![]() To determine compliance with the FSES, the information is plugged into a calculation and given a “pass” or “fail” score.Facilities need their HVAC connected to a generator (emergency preparedness regulations).However, the person needs to be “knowledgeable” on the code as demonstrated through training, level of door violations and through interviews. The person doing the door inspection does not have to have a specific certification. The form the surveyors will use is the CMS 2786R.The K tags have changed and are now based on code section.Quick Reference Guide LSC for health care is a good resource.Bruce Wexelberg shared that the surveyor training on the 2012 LSC is also available to providers under the provider option tab.In Ohio, the top three (3) LSC violations were K38 (Discharge from Exits), K62 (Sprinkler System Inspection, Testing and Maintenance) and K144 (Emergency Systems).K144 (Electrical Systems – Maintenance and Testing) and K50 (Fire Drills) was the other two top cited areas.Ensure that the company hired to do the facility’s annual inspection reviews the key components of this citation to confirm compliance. K62 (Sprinkler System Inspection, Testing, and Maintenance) was the highest LSC cited deficiency in Region V and nationally again in FY 2016.CMS did not provide the helpful tips as they did last year, but are reconsidering it based on requests. Bruce Wexelberg provided the top ten LSC deficiencies.This is a decrease compared to FY 2015 that had 29. Ohio ranked third (18 in total) in the region for the number of level 4 tags cited on standard surveys for FY2016.Ohio was the lowest in the region on the average number of deficiencies cited per annual (4.2%) and equivalent to the nation on the average number of complaint deficiencies cited (0.6%).F323 (Accident Hazards) and F309 (Provide Care/Services for Highest Well Being) also made the list in all five states and nationally. In 2 states F441 was cited more than 50 percent. Similar to FY 2015, F441 (Infection control) made the list in all five regions and nationally for FY2016. As always, CMS provided the top ten (10) survey and certification citations by region and nationally.LeadingAge Ohio will have additional information and the handouts of the information presented on the LeadingAge Ohio website when CMS sends an electronic copy of the information as there are many handouts that are difficult to read when copied. This is a summary of the key topics shared. LeadingAge Ohio was represented by Janet Feldkamp, Benesch, Stephanie DeWees and Nisha Hammel, LeadingAge Ohio. The Centers for Medicare and Medicaid Services (CMS) held its annual Region V (Ohio, Illinois, Indiana, Michigan, Minnesota and Wisconsin) Long Term Care Provider Association and survey agencies meeting December 13 and 14 in Chicago. CMS Regional Meeting: Top Ten Deficiences, New RoPs, Focused Surveys
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