Falls Focus Audit F-323 Prevent Accidents
Variable
/F TAG
/ / /Risk Assessment completed and current per policy / 272
MDS accurately coded [J/4] / 278
Prevention Care Plan in Place / 279/280
Care plan reviewed/revised past each fall / 279/280
323
Care plan modifications responsive to reason for fall / 280
Devices ordered/on care plan / 278/280
TAR documents use of appropriate devices / 514
Therapy screen/eval present if warranted or resident has had repeated falls per NF policy / 281
323
Fall assessment note complete and timely / 272
281
Fall follow up notes consistent with facility policy / 281
Neuro checks documented if necessary / 281
309
MD Notified / 157
RP notified / 157
Resident Observation
Preventive devices being used as ordered/planned [based on observation] / 281/323
Alert systems being used [based on observation] / 281/323
Resident identifier in place per policy / 281/323
COMMENTS
“Confidential – Privileged Under Virginia Code §8.01-581.16 and 17 – For Quality Assurance Use Only”
Falls Focus Audit Worksheet
Resident #
Date / TIME / LOCATION / RP / MD / NEURO / INJURY / COMMENTS / CARE PLAN REVIEWResident #
Date / TIME / LOCATION / RP / MD / NEURO / INJURY / COMMENTS / CARE PLAN REVIEWResident #
Date / TIME / LOCATION / RP / MD / NEURO / INJURY / COMMENTS / CARE PLAN REVIEW“Confidential – Privileged Under Virginia Code §8.01-581.16 and 17 – For Quality Assurance Use Only”