Overview Unfortunately, studies suggest over 90% of the staff members working in
ID: 248836 • Letter: O
Question
Overview
Unfortunately, studies suggest over 90% of the staff members working in SNFs have no idea of how the facility is?assigned deficiencies?(usually called tags or F-tags) or what the letter grade it receives actually means (NursingHomePro, n.d., Scope and severity). As future health care leaders and potential consumers of LTC services, you are going to change that statistic!
Procedure
Using what you have learned in this lesson, review the following deficiencies and determine severity, scope, and sanctions.
First, determine the severity of each deficiency on a scale of 1–4.
Think back to the two questions asked in the lesson that are used to help determine severity and use these questions to guide your answer regarding severity:
Question #1: Is there immediate jeopardy, meaning is the resident's life or safety at risk?
Question #2: Is there actual physical, mental, or emotional harm to the resident?
Next, determine the scope of each deficiency and assign a letter (A–L).
Then determine the sanction, including
whether a Directed Plan of Correction (PoC) is required, optional, or not required as a sanction for each deficiency;
the required sanctions for each deficiency; and
the optional sanctions for each deficiency.
The following two tables may be helpful to you in determining your answer.
J
PoC
Category 3 required
Category 1, 2 optional
K
PoC
Category 3 required
Category 1, 2 optional
L
PoC
Category 3 required
Category 1, 2 optional
G
PoC
Category 2 required
Category 1 optional
H
PoC
Category 2 required
Category 1 optional
I
PoC
Category 2 required
Category 1 and temporary management optional
D
PoC
Category 1 required
Category 2 optional
E
PoC
Category 1 required
Category 2 optional
F
PoC
Category 2 required
Category 2 optional
A
No PoC
No remedies
B
PoC
C
PoC
Directed Plan of Correction (PoC)
State monitoring
Directed in-servicing
Denial of payments for new admissions
Denial of payments for all residents
Termination of CMS agreement
Temporary management by a designated state administrator
Civil monetary penalties
Temporary management
Termination of CMS agreement
Civil monetary penalties
Deficiency #7
A CNA was providing care to a resident in a single room. The CNA closed the resident’s door but failed to pull the privacy curtain while providing care. A few minutes into the care, a visitor knocked on the door and, without hesitation, the CNA yelled to the visitor to come in. The privacy current was not pulled prior to entry by the visitor and the resident was still exposed at the time.
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Question 37
What is the severity of deficiency #7? (choose one answer)
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Question 38
What is the scope of deficiency #7? (choose one answer)
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Question 39
Based on the scope and severity you determined above, what is the letter category for deficiency #7?
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Question 40
Is a Directed Plan of Correction (PoC) required, optional, or not required as a sanction for deficiency #7? (choose one answer)
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Question 41
What are the required sanctions for deficiency #7? (choose one answer)
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Question 42
What are the optional sanctions for deficiency #7? (you may choose more than one answer)
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Deficiency #8
One resident reported to the surveyor that five residents were in the activity room watching the NHL Stanley Cup Series. The game was still going strong at 11 p.m. Before the game ended, all five residents were wheeled back to their rooms and put in bed. One CNA informed the resident that third shift required all residents be in bed prior to the shift start. All of the residents missed the end of the game.
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Question 43
What is the severity of deficiency #8? (choose one answer)
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Question 44
What is the scope of deficiency #8? (choose one answer)
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Question 45
Based on the scope and severity you determined above, what is the letter category for deficiency #8?
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Question 46
Is a Directed Plan of Correction (PoC) required, optional, or not required as a sanction for deficiency #8? (choose one answer)
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Question 47
What are the required sanctions for deficiency #8? (choose one answer)
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Question 48
What are the optional sanctions for deficiency #8? (you may choose more than one answer)
Table 7.3. Scope, Severity, and Sanctions (repeated from this lesson) - Scope: Isolated Scope: Pattern Scope: Widespread Severity Level 4: Immediate jeopardy to a resident's health or safetyJ
PoC
Category 3 required
Category 1, 2 optional
K
PoC
Category 3 required
Category 1, 2 optional
L
PoC
Category 3 required
Category 1, 2 optional
Severity Level 3: Actual harm that is not immediate jeopardyG
PoC
Category 2 required
Category 1 optional
H
PoC
Category 2 required
Category 1 optional
I
PoC
Category 2 required
Category 1 and temporary management optional
Severity Level 2: Minimal harm or potential for harmD
PoC
Category 1 required
Category 2 optional
E
PoC
Category 1 required
Category 2 optional
F
PoC
Category 2 required
Category 2 optional
Severity Level 1: No actual harm with potential for minimal negative impactA
No PoC
No remedies
B
PoC
C
PoC
Explanation / Answer
Question 1: Yes immediate jeopardy meaning is the resident's life or safety at risk..
Question 2: there is no actual,physical,mental or emotional harm to the resident..
Deficiency 7:
Question 37: Level 4 immediate jeopardy to a resident's health or safety.
Question 38: Widespread
question 39: J
question 40: POC required
Question 41: Category 1(possible sanctions include directed plan of correction,state monitoring,directed in-servicing)
Question 42: category 1 and category 3
deficiency:8
Question 43: Level 1
Question 44: pattern
Question 45: A
Question 46: No poc
question 47: no remedies required
question 48:Category 3 and no remedies
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