Holding Care Facilities Accountable

NPUAP staging, hospital-acquired vs. community-onset, and prevention protocol review. 

Risk assessment compliance, fall risk tool review, and post-fall response. 

Weight monitoring, hydration documentation, and nutritional standard review. 

Five rights analysis, high-alert medications, and eMAR documentation gaps. 

Elopement risk documentation, environment-of-care failures, response review, wander guard, door alarm, and electronic monitoring device documentation and compliance.

Timeline, failure-to-rescue review, and nursing response gaps. 

Staff-to-resident assignment load at the time of the incident versus facility policy requirements.

Annual training compliance.

Start-of-care (SOC) OASIS assessments and skilled need justification, plan of care adherence and visit frequency compliance, hospice eligibility criteria and comfort-care appropriateness