Now that as of June 1st, Surveyors are using the "new" Guidelines, anyone out there been surveyed? We are in our "window", I'll be sure to post any new areas/sites etc. for Activities. after they exit, what real changes have you seen re: Surveyors since new regs are in place?
Kevin
1
New 248-249 Inspections?
Started by kevinm, Jun 20 2006 08:34 AM
26 replies to this topic
#2 Guest_Guest_Karen_*
-
- Guests
Posted 20 June 2006 - 09:54 AM
Good question!
Definately anyone who gets a survey please give us some insite on what is expected!
Thank you,
Karen
Definately anyone who gets a survey please give us some insite on what is expected!
Thank you,
Karen
#3
-
- Members
-
- 20 posts
Member
Posted 19 July 2006 - 05:33 AM
Hi everyone,
The state has been in our facility. New guidelines in effect. They ask nurses, CNA's, all staff, on what activities they do with residents. What all the residents do during the day.
They ask me, AD, what I did with my resident's that did not attend activities.
They were watching activities alot.
Seeing who was coming into activities, and who was escorting resident's into the activity.
Hope this helps.
actpro in Texas
The state has been in our facility. New guidelines in effect. They ask nurses, CNA's, all staff, on what activities they do with residents. What all the residents do during the day.
They ask me, AD, what I did with my resident's that did not attend activities.
They were watching activities alot.
Seeing who was coming into activities, and who was escorting resident's into the activity.
Hope this helps.
actpro in Texas
#4
-
- Members
-
- 230 posts
Advanced Member
Posted 20 July 2006 - 07:56 AM
ACTPRO,
where in Texas are you? I am in SAn Antonio - just wanted to touch base with you more on their visit!
Diana
where in Texas are you? I am in SAn Antonio - just wanted to touch base with you more on their visit!
Diana
#5
-
- Members
-
- 20 posts
Member
Posted 20 July 2006 - 03:21 PM
Diana,
I am in a little place called Ballinger, Tx.
Do you have any insight, on the culture change.
I would like to know how to get the rest of the staff to do activities.
What is the name of your facility.
Actpro
I am in a little place called Ballinger, Tx.
Do you have any insight, on the culture change.
I would like to know how to get the rest of the staff to do activities.
What is the name of your facility.
Actpro
#6
-
- Members
-
- 5 posts
Member
Posted 20 July 2006 - 07:46 PM
actpro, on Jul 20 2006, 03:20 PM, said:
Diana,
I am in a little place called Ballinger, Tx.
Do you have any insight, on the culture change.
I would like to know how to get the rest of the staff to do activities.
What is the name of your facility.
Actpro
I am in a little place called Ballinger, Tx.
Do you have any insight, on the culture change.
I would like to know how to get the rest of the staff to do activities.
What is the name of your facility.
Actpro
I am in Brownwood, Tx. I am an activity director at an assisted living facility. We are in our window also. Was wondering how they are surveying assisted living facilities. Anyone could give me an insight it would be appreciated.
Thanks,
Sonia
#7
-
- Members
-
- 230 posts
Advanced Member
Posted 21 July 2006 - 07:00 AM
I actually just typed up and passed out a little one page questionaire to my staff inquiring what they believe they do activitywise with the residents on any given day. I am still waiting to hear their response. Then I am planning on leading the facilitywide inservice on payday, touching on the new regs and implementing specific activity carts for each of my 4 units - so that it is fully accessible for all staff when I am not available.
I hope this helps!
Getting staff aware of the fact that State will ask them what THEY do to help will be so important! One of my questions specifically asked if a member of the floor staff had in the past 3 months provided an activity to a resident who had a recent behavior (needing redirection), stated they were "bored," or were up late at night (unable to sleep). And then I asked what it was that they provided. Realizing they cannot rely on the activity director to be everything to everyone will be so important!!!
Diana
OH, for ACTPRO, I am at Memorial Medical Nursing Center in San Antonio - been here for 5 years and still feel like I don't do enough!
I hope this helps!
Getting staff aware of the fact that State will ask them what THEY do to help will be so important! One of my questions specifically asked if a member of the floor staff had in the past 3 months provided an activity to a resident who had a recent behavior (needing redirection), stated they were "bored," or were up late at night (unable to sleep). And then I asked what it was that they provided. Realizing they cannot rely on the activity director to be everything to everyone will be so important!!!
Diana
OH, for ACTPRO, I am at Memorial Medical Nursing Center in San Antonio - been here for 5 years and still feel like I don't do enough!
Edited by Diana, 21 July 2006 - 07:01 AM.
