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PRINTED: 12/20/2018 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out skilled nursing facility inspection

How to fill out skilled nursing facility inspection
01
To fill out a skilled nursing facility inspection, follow these steps:
02
Start with the basic information section, including the name, address, and contact information of the facility.
03
Provide details about the facility's ownership and management, including any changes in the past year.
04
Document the facility's licensing and certification information.
05
Record the facility's staffing information, including the number of employees, their qualifications, and any turnover rates.
06
Assess the facility's physical environment, noting any safety hazards or deficiencies.
07
Evaluate the facility's resident care, including medication management, infection control, and specialized services.
08
Gather information on the facility's policies and procedures, including resident rights, grievance procedures, and emergency preparedness.
09
Review the facility's quality of life and social services, considering activities, social interaction, and resident satisfaction.
10
Complete the inspection summary, providing an overall assessment and recommendations for improvement.
11
Sign and date the inspection report, and submit it to the appropriate regulatory agency.
Who needs skilled nursing facility inspection?
01
Skilled nursing facility inspections are needed by various stakeholders including:
02
- Regulatory agencies responsible for oversight and compliance
03
- Health insurance providers
04
- Prospective residents and their families
05
- Advocacy organizations
06
- Healthcare professionals
07
- Researchers and policy makers
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What is skilled nursing facility inspection?
Skilled nursing facility inspection is the process of evaluating and assessing the quality of care and services provided at a nursing facility.
Who is required to file skilled nursing facility inspection?
Skilled nursing facility administrators or designated staff members are required to file skilled nursing facility inspection.
How to fill out skilled nursing facility inspection?
Skilled nursing facility inspection can be filled out online through a designated portal provided by the regulatory body.
What is the purpose of skilled nursing facility inspection?
The purpose of skilled nursing facility inspection is to ensure that nursing facilities are meeting the required standards of care for residents.
What information must be reported on skilled nursing facility inspection?
Information such as staffing levels, quality of care provided, infection control measures, and resident satisfaction must be reported on skilled nursing facility inspection.
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