have been through 4 CARF surveys which we passed. The
first survey I missed due to a death in the family. The second
survey the suveyors asked the OT what recreational therapy did
on the unit. The third survey I stressed recreational therapy involvement
in the survey process and I was initally scheduled to drive the
van to pick up the surveyors from the hotel. "WOW" I convienced
them I couldn't talk and drive at the same time so another driver
was found. The surveyors ask me questions about the van and community
reintegration outings, during the ride. The most recent survey
we had a recreational therapist as a surveyor who told me about
previous work experiences as a RT and I gave the other surveyor
a tour of the van per their request. Well there is always hope
for the next survey.
anonymous
Monday, May 17, 2004 at 21:00:36 (CDT)
I am currently a CTRS working on a subacute
unit in a LTC facility. We recently had JCAHO and state surveyors
come through our facility. JCAHO asked for our Activity Policy
and Procedures manual. They were interested in types of interventions
for low functioning clients, as well as religious/spiritual opportunities.
The state surveyors looked at past and present activity calendars,
as well as what type of 1:1 interactions we were doing with our
low functioning clients. I spoke with the state surveyors and they
happened to say that when they meet with subacute client, they
typically ask "are you bored." On the LTC units, they held a Residents
Council meeting and asked to look at the past three months minutes.
If you do what you are supposed to on a regular basis and MEET
THE NEEDS OF THE PEOPLE YOU SERVICE - then its a piece of cake!
anonymous
Wednesday, June 12, 2002 at 18:28:08 (CDT)
state inspection of NJ
burlington woods
Wednesday, May 15, 2002 at 19:37:19 (CDT)
I work at a Rehab/Sub-Acute/LTC facility.
We had three surveyors. There was alot of documentation review
and alot of ?? about education and how it was documented. They
met with each Team and wanted to see how you interacted and co-treated
with each other. They met with our Volunteer Coordinator and asked
to see a volunteer file including their Competencies. They asked
for a Resident Council meeting on the LTC unit and asked the typical
questions that a State surveyor would ask. They asked to speak
with the therapist on the LTC unit and asked for her calendars.
They asked her how the calendar reflected the individual care plans.
Rec. Therapy was very involved in this survey.
anonymous
Monday, June 18, 2001 at 14:50:05 (CDT)
Passing Joint Commision should be able
to be done at any time, not just when they are inspected
anonymous
Monday, May 28, 2001 at 18:47:00 (CDT)
Policies, Procedures & Competencies.
That is all you need to know. That is all you need to do.
anonymous
Saturday, January 20, 2001 at 00:48:25
(CST)
I personally have not gone through a
survey,but I am scheduled to go through one next year.I would like
tips on what to expect.
anonymous
Sunday, October 08, 2000 at 18:25:40 (CDT)
We had JCAHO come through our hospital
a few months ago, and they were very interested in the treatment
protocols, what groups we offered for the pt, and the benefits
thereof, as well as new TR programs that had been started. I was
lucky enough to have been a new employee of 3 months, and invited
to have a sit down meeting with the surveyor along with all the
other disciplines on the rehab unit. The surveyor seemed very impressed
with the enthusiasm everyone showed with what they do. We scored
96%!!
Gini
Tuesday, September 12, 2000 at 18:25:01
(CDT)
I learned that others are always watching.
Lance
Sunday, August 13, 2000 at 18:10:49 (CDT)
I need some no nonsense information
on exactly JCAHO wants from the T.R./Activitiers Therapy programs.
Exactly what qualifications are needed by staff to chart, assess
and do groups. Looking through the manual one gets a headache and
confused. I get conflicting information for those that are supposed
to be in the know
I am tired of searching . HELP!!!!
betteavila@hotmail.com
Wednesday, August 02, 2000 at 19:24:05 (CDT)
I happen to be a surveor and a Master's Prepared CTRS
- please don't think all of the survey teams are not interested - because they
do ask me a lot of questions. We also have a OTR who is a surveyor out of my
office!
anonymous
Monday, July 31, 2000 at 14:31:32 (CDT)
I have been in the Activity profession for numerous
years in one form or another. Just recently JACHO and State surveyor are looking
into Low functioning residents and their participation and lack thereof. They
do like to see more low functioning programs on the Activity Calendar for SNF's.
They are more interested in making sure the documentation coinsides with the
resident.
Anne
Monday, July 03, 2000 at 18:25:46 (CDT)
I work in 120 SNF/LTC, we scored 100% on or JCAHO
surevey. The surveyor asked many questions on Voting registration, Religious
resources and acitivities and Resident Council meetings for LTC. There were hardly
any questions about documentation, program protocol or treatment plans for the
skilled rehab unit.
A. Benfield, CTRS in Central Florida
Wednesday, April 05, 2000 at 19:31:29 (CDT)
I work in 120 SNF/LTC, we scored 100% on or JACHO
surevey. The surveyor asked many questions on Voting registration, Religious
resources and acitivities and Resident Council meetings for LTC. There were hardly
any questions about documentation, program protocol or treatment plans for the
skilled rehab unit.
