Division of Nursing Home Monitoring

1
Division of Nursing Home Monitoring

• Promoting quality of care and quality of life for
  Michigans Nursing Home Residents
• [phone]
• Fax [phone]

2
Role

• To Conduct on-site surveys (inspections), of
  each Nursing Home on an annual basis
• To Cite Deficient Practice (any practice that
  does not meet Federal or State standards)
• To request and review a Plan of Correction
  (action plan to correct) for each cited
  deficiency
• To Revisit (return) to make sure the plan is
  working

3
Surveys/Inspections

• Include Nurses, Social Workers, Dieticians,
  Pharmacists and Sanitarians
• Are based on Observations, Interviews with
  Residents, Families and Staff and Record Review
• Take an average of four days with 3-5 surveyors
  (inspectors)
• Allow the surveyors to be on-site, to watch,
  listen, smell, talk with and follow up on any
  questions that occur as a result of findings.

4
Benefit to Residents

• Facilities that meet regulations provide better
  care
• Facilities understand what is expected
• Facilities have an opportunity to learn and
  improve
• Facilities that fail to correct face consequences

5
Public Access to Reports

• Last full report is required to be available in
  each nursing home
• Information available through Nursing Home
  Compare at http//www.medicare.gov/NHCompare
• Provides a common language and standard for
  comparing homes

6
Nursing Home Residents are entitled to

• Care and Services to reach highest level of
  function practicable.
• A clean, homelike, safe environment.
• Good quality, competent medical, nutritional or
  psychosocial care.
• Meaningful activities of their own choosing
  whenever possible.
• Be free of abuse, both verbal and physical,
  neglect, misappropriation of funds or property.
• Exercise choice in health care and living
  decisions, unless a Guardian has been appointed.

7
Survey Results

• Scope
• how many residents may be effected by the
  practice
• Severity
• the threat to
• residents safety/
• well being

8
Michigan Survey Statistics- 2007

• 409 Surveys completed
• 394 Required first revisits
• 90 Required second revisits
• 14 Required third revisits
• 1 required fourth revisit
• 7 facilities were terminated from participation
  with residents relocated

9
Most Cited Deficiencies

• F323- Facility is free of accident hazards
• F371- Store/Prepare/Distribute food under
  sanitary conditions
• F309- Provide necessary care for highest
  practicable well being
• F329- Free from unnecessary drugs
• F281- Professional standards of medical/nursing
  practice are met
• F253- Housekeeping and maintenance
• F431- Proper labeling and storage of medications
• F425- Facility provides drugs and biologicals
• F226- Policies, procedures to prohibit abuse,
  neglect
• F314- Proper treatment to prevent/heal pressure
  sores

10
What Can Consumers Do?

• Review and understand survey findings
• Partner with facility to monitor care, service,
  and corrective actions
• Take an active role in Family Council
• Encourage the facility to participate and sign on
  personally to take part in Quality efforts such
  as the Advancing Excellence in Nursing Home
  Quality Initiative www.nhqualitycampaign.org
• Report concerns to Administrator and on up the
  line if you dont get results.