Long-Term Care Survey Alert

Regulatory Monitoring:

Check Out CMS' Definitions Of Abuse

Published on Wed Jan 26, 2005

PDF

Definitions offer a little wiggle room for injuries of unknown origin.

Get on the same page as the federal government in defining these critical terms for reporting abuse, neglect and injuries:

Mistreatment - (No definition at this time.)

Neglect - Failure to provide goods and services necessary to avoid physical harm, mental anguish or mental illness (42 C.F.R. 488.301).

Abuse - The willful infliction of injury, unreasonable confinement, intimidation or punishment with resulting physical harm, pain or mental anguish (42 C.F.R. 488.301).

Injuries of unknown source - An injury should be classified as an "injury of unknown source" when both of the following conditions are met:

- The source of the injury was not observed by any person or the source of the injury could not be explained by the resident; and

- The injury is suspicious because of the extent of the injury or the location of the injury (e.g., the injury is located in an area not generally vulnerable to trauma) or the number of injuries observed at one particular point in time or the incidence of injuries over time.

Misappropriation of resident property - The deliberate misplacement, exploitation, or wrongful, temporary or permanent use of a resident's belongings or money without the resident's consent (42 C.F.R. 488.301).

Source: www.cms.hhs.gov/medicaid/survey-cert/sc0509.pdf

Long-Term Care Survey Alert

Survey Management:
Ditch Tag-Along Tags For Pressure Ulcers
Prepare now for surveyors to do more 'root cause' analysis of wounds.

No one likes a [...]

Survey Appeals:
Use IDR, Appeals To Cut Loose Tag-Along Tags
Know when and how to defend your record.

Call it quadruple jeopardy: Your facility has one [...]

Staffing Management:
Cure Survey And Fiscal Ills With These 4 Systemic Staffing Strategies
Follow this staffing path to stellar resident - and survey - outcomes.

Expert staffing management not [...]

What Do You Think?
Under the revised F314 tag, can facilities still make a viable argument to convince surveyors [...]

Abuse Reporting:
Beware Federal Stance On Abuse Reporting Requirements
CMS clarification ignites new survey worries ... here's how to navigate the uncertainty.

To report or [...]

Regulatory Monitoring:
Check Out CMS' Definitions Of Abuse
Definitions offer a little wiggle room for injuries of unknown origin. Get on the same [...]

Test Yourself:
What's Your Informal Dispute Resolution IQ?
True or False?

1. The Centers for Medicare & Medicaid Services doesn't have to accept [...]

Clip 'N Save:
When Can Your Facility Request IDR Based On Survey Revisit Results Or Previous IDR Outcome?
This handy chart provides the answers.

A facility may request informal dispute resolution for each survey [...]

Clip 'N Save:
Use This Handy Checklist To Cover The Bases
Pressure Ulcers: Essential Systems for Quality Care The following information suggests areas to focus on [...]

Survey & Clinical News To Use
CMS plans to get tougher with its Special Focus Facility Program for substandard nursing facilities. [...]

View All