIONS EFFECTIVE September 1, 2016 (BCESP) (CCESP) (HCESP) (WCESP) ELDERLY SERVICES PROGRAM HOME DELIVERED MEALS SERVICE

More information

Objectives. Norlite Nursing Center and Rehab Marquette, MI. Applying QAPI Principles: Solutions for Unintended Weight Loss

Objectives. Norlite Nursing Center and Rehab Marquette, MI. Applying QAPI Principles: Solutions for Unintended Weight Loss Applying QAPI Principles: Solutions for Unintended Weight Loss May 17, 2016 3:00 ET/2:00 CT Objectives 1. Identify at least two strategies to help reduce unintended weight loss for residents 2. Apply QAPI

More information

Notes from CMS Final Rule Document Pertinent to Culture Change and Person-directed Care

Notes from CMS Final Rule Document Pertinent to Culture Change and Person-directed Care Notes from CMS Final Rule Document Pertinent to Culture Change and Person-directed Care Page 594 Prepared by Cathy Lieblich, Director of Network Relations, Pioneer Network G. Benefits of Final Rule: This

More information

Center for Quality Aging

Center for Quality Aging Center for Quality Aging Nutritional Issues in Long-Term Care: Research Findings and Practice Implications Sandra F. Simmons, PhD Associate Professor of Medicine, Vanderbilt VA Medical Center, GRECC Goals

More information

ADMINISTRATIVE DIETITIAN

ADMINISTRATIVE DIETITIAN PERSONNEL COMMISSION Class Code: 0537 Salary Range: 42 (M2) ADMINISTRATIVE DIETITIAN JOB SUMMARY Under general direction, plan, coordinate and participate in District menu planning and development of recipes;

More information

PEAK 2.0 SAMPLE ACTION PLAN FOOD ACTION PLAN

PEAK 2.0 SAMPLE ACTION PLAN FOOD ACTION PLAN Facility Name: Example 5 Nursing Home Domain: #1 Resident Choice Core: #1 Food ACTION PLAN Provider Number: Action Plan Contact: Phone number and/or e-mail: WHAT HAS BEEN WORKED ON IN THIS CORE AREA SINCE

More information

FOOD TEMPERATURES. Foods will be maintained at proper temperature to insure food safety.

FOOD TEMPERATURES. Foods will be maintained at proper temperature to insure food safety. FOOD TEMPERATURES Foods will be maintained at proper temperature to insure food safety. 1. The point of service temperature to residents will be within the range of 120-140 degrees based on the resident's

More information

Health Care Dining Service

Health Care Dining Service Health Care Dining Service A Workbook for Employee Training Level I Written by Wayne Toczek Edited,and formatted by Ari Sutton A Product of Innovations Services 102 Parsons St. Norwalk, OH 44857 419-663-9300

More information

PART I HAWAII HEALTH SYSTEMS CORPORATION STATE OF HAWAII Class Specifications for the

PART I HAWAII HEALTH SYSTEMS CORPORATION STATE OF HAWAII Class Specifications for the PART I HAWAII HEALTH SYSTEMS CORPORATION 6.652 STATE OF HAWAII 6.654 6.655 6.656 Class Specifications for the SR-18; SR-20; SR-22; SR-24 BU:13 Series Definition: This series includes all classes, the duties

More information

FORM CMS (2/2013)

FORM CMS (2/2013) Facility Name: Facility ID: Date: Surveyor Name: The purpose of the observation of the meal service is to determine whether this service takes into account: Resident choice/preferences for food items and

More information

Taking Care of Family Being a Partner A Webinar on Culture Change. https://www1.gotomeeting.com/register/

Taking Care of Family Being a Partner A Webinar on Culture Change. https://www1.gotomeeting.com/register/ Taking Care of Family Being a Partner A Webinar on Culture Change Please read below carefully; these are the directions to access the Webinar. This is how you will get information on signing in to the

More information

TO BE RESCINDED Home-delivered meal service.

