State reportables

We are just coming out of an over-reporting phase in our building. We had to report certain things because of an Immed. Jeopardy tag on our last survey. That was over a year ago, corporate brought in new mgmt. (DON #4 in less than a year), and their thinking is report everything and let the state sort it out. We are finally being told, "you don't need to report this or that because we know you have systems in place and are following your own procedures." Also, corporate mock surveys are ok for basics, but our state surveyors have got some kind of weird "look for the most obscure" mentality, and often fail to notice something obvious. Reading the "guidance to surveyors" back to them just elicits a response of, "well, this is how we see it." End of discussion. If the management says it's reportable, it's reportable. They may know more about current surveys in the community, and may be on the defensive to get a jump on what other homes were blindsided by.

We report things like, physical altercation between residents, fall and sent to ER for eval, fall and xrays obtained, alleged abuse, etc ...

#1 most likely would not have been reported

#2 we have had similar situation, not reported

#3 Need more info on what the PT situation was and reason for being sent out & how much time elapsed before next shift assessed.

My DON says there is NO SUCH THING as an injury of unknown origin. Everything is investigated (all incidents) within 24hours and usually by observation or probing staff you will find out what happened. Therefore we do not have these types of reportables.

What about resident to resident verbal altercations?

I would not report a verbal altercation between residents; only physical that caused "serious bodily injury".

I would not report a verbal altercation between residents; only physical that caused "serious bodily injury".

Thank you! This issue came up recently in discussion, and a few people had differing opinions on it.

I report any resident to resident if there is physical contact whether there is injury or not. I had one woman involved in 6 'altercations' in the course of one year..no injuries at all. DPH came in for annual survey and asked if I had reported all of them. "Of course", I replied. They didn't look at any of my reportables. Better to over report than miss something. I report all burns no matter how insignificant.

Thank you! This issue came up recently in discussion, and a few people had differing opinions on it.

This is what I thought, and the answer I was looking for. I was actually hoping you would respond. I've read most of your posts on here and if I ever move back to the East Coast I would love to work for you! Lol.

I report any resident to resident if there is physical contact whether there is injury or not. I had one woman involved in 6 'altercations' in the course of one year..no injuries at all. DPH came in for annual survey and asked if I had reported all of them. "Of course", I replied. They didn't look at any of my reportables. Better to over report than miss something. I report all burns no matter how insignificant.

Also. I agree, better to over report... Always under the impression it's not up to us to decide if something is insignificant. Report and let DPH soft it out.

would only report injury of unknown origin and fractures

2 & 3 would not report only counsel staff

I would caution to keep documentation of any investigations because they state will ask for that even if the event was not reportable