SMQT - Surveyor Minimum Qualifications Comprehensive Care Plan Process Questions and Answers — Questions and Answers
Question 1: A surveyor is reviewing a resident's comprehensive care plan. Which of the following elements is required to be included according to federal regulations?
- The resident's preference for a private room, regardless of availability.
- A detailed list of all family members' contact information.
- Measurable objectives and timeframes to meet the resident's needs. (Correct answer)
- A statement signed by the resident's physician agreeing to all aspects of the plan.
Correct answer: Measurable objectives and timeframes to meet the resident's needs.
According to 42 CFR §483.21, the comprehensive care plan must include measurable objectives and timeframes to meet a resident's medical, nursing, and mental and psychosocial needs identified in the comprehensive assessment. While resident preferences and physician input are crucial, the specific requirement is for measurable goals and timelines.
Question 2: During a survey, a team member notes that a new resident, admitted 72 hours ago, has a baseline care plan in their record. However, a comprehensive care plan has not yet been developed. How should the surveyor proceed?
- Cite the facility for non-compliance, as the comprehensive plan must be done within 48 hours.
- Determine if the baseline care plan contains the minimum necessary information for the resident's immediate care. (Correct answer)
- Immediately interview the resident's family to understand the delay.
- Assume the facility is developing the comprehensive plan and move on.
Correct answer: Determine if the baseline care plan contains the minimum necessary information for the resident's immediate care.
Federal regulations at 42 CFR §483.21(a) require a baseline care plan to be developed within 48 hours of admission. This plan should include essential information like initial goals, physician orders, and dietary needs to ensure proper care until the comprehensive plan is completed. The surveyor's first step is to assess the adequacy of this baseline plan.
Question 3: A resident with dementia is non-verbal and unable to participate in their care planning meeting. To comply with person-centered care planning requirements, which of the following is the facility's BEST course of action?
- Proceed with the care plan development without the resident's input, as it is not practicable.
- Ensure the resident's legal representative or family member participates in the process, and that the plan reflects the resident's known preferences. (Correct answer)
- Postpone the care planning meeting until the resident is able to communicate.
- Have the nursing staff who work closest with the resident make all care plan decisions.
Correct answer: Ensure the resident's legal representative or family member participates in the process, and that the plan reflects the resident's known preferences.
Person-centered care requires that the facility actively involves the resident and/or their representative in the care planning process. When a resident cannot participate, the facility must include their representative to ensure the plan reflects the resident's values, preferences, and goals to the greatest extent possible.
Question 4: A surveyor is reviewing the discharge planning component of a resident's comprehensive care plan. The plan should include documentation of which of the following?
- A guarantee of the resident's successful transition back to the community.
- An assessment of the resident's preference and potential for future discharge. (Correct answer)
- A signed contract with a home health agency for post-discharge services.
- The personal financial statements of the family members who will be assisting the resident.
Correct answer: An assessment of the resident's preference and potential for future discharge.
The regulations require that the comprehensive care plan, in consultation with the resident and their representative, documents the resident's preference and potential for future discharge. This includes assessing their desire to return to the community and making appropriate referrals if indicated.
Question 5: Which of the following services, if required to meet a resident's needs, must be described in the comprehensive care plan?
- Only services provided directly by facility employees.
- Experimental treatments not yet approved by the FDA.
- Services that are culturally-competent and trauma-informed. (Correct answer)
- A list of preferred television channels for the resident's room.
Correct answer: Services that are culturally-competent and trauma-informed.
The regulations at §483.21(b)(3) and associated surveyor guidance emphasize that services outlined in the comprehensive care plan must be culturally-competent and trauma-informed. This ensures that care is respectful of and responsive to individual resident's preferences, needs, and values.
Question 6: A facility develops a comprehensive care plan for a new resident within 48 hours of their admission. This plan includes measurable objectives, timeframes, and addresses all identified needs from the comprehensive assessment. In this scenario, the facility:
- is out of compliance for completing the comprehensive plan too soon.
- must still create a separate baseline care plan.
- has met the requirements for both the baseline and comprehensive care plan timelines. (Correct answer)
- is required to get a physician to co-sign the plan within the first 24 hours.
Correct answer: has met the requirements for both the baseline and comprehensive care plan timelines.
According to 42 CFR §483.21(a)(2), a facility may develop a comprehensive care plan in place of a baseline care plan if it is developed within 48 hours of admission and meets all the requirements of a comprehensive care plan. By doing so, they fulfill the initial planning requirement.
SMQT - Surveyor Minimum Qualifications Comprehensive Care Plan Process Questions and Answers
A surveyor is reviewing a resident's comprehensive care plan.
Which of the following elements is required to be included according to federal regulations?