TO BE RESCINDED Home-delivered meal service. ACTION: Final DATE: 08/22/2016 9:11 AM TO BE RESCINDED 173-39-02.14 Home-delivered meal service. (A) "Home-delivered meal service" means the service that provides up to two meals per day to a consumer

More information

FEEDING ASSISTANT TRAINING WEBINAR SERIES. Vanderbilt Center for Quality Aging & Qsource

FEEDING ASSISTANT TRAINING WEBINAR SERIES. Vanderbilt Center for Quality Aging & Qsource FEEDING ASSISTANT TRAINING WEBINAR SERIES Vanderbilt Center for Quality Aging & Qsource Feeding Assistant Training Series 1. What is the training series? 2. Why should you participate? 3. What are the

More information

NEW LONG TERM CARE SURVEY PROCESS PHASE 2 REQUIREMENTS OF PARTICIPATION AUGUST 23, 2017

NEW LONG TERM CARE SURVEY PROCESS PHASE 2 REQUIREMENTS OF PARTICIPATION AUGUST 23, 2017 NEW LONG TERM CARE SURVEY PROCESS PHASE 2 REQUIREMENTS OF PARTICIPATION AUGUST 23, 2017 Disclaimer: The information contained in this presentation is representative of the current information provided

More information

DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 40 MEDICAID HOME DELIVERED MEALS

DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 40 MEDICAID HOME DELIVERED MEALS DEPARTMENT OF HUMAN SERVICES AGING AND PEOPLE WITH DISABILITIES OREGON ADMINISTRATIVE RULES CHAPTER 411 DIVISION 40 MEDICAID HOME DELIVERED MEALS 411-040-0000 Purpose and Scope (Amended 06/04/2014) (1)

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 47 FED - R0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag FED - R0093 - CONDITIONS FOR COVERAGE Title CONDITIONS FOR COVERAGE Type Condition 403.720 Medicare covers services furnished

More information

Iowa Department of Inspections and Appeals Health Facilities Division Citation

Iowa Department of Inspections and Appeals Health Facilities Division Citation : Survey s: 56.12 481 56.12 (135C) I violation as a result of multiple lesser violations. The director of the department of inspections and appeals may issue a citation for a class I violation when a physical

More information

Florida Department of Agriculture and Consumer Services Division of Food, Nutrition and Wellness NSLP PRE-OPERATIONAL SITE VISIT FORM SCHOOL YEAR

Florida Department of Agriculture and Consumer Services Division of Food, Nutrition and Wellness NSLP PRE-OPERATIONAL SITE VISIT FORM SCHOOL YEAR Florida Department of Agriculture and Consumer Services Division of Food, Nutrition and Wellness ADAM H. PUTNAM COMMISSIONER NSLP PRE-OPERATIONAL SITE VISIT FORM SCHOOL YEAR Date of Site Visit: Program

More information

RHC COMPLIANCE AND REGULATIONS

RHC COMPLIANCE AND REGULATIONS RHC COMPLIANCE AND REGULATIONS ROBIN VELTKAMP HEALTH SERVICES ASSOCIATES OBJECTIVES Participants will gain an understanding of the basic Federal RHC Regulations. Participants will gain an understanding

More information

TRAINING TOPICS BY KEY AREAS

TRAINING TOPICS BY KEY AREAS The Professional Standards Learning Objectives are a resource for school nutrition professionals and trainers. This resource lists training topics in the four Key Areas of Nutrition, Operations, Administration

More information

ADvantage PROGRAM HOME DELIVERED MEALS CONDITIONS OF PROVIDER PARTICIPATION

ADvantage PROGRAM HOME DELIVERED MEALS CONDITIONS OF PROVIDER PARTICIPATION ADvantage PROGRAM HOME DELIVERED MEALS CONDITIONS OF PROVIDER PARTICIPATION AUGUST 2010 PAGE 1 of 9 ADvantage PROGRAM HOME DELIVERED MEALS The following Conditions of Provider Participation are applicable

More information

11/22/2010. Most Cited Deficiencies. Source of Information. Statistics. 2009/2010 Survey Cycle

