Policies and Procedures Residential and Assisted Living Communities Policy Title: Survey Preparedness Binder Policy Number: AA.01.60.04
Effective Date: 01-19-2012
Approved By: Kevin Cox
Revision Date: Page Number:
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POLICY It is the policy of this community to establish a process to assure ongoing preparedness and compliance with applicable State requirements for Survey readiness. PROCEDURES Every licensed community will create and maintain a Survey Preparedness Binder, which will be kept accessible at the front desk. The binder will consist of 19 tabs, labeled as:
Resident Current Census Facility Staffing Plan Admissions Medicaid Residents with PIF Accounts State Specific Acuity/Characteristics Form Move Out List Admission Forms UDS (Uniform Disclosure Statement) Activity Calendar Menus Management List Administrator CEU’s Employee list Safety Criminal History Policies Insurance Survey
The community will utilize the “Survey Binder Audit Checklist”. The audit checklist will be audited monthly by the community Administrator/Executive Director, and will be kept updated as needed by the Front Desk staff person. FORMS Survey Binder Audit Checklist
