State survey

But even with that bureaucracy to face down, if the facility's got its paperwork right and its ducks in a row, winning an IDR is a simple matter. It's all in the details... and using the survey team's own words against it

Don't kid yourself. "They" and the survey process matter very much and can cause a great deal of grief for facilities burdened with persistently negative findings.

I am not in LTC now because of state surveyers.They are,to me,terrorists sanctioned by the state. I have never known one thing done by the state to make a facility better or patients safer.They lie, they twist situations,they have no grasp or interest of the complexities of long term care.They exist to destroy others hard work.I suffer from PTSD due to the surveyers(yes I have received help), and consider them sub-human.

We cannot know exactly what evidence was presented- we only have one side of the story. Again, I don't want to offend anyone, but until you yourself have sat down and reviewed the evidence, how can you know? Common sense? I can tell you some horror stories about common sense....or lack thereof...I know that I am a disliked minority- I truly wish it were not that way.

Hello all!

This isn't really a question, but mainly a vent. We recently had our state survey and got a cite for skin integ. The state is saying that a resident developed a pressure ulcer. We are saying its a stasis ulcer from poor circulation. (this resident is in poor health, DM Dialysis, has already lost one leg dt this) We have documentation, and The would doctor that comes in and his own doctor have both documented well on this residents wounds being stasis ulcer.

Now the sate surveyers win. We get the cite. How can they do that?? They are basically lying in my opinion just to give us the cite. They surverys also stated that someone in management made a statement that was never said. I just don't understand how they can do this. How can they sleep at night?

I have been in LTC for about 15 years, I have never seen surveyers do this.

thanks!!
Kathy

The most frustrating aspect of these situations is that the surveyor’s interpretation goes on the report. If you want to dispute it, there is an entire bureaucracy with which you have to contend.

My response to their report on our facility - and all of their misinterpretations and outright mistakes - was four pages long. The most aggravating thing is that we have to endure the inspections and pay for them, but since we aren't a hospital their opinions are only advisory.

I'm a little confused. Are you saying common sense is a good thing or a bad thing?

I can only speak for myself, but I was speaking in generalities and not about the specific stasis ulcer incident of the OP. So, to clarify as I see it, if a surveyor makes a claim that is indeed not founded, the burden is then placed upon the nurse or the facility to prove that the surveyor is wrong; a.k.a. guilty until one is proved to be innocent.