11/22/2010. Most Cited Deficiencies. Source of Information. Statistics. 2009/2010 Survey Cycle Most Cited Deficiencies 2009/2010 Survey Cycle 1 Source of Information Research information from ADPH website Nursing Home Compare website Interviews with staff 2 Statistics Alabama has 231 nursing homes

More information

Examples of enforcement letters to Adult Family Homes certified to care for people with Developmental Disabilities in Washington State

Examples of enforcement letters to Adult Family Homes certified to care for people with Developmental Disabilities in Washington State Examples of enforcement letters to Adult Family Homes certified to care for people with Developmental Disabilities in Washington State Repeated, uncorrected violations highlighted All information retrieved

More information

Schedule 6 Part II (All Applicants) Schedule 6 Program Information (Regional Office) Contents: Instructions:

Schedule 6 Part II (All Applicants) Schedule 6 Program Information (Regional Office) Contents: Instructions: NEW YORK STATE DEPARTMENT OF HEALTH Adult Care Facility Common Application Schedule 6 Part II (All Applicants) Schedule 6 Program Information (Regional Office) Applicants may submit Schedule 6 at any time,

More information

13 SUPPORT SERVICES OVERVIEW OF SUPPORT SERVICES

13 SUPPORT SERVICES OVERVIEW OF SUPPORT SERVICES 1 13 SUPPORT SERVICES OVERVIEW OF SUPPORT SERVICES The organisation may employ its own personnel to provide support services, such as laundry, housekeeping and catering or support services may be outsourced,

More information

Mateus Enterprises Limited

Mateus Enterprises Limited Mateus Enterprises Limited Introduction This report records the results of a Surveillance Audit of a provider of aged residential care services against the Health and Disability Services Standards (NZS8134.1:2008;

More information

National Regulatory Overview. Lyn Bentley, Vice President Quality & Regulatory Affairs September 19, 2018

National Regulatory Overview. Lyn Bentley, Vice President Quality & Regulatory Affairs September 19, 2018 National Regulatory Overview Lyn Bentley, Vice President Quality & Regulatory Affairs September 19, 2018 Topics The new survey process obe prepared Frequently cited tags onation oregion VII onebraska Compliance

More information

Purpose of Your Job Position

Purpose of Your Job Position Risk Exposure Potential to Blood and/or Body Fluids Essential function ( =NO) Function Requires Repetitive Motion MINIMUM Weight Lifting Requirements Apply to Task Function Requires Prolonged Sitting,

More information

Hospice and End of Life Care and Services Critical Element Pathway

Hospice and End of Life Care and Services Critical Element Pathway Use this pathway for a resident identified as receiving end of life care (e.g., palliative care, comfort care, or terminal care) or receiving hospice care from a Medicare-certified hospice. Review the

More information

IOWA. Downloaded January 2011

IOWA. Downloaded January 2011 IOWA Downloaded January 2011 481 58.4(135C) GENERAL REQUIREMENTS. 58.4(1) The license shall be displayed in a conspicuous place in the facility which is viewed by the public. 58.4(2) The license shall

More information

ALF Core Training Provider Monitoring Tool

ALF Core Training Provider Monitoring Tool This monitoring tool is designed to be used in conjunction with DOEA Form ALFCT-001, June 2009; Rule 58T-1.205, F.A.C.; Section 429.52, F.S.; and Rule 58A-5.0191, F.A.C. ***OBTAIN A LIST OF ALL PRESENT

More information

Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities Proposed Rule

Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities Proposed Rule Medicare and Medicaid Programs; Reform of Requirements for Long-Term Care Facilities Proposed Rule Summary of Major Provisions Summary adapted from Proposed Rule (with AHCA Comments) July 14, 2015 Updates

More information

902 KAR 20:066. Operation and services; adult day health care programs.

902 KAR 20:066. Operation and services; adult day health care programs. 902 KAR 20:066. Operation and services; adult day health care programs. RELATES TO: KRS 216B.010-216B.130, 216B.0441, 216B.0443(1), 216B.990 STATUTORY AUTHORITY: KRS 216B.042, 216B.0441, 216B.0443(1),