A. Benfield, CTRS in Central Florida
Wednesday, April 05, 2000 at 19:29:49 (CDT)
I found the JACAHO survey very helpful and very interested
in patients quailty of life. New York state was very clinical and was looking
for you to "mess Up".
anonymous
Sunday, March 05, 2000 at 18:01:43 (CST)
survey, strong interdisciplinary focus, teamwork
anonymous
Friday, October 15, 1999 at 14:20:08 (CDT)
I am the Activity Director on a sm. sub acute care
unit in Maryland. Topics of noted importance by the survey team re: activities
focused on: a). The overall Activity program...how I determine/plan the monthly
activities. Including input from our patients/residents; b). Ways inwhich activites
are modified for specific populations; c). The interdisciplinary approach which
occurs on the unit; and d). Care plan interventions.
anonymous
Wednesday, September 15, 1999 at 08:31:13 (CDT)
I worked for Lorien Nursing Home in Maryland
and while JCAHO was there the Recreation department was the least of
their concern, that's why the recreation department at Lorien is one
of the worst I have ever seen!
anonymous
Thursday, July 01, 1999 at 22:45:23 (CDT)
Just finished survey last week. So long as
you provided one to one attention to those who required it, thats all
the surveyors looked at. LONG TERM CARE
tmleisure
Thursday, April 29, 1999 at 00:33:40 (CDT)
have not had one yet
anonymous
Friday, April 09, 1999 at 10:50:39 (CDT)
While I was working at a LTC facility, the
state came in and hardly looked at our program. They did not even look
at one activity in progress, nor did they ask us any questions! All they
looked at was if the patients nail polish was chipped! Can you believe
they did not even look at how in -depth our progress notes were or the
quality of our activities!
anonymous
Wednesday, March 03, 1999 at 14:26:12 (CST)
During my last survey in Indiana
our facility did very well,we had almost a perfect survey. I do believe
that the length of our management team (7-8years)was impressive and the
facility was only a 55 bed. Small family run business with a positive
resident oriented staff. Now I am with a huge corp. and am not looking
forward to survey.I learned over the past 18 years in long term care...not
to fear...its all in a days work and if hit hard, repair and go on...or
go into another field! Most surveyors are not activity professinal and
don't know much about activities to begin with! This is a major concern
to me and always has been! I remember in the early 80's surveyors told
me what they thought I should plan now I ask if "suggestions" are regulations!
All in all I have been lucky and remained employed!But that could change...
anonymous
Wednesday, January 27, 1999 at 23:56:21
(CST)
The state surveyors
hit all PA long term and continuing care homes very hard this year. We
got through it well, but many other facilities in our area did not. Many
local facilities in my area are currently not allowed to admit new residents.
anonymous
Saturday, January 09, 1999 at 09:20:02 (CST)
Although we did exceptionally
well and JCAHO was impressed, this was NO piece of cake!!! Although
only 1 surveyor, the surveyor was everywhere (could've sworn
he had clones). And don't let the pleasant, participitative manner
fool you. Nothing gets past them. Surveyor was extremely knowledgeable,
and refreshingly, had a very comprehensive understanding of TR
and a respect for our clinical discipline. That in itself is
a nice change of pace from State Survey. We do have a Spiritual
Assessment, so this was not an issue, but I particularly want
to thank the person who commented on that in their submission
in October. It was comforting to know going in to survey that
we had it covered (one less thing to stress about). Basically,
in preparation we spent the early part of the year reviewing
the standards and checking our current practice to standards
(I recommend buying your own copy, rather than relying on getting
xeroxed sections distributed to you from admin. You can get info
from the JCAHO website - www.jcaho.org ) -- reviewed and updated
the entire manual, audited 100% of charts with staff, and implemented
the spiritual assessment, because in our review we felt this
was an area that could use some firming up. Best to start prepping
in earnest at least 9 months before so you don't get frazzled.
Then once it's over keep prepping for the next one!
anonymous
- Tuesday, December 02, 1997 at 19:18:40 (PST)
LTC JCAHO Accrediation: more
positive experience than state surveys. Need spiritual assessment-
can be 1 question asking about a person's faith. Safety and security
plan important. Survey is more of dialogue in nature- ask questions.
Have chance to point out the good things that you and your facility
do. BRAG.
anonymous
- Tuesday, October 21, 1997 at 16:11:25 (PDT)
The survay is a piece of cake.
There is only one surveyer per facility and they spend most of
there time looking through piles of paperwork that you already
have prepared for them. They ask you a few simple questions about
volunteers and activites and thats about all. Everything you
need to know is in the crosswalk and there is no suprises. Much
easier then OBRA survey!!!!!!
robyn segal
- Friday, October 17, 1997 at 18:26:06 (PDT)
Survey teams are basically
nice. They like staff to know the procedures for an emergency
and the codes used. From past experiences they like to get the
sense that employees enjoy their jobs and work together as a
team. Groups with various disciplines are a plus. Community committees
and advisory groups are a plus. Of course they enjoy seeing community
outings. This is from a physical rehab objective.
anonymous
- Thursday, October 09, 1997 at 20:02:02 (PDT)
Having a spiritual assessment
was a big area of discussion during my survey. We were deficited
on this. It needs to be more involved then what a patient's religion
is. It also needs to be a team goal and not the sole responsibility
of the TR department.
anonymous
- Sunday, October 05, 1997 at 19:08:16 (PDT) |