Crosswalk: Old and New Federal Nursing Home …

1 CROSSWALK OLD AND NEW Federal Nursing home regulations . Department of Health Services / Division of Quality Assurance P-01943 (08/2017). Effective November 28, 2017, The Centers for Medicare and Medicaid Services (CMS) will re-organize and re-number the Federal Nursing home requirements found in Appendix PP. This publication matches the Federal Nursing home tags from Appendix PP in the November 2016 Mega Rule with the new tag numbers effective 11/28/17. Old Tag New Tag Description F150 F540 Definition of facility SNF and NF. F151 F550 Right to exercise rights/free of reprisal F152 F551 Rights exercised by representative F153 F573 Right to access/purchase copies of record F154 F552 Informed of health status.

2 Care and treatments F154 F552 Right to be informed of changes to the plan of care F155 F578 Right to refuse treatment and formulate advance directive F155 F678 CPR given while EMTs are en route F156 F574 Required notices and contact information F156 F575 Information required to be posted F156 F579 Oral and written information about how to apply for and use Medicare and Medicaid benefits F156 F582 Information provided to Medicaid-eligible residents; notification of changes in coverage F156 F572 Inform resident of rights and services and facility rules F157 F580 Prompt consultation with physician following significant condition change F158 F567 Right to manage own financial affairs F159 F567 Facility management of personal funds F159 F568 Accounting and record of each resident's personal funds F159 F569 Notice of certain balances F160 F569 Conveyance of personal funds after death/discharge F161 F570 Surety bond F162 F571 Limitation on charges to personal funds F163 F555 Right to choose attending physician F164 F583 Personal privacy

3 And confidentiality of record F164 F842 Information in medical record kept confidential and released only in specific situations F165 F585 Right to voice grievances without reprisal F166 F585 Right to prompt efforts to resolve grievances F167 F577 Right to view survey results; readily accessible F168 F577 Right to info from and contact with advocate agencies F168 F586 Must not prohibit or discourage a resident from communicating with Federal , state, local officials F169 F566 Right to choose to perform or refuse to do services for the facility F170 F576 Right to privacy send/receive unopened mail F171 F576 Right to communicate with individuals inside/out.

4 Right to send mail and have access to postage F172 F563 Right to receive/deny visitors F172 F564 Immediate access to resident F173 F583 Allow ombudsmen to access record F174 F576 Right to telephone access with privacy F175 F559 Right to share room with spouse or roommate of choice F176 F554 Resident allowed to self-administer drugs if deemed safe F177 F560 Right to refuse certain transfers 1. Old Tag New Tag Description F201 F622 Reasons for transfer/discharge of a resident F202 F622 Documentation for transfer/discharge of a resident F203 F623 Notice requirements for transfer/discharge F204 F624 Preparation for safe/orderly transfer or discharge F205 F625 Notice of bed-hold policy before/upon transfer F206 F626 Policy to permit readmission beyond bed hold F207 F621 Equal practices regardless of payment source F208 F620 Prohibiting certain admission policies F221 F604 Right to be free from physical restraints F222 F605 Right to be free from chemical restraints F223 F600 Right

5 To be free from abuse and neglect F223 F602 Right to be free from misappropriation and exploitation F223 F603 Right to be free from involuntary seclusion F224 F600 Must not use verbal/physical/sexual abuse, corporal punishment, or involuntary seclusion F225 F606 Not employ/engage staff with adverse actions F225 F609 Report allegations of abuse, neglect, misappropriation F225 F610 Investigate allegations of abuse and neglect, misappropriation and prevent further occurrence F226 F607 Develop/implement policies prohibiting abuse/neglect/misappropriation/exploitat ion F226 F943 Abuse, neglect, and exploitation training F240 F550 Care and environment promotes quality of life F240 F550 Equal access to quality care F241 F550 Dignity and respect of individuality F242 F561 Self-determinations.

6 Right to make choices F243 F565 Right to organize and participate in resident groups F244 F565 Facility must consider views of resident or family group and act promptly on them F245 F561 Right to participate in other activities F246 F558 Reasonable accommodation of needs and preferences F247 F559 Right to notice before room or roommate change F248 F679 Activities meet interests/needs of each resident F249 F680 Qualifications of activity professional F250 F745 Provision of medically-related social services F251 F850 Qualifications of social worker > 120 beds F252 F584 Safe/clean/comfortable/homelike environment F252 F557 Right to use personal possessions F253 F584 Housekeeping and maintenance services to maintain sanitary, orderly.

7 Comfortable interior F254 F584 Clean bed/bath linens in good condition F256 F584 Adequate and comfortable lighting levels F257 F584 Comfortable and safe temperature levels F258 F584 Maintenance of comfortable sound levels F271 F635 Must have physician orders for admission F272 F636 Comprehensive assessments F273 F636 Comprehensive assessment completed by 14 days after admission F274 F637 Comprehensive assessment after significant change in condition F275 F636 Comprehensive assessment at least every 12 months F276 F638 Quarterly assessment at least every three months F278 F641 Assessment accuracy/coordination/certified 2.

8 Old Tag New Tag Description F278 F642 Coordinate assessments with appropriate participation of health professionals F279 F656 Develop comprehensive care plans F279 F639 Maintain all assessments completed within the last 15 months F280 F657 Comprehensive care plan developed within 7 days F280 F553 Right to participate in planning and revision of care plan F281 F658 Services provided meet professional standards F282 F659 Services by qualified person in accordance with care plan F283 F661 Items to be included in discharge summary F284 F660 Must develop and implement a discharge planning process F284 F661 When discharge is anticipated, facility must develop a post-discharge plan of care F285 F644 Coordination of PASARR and assessments F285 F645 PASARR screening requirements for MI and MR.

9 F285 F646 MD/ID significant change notification F286 F639 Maintain all assessments completed within the last 15 months F287 F640 Encoding/transmitting resident assessment F309 F675 Quality of life F309 F684 Quality of care promote highest practicable level of well-being F309 F697 Pain management F309 F744 Dementia care F309 F698 Dialysis F309 F684 End of life care F310 F676 Activities of daily living do not diminish F311 F676 Appropriate services to improve or maintain activities of daily living F312 F677 ADL care provided for dependent residents F313 F685 Assist resident in making appointment/transportation to/from vision and hearing appointments F314 F686 Treatment/services to prevent/heal pressure injuries F315 F690 No catheter; services to promote urinary continence F317 F688 Resident does not experience reduction in range of motion, unless unavoidable F318 F688 Increase/prevent decrease in range of motion F319 F742 Appropriate treatment and services to those with psychosocial adjustment difficulty F320 F743 No pattern of behavioral difficulties unless unavoidable F322 F693 No feeding tubes unless necessary; restore oral eating.

10 Prevent complication of enteral feeding F323 F689 Free of accident hazards/supervision and assistive devices to prevent accidents F323 F700 Bedrails F325 F692 Maintain nutritional status unless unavoidable F327 F692 Sufficient fluid to maintain hydration status F328 F687 Foot care F328 F691 Colostomy, urostomy, or ileostomy care. F328 F694 Parenteral fluids must be administered consistent with professional standards of practice F328 F695 Respiratory care is provided in accordance with professional standards of practice F328 F696 A resident with a prosthesis is provided care consistent with professional standards of practice F329 F757 Drug regimen free of unnecessary drugs F329 F758 Free of psychotropic drugs unless necessary.