More information

Alabama Medicaid Adult Day Health Minimum Standards

Alabama Medicaid Adult Day Health Minimum Standards Alabama Medicaid Adult Day Health Minimum Standards ADH = Adult Day Health E/D = Elderly & Disabled AMA = Alabama Medicaid Agency Local Area Agency on Aging = SARCOA I. Adult Day Health Services: A. Definition:

More information

Report of the unannounced inspection of nutrition and hydration at Mayo University Hospital, Castlebar, Co. Mayo

Report of the unannounced inspection of nutrition and hydration at Mayo University Hospital, Castlebar, Co. Mayo Report of the unannounced inspection of nutrition and hydration at Mayo University Hospital, Castlebar, Co. Mayo Monitoring programme for unannounced inspections undertaken against the National Standards

More information

ENTRANCE CONFERENCE WORKSHEET INFORMATION NEEDED FROM THE FACILITY IMMEDIATELY UPON ENTRANCE

ENTRANCE CONFERENCE WORKSHEET INFORMATION NEEDED FROM THE FACILITY IMMEDIATELY UPON ENTRANCE ENTRANCE CONFERENCE WORKSHEET INFORMATION NEEDED FROM THE FACILITY IMMEDIATELY UPON ENTRANCE 1. Census number 2. Complete matrix for new admissions in the last 30 days who are still residing in the facility.

More information

Survey Protocol for Long Term Care Facilities

Survey Protocol for Long Term Care Facilities Attachment B Survey Protocol for Long Term Care Facilities The provision of home dialysis treatments in a Long Term Care (LTC) facility place an increased burden on the LTC facility staff and may place

More information

Ohio Residential Care Facility Licensure Rule Changes

Ohio Residential Care Facility Licensure Rule Changes Ohio Residential Care Facility Licensure Rule Changes Will begin at 2:00 pm Housekeeping Announcements Problems during the call? Press *0 to be connected to the Operator. Handouts The handouts were attached

More information

A Nutrition and Food Service Audit Manual for Larger Adult Residental Community Care Facilities

A Nutrition and Food Service Audit Manual for Larger Adult Residental Community Care Facilities A Nutrition and Food Service Audit Manual for Larger Adult Residental Community Care Facilities Ministry of Health Services National Library of Canada Cataloguing in Publication Data British Columbia.

More information

STOP THE FOLLOWING SECTIONS WILL BE COMPLETED DURING THE MEETING

STOP THE FOLLOWING SECTIONS WILL BE COMPLETED DURING THE MEETING TIME IN: TIME OUT: SERVICE: 618 RESULT: FUTURE : TRAVEL TIME: EH# SR# PR# SOUTHERN NEVADA HEALTH DISTRICT FOOD SAFETY ASSESSMENT MEETING QUESTIONAIRE: Per SNHD Regulation 2-101.11 Responsibility, The Permit

More information

Culture Change in LTC

Culture Change in LTC Culture Change in LTC Jessica Shyu, M.S., R.D. Corporate Director of Nutrition & Wellness Morrison Senior Living Culture Change? National Movement for the Transformation of Older Adult Services to create

More information

Nursing Services WEIGHTS AND VITAL SIGNS MONITORING AND DOCUMENTATION

Nursing Services WEIGHTS AND VITAL SIGNS MONITORING AND DOCUMENTATION FLORIDA STATE HOSPITAL OPERATING PROCEDURE NO. 152-5.8 STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES CHATTAHOOCHEE, September 5, 2017 Nursing Services WEIGHTS AND VITAL SIGNS MONITORING AND DOCUMENTATION

More information

Goal of Child Nutrition Programs is to serve nutritious and safe food that children will eat within an established budget.

