Avir At Dallas

F-F686 Skin Integrity, p. 298. https://www.cms.gov/medicare/provider-enrollment-and-certification/gu idanceforlawsandregulations/downloads/appendix-pp-state-operations-manual.pdf

Review of the facility's Skin Integrity Monitoring System policy and procedure, effective date 12/2018 indicated:

Policy:

It is the policy of this home that: 1) A system will be in place to assure that all residents will be assessed and monitored for any type of skin breakdown; 2) A system will be in place to assure that all residents will be assessed and preventative measures will be in place to prevent the development of pressure injuries; and 3)

A system will be in place to assure any type of skin conditions that do not constitute pressure injuries, will be monitored closely for any type of complications.

Procedures included:

Assessment and Monitoring

1) Braden Scale will be completed within 24 hours of admission / readmission and every week times 4 weeks for new admits/readmits; then quarterly and with any significant change in condition in software.

2) Residents will be screened daily through direct care provided and any deficits identified will be reported.

3) All residents will be assessed weekly using the Weekly Skin Assessment form for any type of skin integrity complications; this will include pressure injury and non-pressure related complications.

4) When a pressure injury or non-pressure skin deficit is identified, treatment orders are obtained from physician.

5) When a skin deficit is identified, dietary is to be notified .

6) When a skin deficit is identified, the Interdisciplinary Care Plan and the CNA Kardex (document that helps nursing staff organize and access key resident information for care/care planning) are to be updated to communicate [NAME] [TRUNCATED]

FORM CMS-2567 (02/99) Event ID: Facility ID: If continuation sheet Previous Versions Obsolete Page 10 of 10 676215