A fall with a fracture will not automatically get you a "G" citation. It only is harm (G) if the facility was remiss in ensuring the interventions were in place and updated. If your resident was assessed as a fall risk, you care planned it and put interventions in place, made sure the interventions were appropriate and if other falls occurred, revised your interventions and care plan, then you did everything you should have to prevent injury. Harm occurs if the facility was aware the resident was high risk for falls and did not do everything (revise interventions)they could to prevent injury. Sometimes no matter what you do though, an injury can happen, especially when you have older, osteoporotic individuals. If you have numerous falls with fractures, then that certainly is suspect and will be looked into very thoroughly.
With no QI's to assist in sample selection and target concerns, the survey team will most likey be doing a great deal of observation, especially on initial tour and your sample selection will be based on those observations as well as any facility reported incidents or complaints. They will also focus on residents who meet certain criteria, such as those with weight loss, pressure ulcers, feeding tubes and infections.
Medicare Demand Billing is not something that nursing has to worry about. It is related to the Advanced Beneficiary Notification and residents rights. To me, that is more administrative and business office stuff. It is when a resident has been decertified by the facility with skilled days remaining (the facility has determined that the resident no longer meets skilled criteria) and the resident has been given notification that they have the right to appeal this decision by the facility.
Glucometers are going to be looked at because I hear there is some other mumblings going on about the concern that they cannot be cleaned thoroughly, but I have not heard anythind definite yet. Just make sure you have a cleaning schedule log and that you are cleaning them per the facility policy, especially between residents.
Documentation is always an issue, as well as making sure that any issues are followed up and documented, as well as proper notification.