Goal of Child Nutrition Programs is to serve nutritious and safe food that children will eat within an established budget. Goal of Child Nutrition Programs is to serve nutritious and safe food that children will eat within an established budget. To promote food safety, the National School Lunch Act & the Healthy Hunger-Free

More information

Seniorcare Geraldine Incorporated

Seniorcare Geraldine Incorporated Seniorcare Geraldine Incorporated Introduction This report records the results of a Surveillance Audit of a provider of aged residential care services against the Health and Disability Services Standards

More information

AGENCY ON AGING \ AREA 4 PROGRAM SPECIFICATIONS and STANDARDS

AGENCY ON AGING \ AREA 4 PROGRAM SPECIFICATIONS and STANDARDS HOME-DELIVERED MEALS February 10, 2017 AGENCY ON AGING \ AREA 4 INTRODUCTION Home-Delivered Meals (HDM), more commonly referred to as Meals on Wheels, is the flagship program of the Older Americans Act.

More information

CHARLOTTE COUNTY PUBLIC SCHOOLS JOB DESCRIPTION. MANAGER / FOOD SERVICE OPERATIONS Pay Grade M

CHARLOTTE COUNTY PUBLIC SCHOOLS JOB DESCRIPTION. MANAGER / FOOD SERVICE OPERATIONS Pay Grade M CHARLOTTE COUNTY PUBLIC SCHOOLS JOB DESCRIPTION MANAGER / FOOD SERVICE OPERATIONS 76013 Pay Grade M QUALIFICATIONS: 1. Experience: minimum of three (3) years of verified successful school food & nutrition

More information

Planning Worksheet Identifying EW Customized Living Components

Planning Worksheet Identifying EW Customized Living Components Planning Worksheet Identifying EW Customized Living Components This tool is designed to facilitate discussion between EW lead agencies (counties, managed care organizations and/or tribes) and current or

More information

Agency for Health Care Administration

Agency for Health Care Administration Page 1 of 103 ST - R0000 - INITIAL COMMENTS Title INITIAL COMMENTS Type Memo Tag These guidelines are meant solely to provide guidance to surveyors in the survey process. ST - R0001 - LICENSURE PROCEDURE

More information

THE SURVEY PROCESS THE ALF/SCALF SURVEY PROCESS 1/14/2016. Assisted Living Facilities and. Specialty Care Assisted Living Facilities

THE SURVEY PROCESS THE ALF/SCALF SURVEY PROCESS 1/14/2016. Assisted Living Facilities and. Specialty Care Assisted Living Facilities THE SURVEY PROCESS Assisted Living Facilities and Specialty Care Assisted Living Facilities ALMDA Winter Meeting January 30, 2016 Assisted Living is a State only enterprise no federal regulations Two Basic

More information

CAP Most Frequent Deficiencies and How to Avoid Them. March 11, 2015

CAP Most Frequent Deficiencies and How to Avoid Them. March 11, 2015 CAP 2015 Most Frequent Deficiencies and How to Avoid Them Jean Ball MBA,MT(HHS),MLT(ASCP) Inspection Services Team Lead Laboratory Accreditation Program March 11, 2015 Objectives: Participants will be

More information

Job Description Nursery Cook/Caterer (CCA-AB-BN) Grade BI 8 11,928 to 13,214 per annum based on 19 hours per week Length of appointment Permanent

Job Description Nursery Cook/Caterer (CCA-AB-BN) Grade BI 8 11,928 to 13,214 per annum based on 19 hours per week Length of appointment Permanent Job Description Nursery Cook/Caterer (CCA-AB-BN) Department BI Nursery Grade BI 8 Salary range 11,928 to 13,214 per annum based on 19 hours per week Length of appointment Permanent Location Babraham Institute

More information

Assisted Living Facility Resource Manual

Assisted Living Facility Resource Manual Assisted Living Facility Resource Manual August 2015 Assisted Living Facility Resource Manual August 2015 Table of Contents Survey Process... 1 ALF Resident Centered Survey Process... 1 LNS & ECC Monitoring...

