Surviving a state inspection survey - page 3

by MDSlady

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Hi all.... Does anybody else crinch at the thought of an upcoming state inspection? It seems that is all I think about lately. I recently have been promoted to MDS Coordinator in my facility and am feeling that they are... Read More


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    Hello all.... I never intended to offend anyone when I started this thread.....I must say however, that SOME state surveyors can be intimidating and I think we all must admit that. I actually have had a good experience with a state surveyor when I was working the floor as a staff nurse and it was opening day of survey. After reviewing all residents with the state surveyor that would be on my floor, I provided everything that she asked for. I personally feel that myself doing my job and the best that I can at it, I have nothing to fear or hide. As a matter of fact, my father is a patient in the long term unit where I work and I feel that I treat all my patients as if they were my own family and for that reason, I feel I have nothing to hide. However, there is that occassional state surveyor that will question everything that you do and for that I don't like it. I would like to think that we are all in for the best of the facility and patient care, however it does happen occassionally. Some can be intimidating, I prefer to work with a state surveyor that will work with me and not make me feel that they are working against me in trying to find something I do or say wrong. Again, I did not mean to make this thread a state surveyor bashing....again, I apologize for anyone that is offended by this. :wink2:
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    I am not offended by anyones comments. I feel that everyone has a right to their own opinions and that all surveyors are different and yes, some often have agendas. Having been on both sides of the table and having gone through some rather rough surveys myself, I can understand why the feelings are out there. I too have felt as though I was being picked on. I have set the standard for myself that I will not treat anyone in a way that I would not want to be treated myself. I ask my questions, and do not badger. There is no reason for that. All I want is for the residents to be treated with respect and dignity and receive the best care they can be given. I understand that no place or no person is perfect. We all make mistakes. I am sorry for those of you who have had "mean" or intimidating surveyors. I feel there is no call for that. We are on the same team, for the same purpose. We are taught in training that we are to be professional, courteous and considerate. I am sorry that there are those who either forgot this part of their training, or chose not to follow this guidance for whatever reason. I feel bad that there are those who are "burnt" out and who do some things that I have seen posted here. I feel it is a shame. I have met wonderful people who really care about their residents and the jobs that they are doing. It does bother me sometimes when I have to write a tag for some things that are necessary, but I have a job to do too, and that is to see that the facility is in compliance with the regulations and the residents cared for. My job would be a lot easier if I had no tags to write. I don't like to come home and sit for hours writing. I cannot change the way that others act, but I can set an example by my behavior....who knows, maybe attitudes will change...on both sides.
    Good luck to all of you on future surveys, Who knows, maybe one of you will be in a facility that I will have the opportunity to visit!
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    Quote from CapeCodMermaid
    Sorry but I don't believe you. I've been doing LTC for more than 20 years and every surveyor has tried to find things wrong...really dug to find I's not dotted and T's not crossed. It seems the outcome isn't good enough....all the surveyors must have a personality disorder...megalomaniacs each and every one.
    I am sorry you have had bad experiences...I looked and looked, but I could not find a regulation that stated that you had to dot ALL your I's and cross ALL your T's. (Please don't take offense, just trying to be funny, here, and lighten things up a little) My husband is a therapist, maybe I should ask him if I have this disorder? I hope future experiences are better for you.
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    Quote from MDSlady
    Hi all....

    Does anybody else crinch at the thought of an upcoming state inspection? It seems that is all I think about lately.

    I recently have been promoted to MDS Coordinator in my facility and am feeling that they are going to attack my MDS's and care plans.

    I am trying my best, and I know they WILL find something, but does anybody else dwell on this??

    Anybody have any suggestions on how to survive a state survey without having a nervous breakdown?
    As a state surveyor, I would urge you to relax. You know more about MDS and RAPS than we do, actually. Most surveyors realize what a huge job MDS coordinator is and yes we do write deficiencies on miscoding and mistransmitting, but if you know your job, I doubt you'll have much of a problem. I hope that helps. Also, survey teams don't look at each and every resident. They look at a sample based on QI's and QM's that are accessible to you as well. The more you learn about the CMS regs and the survey process via CMS websites, etc., the better you will fare. Dogwalker
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    Quote from MDSlady
    :smackingf


    OH MY GOD!!!! Just had to respond to this!!! I CANNOT believe that a state surveyor got away with that....that was totally out of line. You're right, they can't wait to catch you screwing up, but NEVER tell you you did a good job. I hate this survey stuff!!! They really should find better things to do.
    Yes, that is absolutely out of line and should have been reported to the surveyors supervisor.
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    Quote from debRN0417
    I am sorry you have had bad experiences...I looked and looked, but I could not find a regulation that stated that you had to dot ALL your I's and cross ALL your T's. (Please don't take offense, just trying to be funny, here, and lighten things up a little) My husband is a therapist, maybe I should ask him if I have this disorder? I hope future experiences are better for you.
    No offense taken! Gotta be able to laugh at ourselves. I just wish I could find something funny about survey.
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    Quote from milky
    I sometimes think state surveyors go to bed at night dreaming of new ways to terrorize LTC facilities. It makes me wonder.. have they ever worked the floor of a LTC facility??..To see what we nurses go through to give the utmost in good care to our residents??? A state surveyor once told me, they HAVE to find SOMETHING on each survey or else THEIR bosses the "FEDS" will come after THEM!!


    I work in a LTC facility where 3 years ago we had a deficiency free survey!!! And th FEDS did not come through our facility, cause I would definitely remembered that, It's bad enough to go through the state survey. it seems that ever since then they have been really trying to nail us with lots of things.
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    Our window just opened. The Feds came last year and they made State very nervous. These are surveyors that I have dealt with for 5 years and have called them for advice while not in a survey process. They were very snappy (actually unlike them)
  9. 0
    Quote from MDSlady
    Hi all....

    Does anybody else crinch at the thought of an upcoming state inspection? It seems that is all I think about lately.

    I recently have been promoted to MDS Coordinator in my facility and am feeling that they are going to attack my MDS's and care plans.

    I am trying my best, and I know they WILL find something, but does anybody else dwell on this??

    Anybody have any suggestions on how to survive a state survey without having a nervous breakdown?
    MDSlady....we just go hit a week or so ago. To quote my old boss.....be yourself! And don't panic! I swear the folks that come through our place can sense the worry. Of course, one inspector has been in 4 out of the 6 years I have been here, soooo....
    Last edit by suebird3 on Aug 27, '05 : Reason: addendum
  10. 0
    Quote from MDSlady
    :smackingf


    OH MY GOD!!!! Just had to respond to this!!! I CANNOT believe that a state surveyor got away with that....that was totally out of line. You're right, they can't wait to catch you screwing up, but NEVER tell you you did a good job. I hate this survey stuff!!! They really should find better things to do.
    The more I think of this post, the more it bothers me. I actually find it hard to believe that it (scratch and sniff) really happened. Sorry, but I don't believe everything I read-especially on the web. If it truly did happen, the parties have an obligation to report the incident. It qualifies as abuse on many levels. Dogwalker


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