site stats

Dshs characteristic roster

WebA completed resident characteristic list (Attachment D, DSHS 15-574). Include all licensed rooms and all residents Complete list of staff, position title, birthdate, shift, and hire date Working schedule of care staff, nursing staff. MHPs and on-call RN and MHPs for prior two weeks Disclosure of Admission Agreement Location of the resident records WebDSHs Rcs Region 3 Completion Date January 29, 2024 Statement of Deficiencies Plan of CotTection Page I of 8 PO Box 98907, Lakewood, WA 98496 ... Review of the ALF Characteristic Roster dated 01/22/20, showed Resident #5 was admitted to r—18. Resident #5 was observed in his apartment on 01/22/20 at I I AM.

Assisted Living Facility Request For Documentation

Webcharacteristic roster, staff list, chart notes, medication administration records, Allegation Summary: 1) COVID positive test for a staff member. Record review showed the facility was screening staff upon start of shift. Observations showed the facility beauty salon was in operation during outbreak and staff were not wearing appropriate eye ... WebRecord Reviews: Resident characteristic roster, staff list, infection line list, resident records, infection control policies and procedures, staff training, Page 1 of2 Thisdocument w / Residential Care Services Investigation Summary Report Allegation Summary: cleveland oh for rent https://shipmsc.com

Assisted Living Facility Resident Group Meeting

WebCompleted Resident Characteristic Roster/Sample Selection (Attachment D). Completed list of staff with names, position, hire date, and month/day of birth (Attachment K). Request a copy of evidence of liability insurance coverage from the licensee/administrator. Request a copy of the disclosure form to identify the scope of care and services. WebAcronym. Definition. DHSH. Department of Social and Health Services. DHSH. Drilled Hex Socket Head Cap. WebAttachment D (Resident Characteristic Roster/Sample Selection) (DSHS 10-362) Attachment N (Contract Requirements) (DSHS 10-372) Attachment O (Environmental Observations for Contract Requirements) (DSHS 10-373) Attachment P (Food Service Observations) (DSHS 10-486) PROCEDURES. The Licensor will: bme hotcopper

This do cument

Category:Home WA.gov

Tags:Dshs characteristic roster

Dshs characteristic roster

Title

WebGet the free Assisted Living Facility Resident Characteristic Roster and Sample Selection - Attac... Description RESIDENT ROOM ADMIT DATE DSS 10362 (REV. 07/2015) RESIDENT ID NUMBER RESIDENT NAME Other Home Health / Hospice / Private Caregiver Oxygen / Respiratory Therapy Recent Hospitalization Pay Status: Private Web(DSHS 10-361) Attachment D (Resident Characteristic Roster/Sample Selection) (DSHS 10-362) Attachment N (Contract Requirements) (DSHS 10-371) PROCEDURES The Licensor will: Select the residents for the sample from the information gathered during the preliminary sample selection phases: pre-inspection preparation, entrance, tour.

Dshs characteristic roster

Did you know?

WebCharacteristic roster Medical records Facility policies Staff patterns Investigation Summary: The facility obtained wound care services from an outside home health agency. Wound care services occurred week y with this service. The facility referred the resident to a higher level of care to obtain services. Consultation written. Conclusion I Action: http://www.ageiahealthservices.net/forms/Attachment%20D%20RESIDENT%20CHARACTERISTICS%20ROSTER.pdf

WebRecord Reviews: Resident characteristic roster, staff roster, staff work schedules, resident records (assessments, care plans, temporary service plans (TSP's) and progress notes), incident investigations, facility policy and procedures, facility's COVID-19 preparedness and response plan and the staff/visitor screening logs. Allegation Summary: 1. WebFind an Interpreter or Translator Reset. Candidate Id. Candidate Last Name. Candidate First Name. National Provider Identifier (NPI) Credentials. Medical Interpreter - Authorized …

WebDSHS 10-363 (REV. 07/2015) • Costs. Are residents here informedby the facility about which items and services are paid by Medicare or Medicaid? Are you aware of any … WebDSHS RCS REGION 3 Completion Date December I l, 2024 Statement of Deficiencies Plan of Correction Page I of 5 PO Box 98907, Lakewood, WA 98496 ... Review of the Resident Characteristic Roster dated 12/04/19 showed Resident #1 was admitted —17. Review of the care plan dated 08/20/19 showed Resident #1 was to the ALF on iagnosis.

WebCharacteristic Roster Page 1 of2 This do cument w / Residential Care Services Investigation Summary Report Allegation Summary: 1. The facility implemented additional infection control policy and procedures following COVID19, to ensure safety and well-being for the residents of the Named Facility.

WebRecord Reviews: Characteristic Roster, Infection Control Policy, COVID-19 protocols, screening, testing, reporting suspected and actual cases of a communicable illness. Page 1 of2 This do cument ... (COVID19) to DSHS as required, and did not take the necessary preventative and protective actions to manage and limit the spread within the facility. bme hot lunchWebDSHS 10-362 (10/2004) BOARDING HOME RESIDENT CHARACTERISTIC ROSTER ATTACHMENT D TOTAL CENSUS: BOARDING HOME NAME: LICENSE NUMBER: … bme hit moodleWebDSHS is listed in the World's largest and most authoritative dictionary database of abbreviations and acronyms DSHS - What does DSHS stand for? The Free Dictionary bme highwayWebApproved Sleeping Room List – DSHS 10-389. Additional Rooms List – DSHS 10-389A . Attachment A: Pre-Inspection ... Attachment C: Resident List (DSHS 10-361) Attachment D: Resident Characteristic Roster (DSHS 10-362) Attachment E: Resident Group Meeting (DSHS 10-363) Attachment G: Resident Interview (DSHS 10-365) Attachment H: Other … bme housing associationWebDSHS 10-362 (REV. 07/2015) Coding: In order to assist in more accurate communication of resident characteristics, the following coding legend has been provided. If characteristics do not apply, leave box blank. MARK THE BOX: Nursing Services (services only a … cleveland oh fun factsbme homeWebAttachment D (Resident Characteristic Roster/Sample Selection) (DSHS 10-362) Attachment I (Environmental Observations) (DSHS 10-367) Attachment K (Facility Staff Sample/ Record Review) (DSHS 10-369) Attachment L (Notes/Worksheet) (DSHS 10-370) Attachment N (Contract Requirements) bme honlap