More information

Objectives. The New Long Term Care Survey Process 9/5/2018 THE NEW SURVEY PROCESS- LESSONS LEARNED

Objectives. The New Long Term Care Survey Process 9/5/2018 THE NEW SURVEY PROCESS- LESSONS LEARNED Objectives THE NEW SURVEY PROCESS- LESSONS LEARNED Presenter: Shelly Maffia, MSN, MBA, RN, NHA, QCP Director of Regulatory Services Identify significant differences between old and new survey process Describe

More information

A Closer Look at the Revised Nursing Facility Regulations. Quality of Care

A Closer Look at the Revised Nursing Facility Regulations. Quality of Care A Closer Look at the Revised Nursing Facility Regulations Quality of Care Executive Summary The substantive requirements for quality of care are retained in the revised regulations, and the Centers for

More information

Any potential fiscal action will be calculated once the corrective action responses have been received and approved.

Any potential fiscal action will be calculated once the corrective action responses have been received and approved. Administrative Review Summary and Corrective Actions SFA Name: Spring Garden Community Consolidated School District 178 Administrative Review Conducted on: Thursday, March 23, 2017 SFA Contact Name and

More information

JOB DESCRIPTION FOR THE POST OF HOTEL SERVICES ASSISTANT IN HOTEL SERVICES

JOB DESCRIPTION FOR THE POST OF HOTEL SERVICES ASSISTANT IN HOTEL SERVICES JOB DESCRIPTION FOR THE POST OF HOTEL SERVICES ASSISTANT IN HOTEL SERVICES TITLE: AGENDA FOR CHANGE PAY BAND: DIRECTORATE ACCOUNTABLE TO: REPORTS TO: RESPONSIBLE FOR: Hotel Services Assistant (Generic

More information

APPENDIX I HOSPICE INPATIENT FACILITY (HIF)

APPENDIX I HOSPICE INPATIENT FACILITY (HIF) INTRODUCTION APPENDIX I HOSPICE INPATIENT FACILITY (HIF) The principles and standards in all chapters of the Standards of Practice for Hospice Programs apply to hospice care provided in an inpatient facility.

More information

Northeast Alabama Community College

Northeast Alabama Community College Northeast Alabama Community College Post Office Box 159 Rainsville, Alabama 35986-0159 256-638-4418 or 256-228-6001 Fax: 256-228-6861 www.nacc.edu NORTHEAST CAFETERIA SERVICES REQUEST FOR PROPOSAL 1 Northeast

More information

WORKING THROUGH ETHICAL DILEMMAS IN OMBUDSMAN PRACTICE

WORKING THROUGH ETHICAL DILEMMAS IN OMBUDSMAN PRACTICE WORKING THROUGH ETHICAL DILEMMAS IN OMBUDSMAN PRACTICE North Dakota LTCOP Training May 3, 2016 Presented by Sara Hunt, NORC Consultant Learning Goals Know key aspects of ethical decision-making Know how

More information

SAMPLE. Child Care Center Sanitation Inspection Form

SAMPLE. Child Care Center Sanitation Inspection Form Child Care Center Sanitation Inspection Form OAR numbers generally refer to numbers in the Office of Child Care s Rules for the Certification of Child Care Centers REMOVE THIS COVER AND INSERT UNDER EACH

More information

Manis Aged Care Limited

Manis Aged Care Limited Manis Aged Care Limited Introduction This report records the results of a Surveillance Audit of a provider of aged residential care services against the Health and Disability Services Standards (NZS8134.1:2008;

More information

http://www.bls.gov/oco/ocos077.htm Dietitians and Nutritionists Nature of the Work Training, Other Qualifications, and Advancement Employment Job Outlook Projections Data Earnings OES Data Related Occupations

More information

ODA provider certification: home-delivered meals.

