F Tag 807

F Tag 807 is: Drinks Available to Meet Needs/Preferences/Hydration-this blog post gives specific examples of why this tag was out of compliance at four facilities. It also stresses the importance of providing fresh water to all residents. This is a must read for students and RDNs who want to understand more about the compliance of this tag.

https://cmscompliancegroup.com/2020/02/07/ftag-of-the-week-f807-drinks-avail-to-meet-needs-preferences-hydration/

Ways the RDN can help meet F Tag 807

*Investigate large, unexplained weight loss-request that labs be drawn. Look at the resident do they appear to be well-hydrated? If there is no apparent reason for the weight loss, it may be dehydration.

*Visit the resident and explain the importance of adequate hydration. Offer to get them a drink-document any approaches in your progress note.

*Ask alert residents if they drink from their water pitcher daily. If yes, document this in the medical record. If no, ask if they are getting fresh water throughout the day. If they are not, discuss with the nurse on the unit or if the problem is widespread, the Director or Assistant Director of Nursing.

*Look at residents with dementia. Do they appear to be getting adequate fluids throughout the day? If not, order an extra 120 mL with each med pass or an extra 240 mL bid.

*Visit with the resident if they appear to be dehydrated or have decline in fluid intake to see if beverage preferences are up-to-date.

*Make sure that the resident gets the appropriate adaptive equipment.

*Refer to SLP or OT for issues with swallowing or need for adaptive equipment

Ace your LTC/Clinical Rotation

I am a RDN with over 25 years of experience in LTC. Over the past few years, I have been working with students as a preceptor. This led me to create four nutrition presentations that have proven to be helpful to student dietitians and diet technicians. In fact, I have recently updated the videos as a result of some feedback from over 200 students. One had commented, “I wished I had seen your videos at the start of my internship.” In addition, I have written an e-Book that students can purchase for practical information on completing nutrition assessments. Sample patients are included. Overall, these resources are designed to give the student practical advice on how to complete nutrition assessments and plans based on current nutrition scientific evidence.

New State Survey Process

Starting in the fall of 2017, there will be a new state survey process for LTC.  I’m developing a new video on what dietitians need to know about the survey process.  Here are a few slides:

Reference:

https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Downloads/New-Long-term-Care-Survey-Process%E2%80%93Slide-Deck-and-Speaker-Notes.pptxhttps://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/GuidanceforLawsAndRegulations/Downloads/New-Long-term-Care-Survey-Process%E2%80%93Slide-Deck-and-Speaker-Notes.pptx

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