Survey Process and Citations Flashcards

The 'universe' in the context of a nursing home survey refers to:

Answer: The total population from which the resident sample is drawn

The universe is the entire eligible population used to determine the appropriate resident sample size and selection.

Which scope level indicates that a deficiency affects only a limited number of residents and is not a widespread pattern?

Answer: Isolated

An 'isolated' scope means the deficiency occurred in one or a small number of instances without a pattern.

During a survey, a resident tells a surveyor that staff skip her scheduled bath twice a week. This information is BEST classified as:

Answer: Interview data to be corroborated with observation and records

Resident interviews are valid data sources that must be corroborated before a deficiency is cited.

What is the purpose of an Informal Dispute Resolution (IDR) following a survey?

Answer: To give facilities a formal opportunity to dispute cited deficiencies before they are finalized

IDR is a post-survey process where facilities can present evidence challenging cited deficiencies.

A surveyor notes a pattern of missed call-light responses across multiple residents. The scope assigned would most likely be:

Answer: Pattern

A 'pattern' scope is used when a deficiency affects more than a limited number of residents but is not ubiquitous throughout the facility.

Which of the following BEST describes the purpose of the Quality Indicator Survey (QIS) trigger system?

Answer: To identify areas of concern from MDS data that guide survey task focus

QIS uses MDS-derived quality indicators to help surveyors prioritize which areas to investigate during an on-site survey.

When documenting an observation of a potential deficiency, surveyors should record:

Answer: Specific details including time, location, what was seen, and who was present

Detailed, objective documentation including time, place, and observable facts is required to support any potential citation.