SMQT- Survey Content-- Surveys (Pt 2)
Abbreviated Standard Survey
-Complaint Investigations
-In an abbreviated standard survey, the survey team will focus on or limit its investigation to
the complaint or a particular area of concern.
-Scope limited to relevant areas of facility operation unless the survey suggests others
- Concerns that the quality of care may have declined as a result of a change in ownership,
management, or the director of nursing
- An abbreviated standard survey is conducted to investigate complaints or to determine if
certain changes (for example, a change in ownership or management) have caused a
decline in the quality of care provided to nursing home residents.
ABBREVIATED SURVEYS- Timing, scope, duration
The timing, scope, duration, and conduct of a complaint investigation are at the discretion of
the SA.
An exception is made for complaints that involve allegations of immediate jeopardy to
resident health and safety, and complaints that allege actual harm.
Complaints that involve allegations of immediate jeopardy to resident health and safety are
investigated within two working days of receipt.
Complaints may be received where a resident has experienced (or is alleging) actual harm
that does not rise to the level of immediate jeopardy.
In cases where the SA makes the determination that a higher level of actual harm is present,
the investigation is to be initiated within 10 working days of its receipt.
Brainpower
Read More
Previous
Play
Next
Rewind 10 seconds
, Move forward 10 seconds
Unmute
0:00
/
0:00
Full screen
ABBREVIATED SURVEY- When to Investigate a Complaint
In an abbreviated standard survey, the survey team investigates with the goal of resolving
the complaint.
If for example a complaint concerns conditions on a certain day (e.g., weekends) or during a
particular shift (e.g., 11 p.m. - 7 a.m.), then the survey team should investigate on that day or
during that time frame.
SQC
Substandard Quality of Care
EXTENDED SURVEY- Part 1
- Conducted when there is a finding of substandard quality of care during a standard survey.
The extended survey includes the following:
- The review of a larger sample of resident assessments
- The review of staffing & in-service training
- Surveyors to examine consultant contracts, if appropriate
- The review of policies & procedures related to the noncompliance
- Review of nursing services, physician services, administration, & any other requirements
- Other requirements may also be reviewed at the discretion of the survey team.
- A federal survey conducted within 14 days of a finding of substandard care during a
standard federal survey
EXTENDED SURVEY- Part 2
The extended survey should be conducted as follows:
PRIOR to the exit conference (of the standard survey or revisit)
OR
Abbreviated Standard Survey
-Complaint Investigations
-In an abbreviated standard survey, the survey team will focus on or limit its investigation to
the complaint or a particular area of concern.
-Scope limited to relevant areas of facility operation unless the survey suggests others
- Concerns that the quality of care may have declined as a result of a change in ownership,
management, or the director of nursing
- An abbreviated standard survey is conducted to investigate complaints or to determine if
certain changes (for example, a change in ownership or management) have caused a
decline in the quality of care provided to nursing home residents.
ABBREVIATED SURVEYS- Timing, scope, duration
The timing, scope, duration, and conduct of a complaint investigation are at the discretion of
the SA.
An exception is made for complaints that involve allegations of immediate jeopardy to
resident health and safety, and complaints that allege actual harm.
Complaints that involve allegations of immediate jeopardy to resident health and safety are
investigated within two working days of receipt.
Complaints may be received where a resident has experienced (or is alleging) actual harm
that does not rise to the level of immediate jeopardy.
In cases where the SA makes the determination that a higher level of actual harm is present,
the investigation is to be initiated within 10 working days of its receipt.
Brainpower
Read More
Previous
Play
Next
Rewind 10 seconds
, Move forward 10 seconds
Unmute
0:00
/
0:00
Full screen
ABBREVIATED SURVEY- When to Investigate a Complaint
In an abbreviated standard survey, the survey team investigates with the goal of resolving
the complaint.
If for example a complaint concerns conditions on a certain day (e.g., weekends) or during a
particular shift (e.g., 11 p.m. - 7 a.m.), then the survey team should investigate on that day or
during that time frame.
SQC
Substandard Quality of Care
EXTENDED SURVEY- Part 1
- Conducted when there is a finding of substandard quality of care during a standard survey.
The extended survey includes the following:
- The review of a larger sample of resident assessments
- The review of staffing & in-service training
- Surveyors to examine consultant contracts, if appropriate
- The review of policies & procedures related to the noncompliance
- Review of nursing services, physician services, administration, & any other requirements
- Other requirements may also be reviewed at the discretion of the survey team.
- A federal survey conducted within 14 days of a finding of substandard care during a
standard federal survey
EXTENDED SURVEY- Part 2
The extended survey should be conducted as follows:
PRIOR to the exit conference (of the standard survey or revisit)
OR
