Substandard quality of care = 1 or more deficiencies with scope-and-severity levels of F, H, I, J, K, or L in the new survey process
· §483.10 (Resident Rights):
o F550 (Resident Rights/Exercise of Rights);
o F558 (Reasonable Accommodations of Needs/Preferences);
o F559 (Choose/Be Notified of Room/Roommate Change);
o F561 (Self-Determination);
o F565 (Resident/Family Group and Response); and
o F584 (Safe/Clean/Comfortable/Homelike Environment).
· §483.12 (Freedom From Abuse, Neglect, and Exploitation):
o F600 (Free From Abuse and Neglect);
o F602 (Free From Misappropriation/Exploitation);
o F603 (Free From Involuntary Seclusion);
o F604 (Right to Be Free From Physical Restraints);
o F605 (Right to Be Free From Chemical Restraints);
o F606 (Not Employ/Engage Staff With Adverse Actions);
o F607 (Develop/Implement Abuse/Neglect, etc. Policies);
o F608 (Reporting of Reasonable Suspicion of a Crime);
o F609 (Reporting of Alleged Violations); and
o F610 (Investigate/Prevent/Correct Alleged Violation).
· §483.24 (Quality of Life):
o F675 (Quality of Life);
o F676 (Activities of Daily Living (ADLs)/Maintain Abilities);
o F677 (ADL Care Provided for Dependent Residents);
o F678 (Cardio‐Pulmonary Resuscitation (CPR));
o F679 (Activities Meet Interest/Needs of Each Resident); and
o F680 (Qualifications of Activity Professional).
· §483.25 (Quality of Care):
o F684 (Quality of Care);
o F685 (Treatment/Devices to Maintain Hearing/Vision);
o F686 (Treatment/Services to Prevent/Heal Pressure Ulcers);
o F687 (Foot Care)’
o F688 (Increase/Prevent Decrease in ROM/Mobility);
o F689 (Free of Accident Hazards/Supervision/Devices);
o F690 (Bowel/Bladder Incontinence, Catheter, UTI);
o F691 (Colostomy, Urostomy, OrIleostomy Care);
o F692 (Nutrition/Hydration Status Maintenance);
o F693 (Tube Feeding Management/Restore Eating Skills)
o F694 (Parenteral/IV Fluids);
o F695 (Respiratory/Tracheostomy Care and Suctioning);
o F696 (Prostheses);
o F697 (Pain Management);
o F698 (Dialysis);
o F699 (Trauma Informed Care) Note: This F-tag doesn’t implement until Phase 3 of Mega-Rule implementation; and
o F700 (Bed rails).
· §483.40 (Behavioral Health Services):
o F742 (Treatment/Svc for Mental/Psychosocial Concerns);
o F743 (No Pattern of Behavioral Difficulties Unless Unavoidable);
o F744 (Treatment/Service for Dementia); and
o F745 (Provision of Medically Related Social Services).
· §483.45 (Pharmacy Services):
o F757 (Drug Regimen is Free From Unnecessary Drugs);
o F758 (Free From Unnecessary Psychotropic Meds/PRN Use);
o F759 (Free of Medication Error Rates of 5% or More); and
o F760 (Residents Are Free of Significant Med Errors).
· §483.70 (Administration):
o F850 (Qualifications of Social Worker >120 Beds).
· §483.80 (Infection Control):
o F883 (Influenza and Pneumococcal Immunizations).
Source: Compiled by AADNS from Federal Regulatory Groups for Long-term Care Facilities, October 2013 version.