Health Facilities Education and Quality

Test Your Knowledge Answers:

1) The State Operations Manual, appendix PP, clarifies:

"Elopement occurs when a resident leaves the premises or a safe area without authorization (i.e., an order for discharge or leave of absence) and/or any necessary supervision to do so. A resident who leaves a safe area may be at risk of (or has the potential to experience) heat or cold exposure, dehydration and/or other medical complications, drowning, or being struck by a motor vehicle. Facility policies that clearly define the mechanisms and procedures for assessing or identifying, monitoring and managing residents at risk for elopement can help to minimize the risk of a resident leaving a safe area without authorization and/or appropriate supervision. In addition, the resident at risk should have interventions in their comprehensive plan of care to address the potential for elopement. Furthermore, a facility’s disaster and emergency preparedness plan should include a plan to locate a missing resident."

2) If the resident is receiving at least 26% of daily calories and at least 501cc of fluid daily through their g-tube, it is a daily skilled service and Medicare coverage would continue while the resident is receiving those levels of daily tube feeding.

3) No. Unless they are Certified Nursing Assistants, the hours cannot be reported under the job code of CNA. The hours may be reported under the job code for nurse aide in training.