The newly released Nursing Home Data Compendium 2015 provides the list of most highly cited health deficiencies in nursing homes for the period of 2005-2014. The list is full of “gotcha” tags that can be highly cited:
- F-371 Food Procurement, Store/Prepare/Serve – Sanitary (Average ranking 1.8)
- F-323 Free of Accident Hazards/Supervision/Devices (Average ranking 2.4)
- F-309 Provide Care/Services for Highest Well Being (Average ranking 3.6)
- F-441 Infection Control, Prevent Spread, Linens (Average ranking 4.6)
- F-279 Develop Comprehensive Care Plans (Average ranking 5.8)
- F-281 Services Provided Meet Professional Standards (Average ranking 6.1)
- F-329 Drug Regiment is Free of Unnecessary Drugs (Average ranking 8.3)
- F-253 Housekeeping and Maintenance Services (Average ranking 8.8)
- F-241 Dignity and Respect of Individuality (Average ranking 10)
- F-514 Resident Records – Complete/Accurate/Accessible (Average ranking 10)
- F-314 Treatment/Svcs to Prevent/Heal Pressure Ulcers (Average ranking 11.1)
- F-315 No Catheter, Prevent UTI, Restore Bladder (Average ranking 11.7)
- F-282 Services By Qualified Persons/Per Care Plan (Average ranking 13.1)
- F-431 Drug Records, Label/Store Drugs & Biologicals (Average ranking 13.9)
- F-324 Supervision (Average ranking 12.7* – excludes 2009-2014 when the citation was not used)
The release of the Nursing Home Data Compendium was announced in a March 25, 2016 CMS S&C Letter. The letter outlines the contents of the report, which includes three major sections of data:
- Section 1 – Nursing Home Characteristics
- Section 2 – Nursing Home Survey Results
- Section 3 – Nursing Home Resident Demographics, Functional Characteristics and Clinical Characteristics
We will be posting interesting bits from this report in the coming days, so keep checking back on the CMSCG Blog. Read CMS S&C Letter “Release of 2015 Nursing Home Data Compendium” (Ref: S&C: 16-14-NH) on the CMS website.
Does your facility have exposure in any of these areas? Contact CMS Compliance Group to discuss your compliance needs.