How to Dodge CMS Survey Fines at Your Facility
In 1999, a group of senior care facilities in Illinois incurred fines in excess of $466,000 for Nursing Home Violations. By 2011, that samegroup was at an astounding $1.2 million in fines. Whats even scarier is that for 2011, the first quarter alone was over $800,000, leading them on a path to crest over $3 million last year. In an industry where funding is hard to come by, who can afford such substantial increases in fines alone?
Fines are one of the largest problems for nursing home facilities, especially in Illinois, where over 127 new surveyors were hired. Before, there was an entrance conference with the Survey Team Leader, NHA and remainder of the survey team. This process allowed facilities some preparation time and the ability to notify staff. The survey teams are now larger and can immediately start surveying the nursing units due to preparation done off sight leaving you little to no time to prepare.
Dodge, Duck, Dip, and Dive Potential FinesWhen surveyors from the Centers for Medicare and Medicaid Services (CMS) come, take the knowledgeable and offensive approach by presenting them with compliance materials and information as to why this potential deficiency should not be written. Show proof that you have already identified this concern through your Quality Assurance processes and are on track to fix it. You should also mention there was no harm to the resident/s as a result of the potential deficiency.
Youll be much more effective if your voice is heard during the survey then waiting to contest the deficiency with an Informal Dispute Resolution (IDR) when its written.
Game PlanThe steps required in a plan of correction by CMS and the State for a deficiency (listed below) can also be used to prove to the surveyors action steps have been identified, are in progress and being continually monitored to reduce any potential harm to the residents.
- How the deficiency identified for a specific resident/s will be corrected
- How the facility will identify other residents that have the potential to be affected
- What measures will be taken to make sure the deficient practice will not occur
- How the facility will monitor its corrective actions to ensure the deficient practice does not reoccur
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