#8 Guest_Guest_*
-
- Guests
Posted 23 July 2006 - 12:20 AM
i am finding it very hard to retrain the staff to the idea that the phrase ( its not my job) does not alppy anymore and never should have.... the CNA's are saying " why do we have to do our job and yours" .......i am going to have a inservice on this the first of aug. if anyone has any thing the can send me that could help me out it would be great.....i have only been the director there for 6 months .....well i have only been an activity dir for 6 months.......so i really dont know enough yet....if you have any thing that can help my e-mail is magictiger2004@sbcglobal.net tank you in advance
KIM
KIM
#9 Guest_Guest_*
-
- Guests
Posted 23 July 2006 - 06:18 AM
Honestly, I think it is important that any inservices/education/workshop regarding the new tags be generated and led either by the administrator or Nursing Inservice Coordinator. THESE NEW GUIDELINES ARE NOT RECREATION INITIATED. They are to be implemented by the FACILITY. If the job of inservicing and educating staff falls into our lap, the new guidelines will be confused with something "the Recreation Dept has to deal with". THIS SHOULD NOT BE THE PERCEPTION
#10
-
- Members
-
- 15 posts
Activity Director
Posted 23 July 2006 - 02:22 PM
I used the inservice and the forms I received from taking the FTAg course on this site, We used BigChris idea of making a floating multi dept documentation for all the facility to note any and all self set goals, interests, off hour activities and I took it upon myself to do the inservice. I need my facilty to rally behind this in order to get staff moving in this direction.. the Admin and Nursing in our facility dont have the friend factor that activitys has, Our Activity Dept, works with dietary, nursing, janitorial.. everyone to get residents moved, get meeting rooms setup, lunches perpared.. we have a good working relationship with everyone. We started non scheduled activities with several residents, teaming them up with staff, we supplied staff with materials to better equip them when talking to or helping out with certain residents, we are developing friendships as well as a good community.. it works for me... my facility wide activities are being noted, my assessements are being updated and I know I will be ready for state.. good luck....
#11 Guest_Guest_magictiger_*
-
- Guests
Posted 25 July 2006 - 06:40 PM
i work in a 176 bed snf 1/2 of the facility is a lock down alzhiemer unit. so i have a regular unit and alzhiemer unit.......i am going crazy trying to come up with an inservice that will benifit the hole facility ......if any one have a copy of an inservice please HELP>>>>>>>>>>>>>>>>>>..kim magictiger2004
#12
-
- Members
-
- 28 posts
Member
Posted 01 August 2006 - 09:48 PM
Hi Guy's!
State survey last week... All just fine with Activities, tough though.
With the new way surveyors are looking at Act I was looking forward to it actually.. Much more observation in halls, and not the numbers actually attending, but how they got there. No one left behind.. Facility wide involvement. Aides were asked about activities, "which activity does Mr Jones enjoy?" Do they encourage attendance, participate in activities themselves? (wow). And believe it or not, all had the right answers!
Every under 55 resident was assessed and activity preferences reviewed
1:1's/in room activities of course, the documentation the key
Some things just kinda related to activities but pushed on to nursing, was communication with non english speaking residents, and the smoking policy. Activities I know will be called on to assist. I will start a different thread with those issues.
Anyway, unfortunately there were bigger fish to fry in my facility, so Activities I think really did not get the full brunt of an informed surveyor really doing some digging... But my facility is on alert! they know now what surveyors are looking for now.. I've been telling them, glad to see some change..
Kevin
State survey last week... All just fine with Activities, tough though.
With the new way surveyors are looking at Act I was looking forward to it actually.. Much more observation in halls, and not the numbers actually attending, but how they got there. No one left behind.. Facility wide involvement. Aides were asked about activities, "which activity does Mr Jones enjoy?" Do they encourage attendance, participate in activities themselves? (wow). And believe it or not, all had the right answers!
Every under 55 resident was assessed and activity preferences reviewed
1:1's/in room activities of course, the documentation the key
Some things just kinda related to activities but pushed on to nursing, was communication with non english speaking residents, and the smoking policy. Activities I know will be called on to assist. I will start a different thread with those issues.
Anyway, unfortunately there were bigger fish to fry in my facility, so Activities I think really did not get the full brunt of an informed surveyor really doing some digging... But my facility is on alert! they know now what surveyors are looking for now.. I've been telling them, glad to see some change..
