Volume XXX, Number 6
Focused Dementia Surveys have begun in Texas – Be sure you’re READY!
What we know:
There have been three Focused Dementia Surveys to date that we are aware of. We have heard that the facilities being targeted are at a 40% or higher usage of antipsychotics. Using current data available that means that there are 123 facilities in Texas that could be included in the sample with 31 of those being THCA Members.
Alice Bonner the CMS Dementia Care Expert participated in the first three of 15 anticipated surveys.
Of the two facilities that we have spoken to there was a team of 8 to 12 individuals comprised of CMS staff, DADS State office staff, Ombudsman, DADS QM’s and DADS Surveyors. The surveys have lasted between two and five days depending on findings. During these three surveys Ms. Bonner was training the surveyors on what to focus on for the remainder of the surveys. It is anticipated that all of the first three will have citations recommended mainly focusing on the following four Federal tags:
F 309 Related to Quality of Care;
F 329 Unnecessary Drugs;
F 278 Related to Assessment;
F 279 Related to Care Planning;
With that said the perception from facilities has been that there is such a broad approach that they feel more like an annual survey. Outcomes have led to citations as high as IJ and SQC’s so far.
Surveyors are being trained on looking at dementia care through a new set of lenses. We understand that they are tying everything back to the following main areas:
Click Here to download the surveyor checklist in .pdf format
CMS S & C Letter 13-35 – pdf format
CMS SC Letter 11-35 – pdf format
It is obvious that in order to be successful in these Focus Dementia Surveys, nursing facilities will have to adopt a person centered philosophy, fully embracing culture change. Beginning October 1st, 2015, Texas surveyors will begin using this Dementia focused viewpoint during all annual surveys.
Commitment to Care
”Like” & “Share” the THCA Facebook page
Follow the THCA Twitter page
Download a printable copy of the July 2015 edition of THCA Notes