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ARTICLE

Date ArticleType
4/30/2019 Regulatory
Residential Citation Update

The Indiana State Department of Health conducted a total of fifteen recertification surveys and of those, three (13.33%) were found to be deficiency-free.  There was a total of 13 Offense tags cited, 72 Deficiency tags cited for a total of 85 residential tags for the month of February.
First quarter information: 

  • 40 Recertification surveys
  • 12 Deficiency-free surveys
  • 26 Offense Tags
  • 147 Deficiency Tags
  • 173 Residential tags

Top areas of non-compliance related to Residential Tags are as follows:

  • Health Services

Utilize the table below to concentrate on the areas most frequently cited by the ISDH during recertification surveys by reviewing the regulations and conducting internal audits. 

Residential Citations for First Quarter 2019

SUBJECT

TAGS

January

February

March

Total

Scope of Care

1-6

0

0

1

1

Residents’ Rights

26-66

2

13

7

22

Administrative & Management

86-96

0

2

1

3

Personnel

116-124

2

3

10

15

Sanitation & Safety

144-157

3

7

17

27

Physical Plan Standards

177-194

0

1

0

1

Evaluation

214-217

5

5

4

14

Health Services

237-248

11

8

15

34

Food and Nutritional Services

268-275

9

7

10

26

Pharmaceutical

295-306

3

2

9

14

Activities Program

326-329

0

0

1

1

Clinical Records

349-358

0

0

0

0

Mental Health Screening

378-386

1

1

1

3

Infection Control

406-414

1

1

6

8

Dining Assistants

434-445

0

0

0

0

The top areas receiving Offense Tags are as follows:

  • Health Services
  • Residents’ Rights
  • Infection Control
Look at the following table showing trend in the area of Offensive Tag citations for the first quarter of 2019.  Utilize the table below, showing survey trends for Offense Tags.  Conduct internal audits to see if you are complying and avoid citations by acting proactively. 

Offense Citations for First Quarter of 2019

Subject

Tags

January

February

March

Total

Scope of Care

001

0

0

0

0

Scope of Care

002

0

0

0

0

Resident’s Rights

0051

0

1

0

1

Residents’ Rights

0052

1

5

4

10

Health Service

0241

4

2

8

14

Health Services

0242

0

0

0

0

Health Services

0245

0

0

0

0

Mental Health Screening

0381

0

0

0

0

Infection Control

0406

0

0

1

1


For more detail including actions to take to avoid citation, follow the link to the recorded Top Residential Tags webinar from April 30, 2019
Email ldavenport@ihca.org with questions or if you need assistance with survey readiness.