Kevin
#13
-
- Admin
-
- 679 posts
Advanced Member
Posted 04 August 2006 - 10:04 AM
Hey Kevin & everyone,
Thanks for taking the time to tell us about the survey. I think we are all curious about how these go, even before the change. I was wondering did you change up how you keep you participations records&/ or how you keep any of your records? I guess what I'm asking is how are you showing that the staff members of other depts. are getting involved, especially when your not there. If so how & what did state look at? CONGRATS on a good survey. Pennie
Thanks for taking the time to tell us about the survey. I think we are all curious about how these go, even before the change. I was wondering did you change up how you keep you participations records&/ or how you keep any of your records? I guess what I'm asking is how are you showing that the staff members of other depts. are getting involved, especially when your not there. If so how & what did state look at? CONGRATS on a good survey. Pennie
#14 Guest_Guest_*
-
- Guests
Posted 05 August 2006 - 03:15 PM
We are putting a partial REC. care plan next to care card closets. Because we are on an Electronic Charting System we are able to pull and separate, Copy and paste the ACTIVITY/INTERVENTIONS for each individual resident. As we update our careplans now, we are very specific interms of "what , where and when" the residents leisure individual preferences are. WE are not that "big " on how often, for example 2x 3x etc etc. This enlarged card is is for all of the "facility" to see.
In September we are forming a "QUALITY OF LIFE" committe comprized of assigned staff from all dept's and all levels, who we think will "get it". Durring those meetings we hope to brain storm and come up with interventions that the facility as a whole can improve and OWN quality of life directives (MANY THINGS THEY ARE DOING ALREADY) The difference is we will have written minutes to show the state. This committe WILL NOT BE LED BY RECREATION. REC dept will have a representative attend
What won't be on the activities calendar will be small monthly clubs that will meet 1x per month and be facilitated for 1 hour by volunteering staff who share those similar interests. These "clubs" will be small and targeted. They may have 2-3 residents only. Our administrator is already setting an example by having a Men's Club Luncheon! This is very popular and well attended.
Lastly, at the end of CNA's FLOW SHEET, we will have an optional button for aides to write a very short narrative as to what she had done in terms of elevating QUALITY OF LIFE from a leisure preference point of view. Again, this could be as simple as stating " I brought, Mrs. T. a gourmet magazine to page through ( because hopefully, as it reads on the care card the CNA will KNOW this ) OR it could be, " I put a small group together to have tea and turned on the preferred music '" OR " I told MrB. the YANKEES were on and found the right channel, OR NOTHING AT ALL . The point is: It is not mandatory. The point is: we are giving the CNA the opportunity to document on the "total PERSON" not just a CHECK MARK about what type/form their stool was today or what level of ADL assist was performed, or what quantity of food intake or weights.......etc etc. We hope that it will empower them. We hope that we will gain useful information. We want to value their efforts and opinion. We want to give them the opportunity to TAKE CREDIT for the many things that they are DOING ALREADY, that the REC dept. knows nothing about!!!!!!!!!!!!!!
In September we are forming a "QUALITY OF LIFE" committe comprized of assigned staff from all dept's and all levels, who we think will "get it". Durring those meetings we hope to brain storm and come up with interventions that the facility as a whole can improve and OWN quality of life directives (MANY THINGS THEY ARE DOING ALREADY) The difference is we will have written minutes to show the state. This committe WILL NOT BE LED BY RECREATION. REC dept will have a representative attend
What won't be on the activities calendar will be small monthly clubs that will meet 1x per month and be facilitated for 1 hour by volunteering staff who share those similar interests. These "clubs" will be small and targeted. They may have 2-3 residents only. Our administrator is already setting an example by having a Men's Club Luncheon! This is very popular and well attended.
Lastly, at the end of CNA's FLOW SHEET, we will have an optional button for aides to write a very short narrative as to what she had done in terms of elevating QUALITY OF LIFE from a leisure preference point of view. Again, this could be as simple as stating " I brought, Mrs. T. a gourmet magazine to page through ( because hopefully, as it reads on the care card the CNA will KNOW this ) OR it could be, " I put a small group together to have tea and turned on the preferred music '" OR " I told MrB. the YANKEES were on and found the right channel, OR NOTHING AT ALL . The point is: It is not mandatory. The point is: we are giving the CNA the opportunity to document on the "total PERSON" not just a CHECK MARK about what type/form their stool was today or what level of ADL assist was performed, or what quantity of food intake or weights.......etc etc. We hope that it will empower them. We hope that we will gain useful information. We want to value their efforts and opinion. We want to give them the opportunity to TAKE CREDIT for the many things that they are DOING ALREADY, that the REC dept. knows nothing about!!!!!!!!!!!!!!
#15 Guest_Guest_Melissa_*
-
- Guests
Posted 08 August 2006 - 01:15 PM
Our admin is asking us to make sure we are doing everything we need to do for the new survey requirements. Wea are getting close to time for a visit and she is getting nervous. We are in Ohio .. Long term care 248 beds.. we have been doing the updates on our assessemtnets and would like any suggestions from anyone.
what is everyone else doing to be in compliance.?
what is everyone else doing to be in compliance.?
