The Fundamentals of Quality for Long Term Care: Part 1

By Nora J. Wellington and Alicia A. Creighton-Allen

For all Administrators, Directors of Nursing, and Quality Assurance (QA)/Quality Improvement (QI) Directors or Coordinators, this is not only required reading for your facilities, but more important, it is a practical tool to guide you as you prepare for your survey. As the saying goes, Your facility must be survey-ready 365 days a year. So use this book to help you get readyand stay ready.

The Fundamentals of Quality for LTC, Part I gives you the F-Tags, as well as the Centers for Medicare and Medicaid (CMS) Interpretive Guidelines and Guidance to Surveyors. This is a comprehensive monitoring tool for all disciplines to use in an interdisciplinary format. It covers the Federal Long Term Care Regulations 42 CFR 483.10 Resident Rights through 483.20 Resident Assessment. Because this is such a practical tool, it is a book that staff will keep handy at their desks to use for monitoring purposes and for quick reference. It will help the Interdisciplinary Team (IDT)including one of the most important and busiest groups, the Certified Nursing Assistants (CNAs) maintain awareness of the expectations of the Federal and State Surveyors. It will also keep the staffs focus on Quality of Care and Quality of Life.

• Language: English
• Publisher: AuthorHouse
• Release date: Nov 23, 2010
• ISBN: 9781452068411

Nora J. Wellington

As an administrator who routinely spent part of her day with the front-line staff when she operated her nursing centers, Nora Wellington appreciates the hard work of the front- line staff, as well as the importance of the IDT. Alicia Creighton-Allen brought her clinical skills as an Intensive Care Nurse into her Long Term Care (LTC) nursing experience, to co-author the Fundamentals of Quality series (Part I, Part II, Part III). Parts of these tools have been used by staff in some of the nursing centers where Wellington was an administrator, and those staff members have encouraged her to share her hands-on practical monitoring tools with the LTC community. These tools will help you be ready for annual surveys, and also to make you “survey-ready 365 days a year.” Visit www.nwellingtonassociates.com for more information about workshops, training, and other related LTC resources. This is the first book in a three-part series.

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© 2010 Nora J. Wellington and Alicia A. Creighton-Allen. All rights reserved.

No part of this book may be reproduced, stored in a retrieval system, or transmitted by any means without the written permission of the author.

First published by AuthorHouse 11/16/2010

ISBN: 978-1-4520-6839-8 (sc)

ISBN: 978-1-4520-6841-1 (e)

Library of Congress Control Number: 2010915753

Printed in the United States of America

Certain stock imagery © Thinkstock.

This book is printed on acid-free paper.

Arrangements can be made for quantity discounts. For more information, please contact:

N Wellington Associates

2903 Radius Road

Wheaton, MD 20902

Telephone: [phone]

email: [e-mail]

website: www.nwellingtonassociates.com

Because of the dynamic nature of the Internet, any Web addresses or links contained in this book may have changed since publication and may no longer be valid. The views expressed in this work are solely those of the author and do not necessarily reflect the views of the publisher, and the publisher hereby disclaims any responsibility for them.

Table of Contents

About the Authors

Acknowledgments

Introduction

Resident Rights – §483.10

Admission, Transfer, and Discharge Rights – §483.12

Resident Behavior and Facility Practices – §483.13

Quality of Life – §483.15

Resident Assessment – §483.20

How to Use the Monitoring Tool

MONITORING TOOL

42 CFR §483.10–§483.20

Resident Rights–Resident Assessment

§483.10

RESIDENT RIGHTS

§483.10

Resident Rights

§483.12

ADMISSION, TRANSFER, AND DISCHARGE RIGHTS

§483.12

Admission, Transfer, and Discharge Rights

§483.13

RESIDENT BEHAVIOR AND FACILITY PRACTICES

§483.13

Resident Behavior and Facility Practices

§483.15

QUALITY OF LIFE

§483.15

Quality of Life

§483.20

RESIDENT ASSESSMENT

§483.20

Resident Assessment

Comprehensive Monitoring Tool Notes

Comprehensive Monitoring Tool – Staff Signature

About the Authors

Nora J. Wellington, MBA, NHA, is a consultant, business coach, and founder and CEO of N Wellington Associates (www.nwellingtonassociates.com). Wellington has more than twenty-four years of long term care (LTC) management experience, including nineteen years as a nursing-home administrator. Wellington has been an administrator for both freestanding and hospital-based skilled/subacute nursing facilities (SNFs). Fifteen years ago, she was fortunate to be hired as the administrator