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OMB Approved OMB No. 09201317 Exp. Date 01/31/2024 www.cdc.gov/nhsnCOVID19 Module Long Term Care Facility: Resident Impact and Facility Capacity Pathway Page 1 of 3 NHSN Facility ID: Facility Name:
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How to fill out resident impact and facility

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To fill out the resident impact, you need to:
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- Gather information about the residents affected by a certain situation or event
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- Assess the impact of the situation or event on each resident individually
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- Document the specific changes or issues faced by each resident
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- Record any actions taken or support provided to address the impact
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To fill out the facility impact, you need to:
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- Identify the facility or facilities affected by a certain situation or event
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- Evaluate the impact of the situation or event on the facility's operations, infrastructure, and resources
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- Document any damages or disruptions caused to the facility
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- Record any measures taken to mitigate the impact and restore normal operations
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- Summarize the overall impact on the facility
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Note: Each organization may have specific guidelines or forms to use for filling out resident impact and facility impact reports.

Who needs resident impact and facility?

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Resident impact and facility impact reports are needed by:
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- Emergency response teams
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- Health and social service agencies
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- Rehabilitation centers
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- Long-term care facilities
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- Assisted living facilities
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- Nursing homes
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- Any organization responsible for the welfare and well-being of residents or facility operations
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These reports help in assessing the extent of impact, identifying necessary resources, and developing appropriate response plans.
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Resident impact and facility refers to the assessment and documentation of how a facility affects its residents, including their health, safety, and overall wellbeing.
Facilities that provide care or services to residents, such as nursing homes or assisted living facilities, are required to file resident impact and facility documentation.
To fill out resident impact and facility, gather required data on resident demographics, facility operations, and any relevant incidents or feedback, and then complete the standardized forms provided by regulatory agencies.
The purpose of resident impact and facility is to ensure that the facilities maintain compliance with regulations and continuously improve the quality of care for residents.
Key information to report includes resident health outcomes, incident reports, safety measures, resident satisfaction surveys, and any changes or improvements in facility operations.
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