• $499

Survey Ready Toolkit

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  • 66 Files

This toolkit is intended to assist nursing facilities to prepare for and monitor ongoing survey readiness. Beginning when the anticipated annual standard survey is approximately 8 weeks away, and continuing weekly until the annual standard survey is completed, these tools will guide the team in reviewing facility processes and monitoring for regulatory compliance.

Contents

Table of Contents & Access to Materials

Table of Contents with links to view/download toolkit materials.

0. Survey Ready Toolkit.pdf
  • 531 KB

Toolkit Guide

How to Use This Toolkit

This toolkit is intended to assist nursing facilities to prepare for and monitor ongoing survey readiness. Beginning when the anticipated annual standard survey is approximately 8 weeks away, and continuing weekly until the annual standard survey is completed, these tools will guide the team in reviewing facility processes and monitoring for regulatory compliance.

Practical Applications

This toolkit can be used to prepare administrative and front-line staff for the questions and critical element reviews that will be conducted by state/federal survey agencies.

Beginning with the Weekly and Week #1 lists, the assigned IDT members may use the audit tools to complete a thorough review of the identified facility systems/programs. Weekly items should be reviewed every week until the annual standard survey team arrives. All other items are reviewed utilizing the 8-week schedule, continuing with each week in succession until the 8 weeks are completed, or arrival of the annual standard survey team, whichever comes first.

Upon completion of the Week #8 items, if the annual standard survey team has not yet arrived, it is recommended that the facility repeat the monitoring tasks outlined for each week beginning with Week #1 and continuing again with each succeeding week until the arrival of the annual standard survey team.

The 8-Week Survey Preparation Toolkit may also be used at any time the facility anticipates a complaint survey to be conducted.

In addition to the week-by-week checklists, this toolkit includes discipline/department specific checklists which are intended to be used upon the arrival of the survey team and again each day until the annual standard survey is completed. These can be found in the Survey in Progress Checklists section.

1. Toolkit Guide.pdf
  • 384 KB

Weekly Checklists

2. Weekly Checklist.pdf
  • 1.23 MB
3. Week #1 Checklist.pdf
  • 1.2 MB
4. Week #2 Checklist.pdf
  • 1.19 MB
5. Week #3 Checklist.pdf
  • 1.21 MB
6. Week #4 Checklist.pdf
  • 1.21 MB
7. Week #5 Checklist.pdf
  • 1.19 MB
8. Week #6 Checklist.pdf
  • 1.19 MB
9. Week #7 Checklist.pdf
  • 1.19 MB
10. Week #8 Checklist.pdf
  • 1.21 MB
11. Survey in Progress Checklists.pdf
  • 1.17 MB

Audit Tool References

Activities Survey in Progress Checklist.pdf
  • 170 KB
Administrator Survey in Progress Checklist.pdf
  • 175 KB
Advance Directive Audit Tool.pdf
  • 1.02 MB
Bed Rail Inspection Checklist.pdf
  • 1.11 MB
Call Light Audit.pdf
  • 1000 KB
Catheter Audit Tool.pdf
  • 1.02 MB
Charge Nurse Survey in Progress Checklist.pdf
  • 194 KB
CMS Entrance Conference Worksheet.pdf
  • 210 KB
CMS-671.pdf
  • 109 KB
CMS-802.pdf
  • 230 KB
CMS-20052 Beneficiary Notice.pdf
  • 224 KB
CMS-20053 Dining.pdf
  • 223 KB
CMS-20055 Kitchen.pdf
  • 177 KB
CMS-20073 Hospice and End of Life.pdf
  • 114 KB
CMS-20075 Nutrition.pdf
  • 123 KB
CMS-20082 Unnecessary Medications.pdf
  • 284 KB
CMS-20089 Medication Storage.pdf
  • 95.7 KB
CMS-20090 PASARR.pdf
  • 158 KB
CMS-20125 Bladder and Bowel Incontinence.pdf
  • 173 KB
CMS-20127 Accidents.pdf
  • 140 KB
CMS-20132 Discharge.pdf
  • 208 KB
CNAs Survey in Progress Checklist.pdf
  • 185 KB
Common Questions Surveyors Might Ask.pdf
  • 213 KB
Compliance Round Audit.pdf
  • 1.1 MB
Dietary Survey in Progress Checklist.pdf
  • 215 KB
DON and Administrative Nursing Survey in Progress Checklist.pdf
  • 198 KB
Elopement-Wander Risk Audit.pdf
  • 1.03 MB
Enteral Feeding Review.pdf
  • 1.02 MB
Fall Log.pdf
  • 992 KB
Grievance Log.pdf
  • 984 KB
Grievance Report Form.pdf
  • 1.01 MB
Grievance Review.pdf
  • 1.01 MB
Housekeeping and Laundry Survey in Progress Checklist.pdf
  • 185 KB
Maintenance Survey in Progress Checklist.pdf
  • 222 KB
Mandatory Inservice Listing.pdf
  • 1.03 MB
Med Room Cart Audit Tool.pdf
  • 1.06 MB
Medication and Treatment Administration Staff Survey in Progress Checklist.pdf
  • 238 KB
Medication Self-Administration Assessment.pdf
  • 1.04 MB
Off-Hours Entrance Survey in Progress Checklist.pdf
  • 220 KB
Oxygen Review.pdf
  • 1.01 MB
Pain Assessment Audit Tool.pdf
  • 1.04 MB
Pressure Ulcer Report.pdf
  • 969 KB
Preventative Maintenance Checklist.pdf
  • 1.11 MB
Required Postings Checklist.pdf
  • 1.05 MB
Review of Falls.pdf
  • 1.02 MB
Shower Room Audit.pdf
  • 1.01 MB
Social Services Survey in Progress Checklist.pdf
  • 174 KB
Supplemental Assessment Checklist.pdf
  • 1.01 MB
Temperature Log.pdf
  • 976 KB
Therapy Survey in Progress Checklist.pdf
  • 209 KB
Weight Loss Review.pdf
  • 1.04 MB
Wound Pressure Ulcer Review.pdf
  • 1.03 MB
CMS-20071 Dialysis.pdf
  • 260 KB
CMS-20078 Pressure Ulcer (1).pdf
  • 221 KB