Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare®
Late on Friday, December 14, 2018 CMS posted updated LTC Survey materials. The updates include:
- 3-page Revision History for LTC Survey Process Documents and Files provides and overview of the changes effective December 4, 2018 as well as past changes dating back to June 12, 2018. This is a great reference to retain.
- CMS-802 Matrix Instructions has changed instructions for item #5 – Pressure Ulcer(s) (any stage). The matrix entries for this same item as well as item #8 – Tube Feeding – have also changed. The CMS-802 shows 11/2018 in the left footer of the document to reflect it has been updated. Note: the updated CMS-802 Matrix Instructions is also found in the Survey Resources .zip file as well as in the stand-alone hyperlink in the this bullet.
- There is an added bullet to the LTCSP Initial Pool Care Areas .zip file: Record Review Care Areas and Probes for Pressure Ulcers (identified in the .zip file as RR Care Areas and Probes) – “Does the resident have a current Stage 3 or Stage 4 pressure ulcer?”
If you viewed the Revision History document (1st bullet above) first, you’ve seen the 2nd revision identified as “Added bullet to Pressure Ulcers – “Does the resident have a current State 3 or State 5 pressure ulcer?” That verbiage gave me a start and the thought that this certainly is a typo! It is. The verbiage is correct in the Record Review Care Areas for Pressure Ulcers.