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Facility Self-Assessment (Mock Survey) Tool

Facility Self-Assessment (Mock Survey). Tool SECTION 5 - Facility Self-Assessment (MOCK. SURVEY TOOLS). Facility Self-Assessment - Mock surveys are an opportunity to look at systems, procedures and processes of care and to identify potential survey-risk areas. Mock surveys should be performed on a scheduled basis and shared with nursing home staff. The most important part of the survey process is what you do after it is over with the results. F-tags are used in this section. Be advised that CMS makes revisions to the F-tags on a regular basis. SECTION PAGE#. Administration 5. Article: Mock Survey: An Important Component 6-7. Self-Assessment /Mock Survey 8. Guide to F-Tag Numbers 9-10. Long Term Care Survey Process (LTCSP) Procedure Guide 11-61. Survey Scope & Severity Grid 62. Offsite Preparation Worksheet 63. Initial Pool Care Areas Resident Observation 64-76. Limited Record Review 77-80. Resident Representative Interview 81-95. Resident Interview 96-109. Mandatory Facility Task CMS 20053 Dining Observation 110-116.

2. Replicate "real" survey procedures as faithfully as possible. Use precise observation methods, select a sample of residents according to survey guidelines and interview the same staff that real surveyors are likely to interview. The following pages include a variety of tools for you to use for your own self-assessment—use all or some of them.

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