ODA provider certification: home-delivered meals. ACTION: Final DATE: 08/22/2016 9:19 AM 173-39-02.14 ODA provider certification: home-delivered meals. (A) Definitions for this rule: (1) "Home-delivered meals" means the service that provides up to two

More information

Illinois. Phone. Web Site Licensure Term

Illinois. Phone. Web Site  Licensure Term Illinois Phone Agency Department of Public Health, Division of Assisted Living (217) 782-2913 Contact Lynda Kovarik (217) 785-9174 E-mail lynda.kovarik@illinois.gov Web Site http://www.dph.illinois.gov/topics-services/health-care-regulation/assisted-living

More information

(a) The licensee shall provide administrative services that include the appointment of a full time, onsite administrator who:

(a) The licensee shall provide administrative services that include the appointment of a full time, onsite administrator who: He P 803.15 Required Services. (a) The licensee shall provide administrative services that include the appointment of a full time, onsite administrator who: (1) Is responsible for the day to day operations

More information

Resident Rights in Nursing Facilities

Resident Rights in Nursing Facilities Your Guide to Resident Rights in Nursing Facilities 1-800-499-0229 1 Table of Contents The Ombudsman Advocate...3 You Take Your Rights with You...4 Federal Regulations Protect You...5 Medical Assessment

More information

Center for Quality Aging

Center for Quality Aging Center for Quality Aging Eat, Drink & Be Merry: Enhancing Meals & Snacks Course 3 Sandra F. Simmons, PhD Associate Professor of Medicine Please mute your phones: *6 Objectives To review a between-meal

More information

New Strategies for Managing Medicare Risk

New Strategies for Managing Medicare Risk New Strategies for Managing Medicare Risk John Sheridan, MHSA, FACHE President, ehealth Data Solutions Keith Knapp, PhD, CFACHCA CEO, Christian Care Communities 1001. Survey and Certification Phase II

More information

POSITION DESCRIPTION

POSITION DESCRIPTION POSITION DESCRIPTION POSITION TITLE: REPORTS TO: FOOD SERVICE WORKER CHIEF COOK or FOOD SERVICE DIRECTOR DATE: JULY 2004 I. POSITION SUMMARY: The Food Service Worker is responsible for the production schedule

More information

Order Writing for the Dietitian in Wisconsin WENDY PHILLIPS, MS, RD, CNSC, CLE, FAND

Order Writing for the Dietitian in Wisconsin WENDY PHILLIPS, MS, RD, CNSC, CLE, FAND Order Writing for the Dietitian in Wisconsin WENDY PHILLIPS, MS, RD, CNSC, CLE, FAND About the Speaker Wendy Phillips MS, RD, CNSC, CLE, FAND As a Division Director of Clinical Nutrition for Morrison Healthcare,

More information

Assisted Living Facility Rules: A Review of Select Rules. State Long-term Care Ombudsman Office

Assisted Living Facility Rules: A Review of Select Rules. State Long-term Care Ombudsman Office Assisted Living Facility Rules: A Review of Select Rules State Long-term Care Ombudsman Office Objectives Gain knowledge about ALF regulations Apply regulations to common complaints Discuss problem-solving

More information

Friends of St. John the Caregiver. Evaluating an Assisted Living Facility

Friends of St. John the Caregiver. Evaluating an Assisted Living Facility Friends of St. John the Caregiver P.O. Box 320 Mountlake Terrace, WA 98043 www.fsjc.org www.youragingparent.com www.catholiccaregivers.com From A Catholic Guide to Caring for Your Aging Parent by Monica

More information

What to Expect on Your Next Survey

What to Expect on Your Next Survey What to Expect on Your Next Survey Linda M. Elizaitis RN, BS, RAC-CT President CMS Compliance Group, Inc. E. lmelizaitis@cmscg.net T. 631.692.4422 cmscompliancegroup.com @lindaelizaitis @cmscompliance

More information

Wellness Goal Nutrition Messages

Wellness Goal Nutrition Messages Wellness Policy Arlington House provides emergency shelter for adolescents 11 through 17 years of age, for up to 90 days, while placements are arranged. Arlington House will accept referrals for clients

More information

Section II: Food Service. MPR 1 Plan Review

Section II: Food Service. MPR 1 Plan Review Plan Review Michigan Local Public Health Accreditation Program MPR 1 Plan Review Materials necessary for auditing the MPR Plan review log book or tracking system Facility files selected for the review

More information