Residency Agreement ✔✔ Written, legally enforceable agreement between a facility and an individual (or their legal representative) who is receiving
... [Show More] services in a care residential setting
Service Plan ✔✔ Written, individualized plan for services developed by a service planning team and the care recipient or the care recipient's legal representative, that reflects the care recipient capabilities, choices, and if necessary, applicable, measurable goals, and managed risk issues
Risk Agreement ✔✔ Process where a care recipient's high-risk behavior or choices are reviewed with the care recipient. Alternatives to and consequences of the behavior or choices are explained to the care recipient and the care recipient's decision to modify behavior or accept the consequences is documented.
Pediatric home health care ✔✔ Home health care that is provided to children with illnesses and special needs.
Data Assessment and Verification (DAVE) ✔✔ Program administered by CMS designed to ensure accuracy of MDS data accomplished through data analysis, off-site review, on-site review, and provider education.
Case Mix ✔✔ A system that uses residents (patient) attributes (e.g. functional status in ADLs or cognitive abilities) to classify residents (patients) for purposes such as reimbursement OR a measure of the intensity of care and services used by a group of residents in a nursing facility.
Resource Utilization Groups (RUGs) ✔✔ A collection of nursing facility care recipient classification systems used in a variety of case mix indexed reimbursement systems. Using assessment tools like the MDS 3.0, these systems group care recipients by expected level of resource utilization, usually based upon staff time measurements per care recipient per day.
Substantial Compliance ✔✔ Minor deficiencies or violations, but a facility generally meets the intent of federal or state regulations. On the Federal Enforcement Grid, this equates to boxes A-C.
Nursing Home Quality Improvement Initiative ✔✔ A program of CMS and the U.S, Department of Health and Human Services that compiles information about nursing home care recipients on eight situations/conditions called quality measures (QM) and makes the information available to consumers.
Bed Hold Policy ✔✔ In skilled nursing facilities, the length of time the facility will hold a resident's bed in case he or she has to leave the facility for care elsewhere, such as a hospital, or for any other reason.
Skilled Nursing Care ✔✔ Care given or supervised by registered nurses. Nurses provide direct care; manage, observe, and evaluate a patient's care; and teach [Show Less]