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SUBJECT Revisions To Appendix PP, Guidance To Surveyors Of Long Term - Cms
Get SUBJECT Revisions To Appendix PP, Guidance To Surveyors Of Long Term - Cms
9 SUBJECT: Revisions to Appendix PP, Guidance to Surveyors of Long Term Care Facilities I. SUMMARY OF CHANGES: This instruction revises Appendix PP, Guidance to Surveyors for several regulatory Tags, however, the regulatory language is unchanged. Tag F255, Private Closet Space is deleted and the regulatory language is moved to Tag F461. NEW/REVISED MATERIAL - EFFECTIVE DATE*: June 12, 2009 IMPLEMENTATION DATE: June 12, 2009 Disclaimer for manual changes only: The revision date.
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Sanitization FAQ
The pharmacist must review each resident's medication regimen at least once a month in order to identify irregularities and to identify clinically significant risks and/or actual or potential adverse consequences which may result from or be associated with medications.
Surveyors are directed to use the Guidance at F684 to review concerns which have caused or have the potential to cause a negative outcome for the resident in the areas of physical, mental and psychosocial health or well-being that is not specifically addressed under another tag.
F758 Psychotropic Drugs/Chemical Restraints Evidence shows that medication is being used to sedate, subdue, or restrict a resident's movement or cognition.
F-Tag 757, freedom from unnecessary drugs, and F-Tag 758, freedom from unnecessary psychotropic medications, are closely affiliated and are often cited together during a survey. Regulation 758 defines a psychotropic medication as one that affects the brain with mental processes and behaviors.
Giving psychotropic medications only when necessary to treat a specific diagnosed and documented condition; Implementing GDR and other non-pharmacologic interventions for residents who receive psychotropic medications, unless contraindicated; and.
The regulation at F812 requires that nursing facilities procure food from approved sources or sources that are considered satisfactory by federal/state/local authorities. This includes local producers if this is permissible under state/local law.
F757 includes only a set of regulatory requirements, with no Interpretive Guidance, however, deficient practices are widely cited under this regulation, and issues identified can be in IJ in the making. This regulation states that each nursing home resident's drug regimen must be free from unnecessary drugs.
F757 includes only a set of regulatory requirements, with no Interpretive Guidance, however, deficient practices are widely cited under this regulation, and issues identified can be in IJ in the making. This regulation states that each nursing home resident's drug regimen must be free from unnecessary drugs.
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State Operations Manual Appendix PP
Page 1. State Operations Manual. Appendix PP - Guidance to Surveyors for. Long Term Care...
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