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Survey Preparedness - Nursing Home Help

Survey Preparedness Updated May 2018 LONG-TERM CARE Survey MANUAL PREPARED BY MU NHA CONSULTANT SECTION 1 - Survey Preparedness Survey Preparedness - The MU Long Term Care Leadership Coaches recommend that your home maintain a Survey BOOK. The purpose of the book is to help your staff be Survey ready every day. To be ready for the annual visit, the Survey BOOK should be reviewed weekly so that it is kept up-to- date. Make sure that all your management staff knows where the book is located as surveyors might show up when the NHA and/or DON are not in the facility. This section provides you with several tools offered for you to consider. The key to a Survey BOOK is that it is organized, up- to-date, and designed to meet the needs of your Nursing home. SECTION PAGE # Survey Readiness 3 The Survey Book 4 Entrance Conference Form 5-8 QIPMO Entrance Conference Supplement 9 MO DHSS Long-Term Care Regions 10 Matrix 11-13 Long-Term Care Facility Application for Medicare and Medicaid (CMS 671) 14-16 Resident Census and Conditions of Residents (CMS 672) 17-23 Pre- Survey Checklist 24 Think Survey Preparedness 25-26 Common Questions State Surveyors Ask CNAs 27 Survey Preparedness Quiz 28-35 Scavenger Hunt for Survey Preparedness 36 QIPMO Culture Change Resources 37 Survey READINESS Be P

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. 3. An alphabetical list of all residents (note any resident out of the facility). 4. A list of residents who smoke, designated smoking ...

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