Readiness tool

Accident hazards led the G+ severity pattern

In the July Guide, there was a clear G+ pattern around accident hazards, supervision, pressure ulcer care, and higher-consequence follow-up.

July G+ pattern

In the July Guide, the leading G+ counts centered on accident hazards and supervision, followed by pressure ulcer care.

130

G+ F0689 citation rows for accident hazards and supervision.

117

G+ F0686 citation rows for pressure ulcer care.

The review should start where the record has to connect incident follow-up, supervision, interventions, wounds, and cross-disciplinary review.

Run the review like a trace, not a meeting

Incident to intervention

Take one recent fall, elopement risk, or accident-related event and trace investigation, root cause, care plan update, communication, and monitoring.

Intervention to practice

Confirm the intervention is visible across shifts and resident-specific enough to defend.

Practice back to record

Make sure the record supports what staff say is happening now, not only what was planned.

Useful source tools

The CMS Survey Resources ZIP is the best public doorway for current LTCSP survey tools, including critical element pathways. CMS also points providers to a Falls with Major Injury quality measure training resource.