Quality Measure 7: Refresher on Staffing Requirements & Resources

Staffing is one of the key ingredients to providing quality care in assisted living.  The nature of resident needs—assistance with activities of daily living, ambulation, scheduled activities, medication management—require the physical presence and support of others.  Studies show time and again an important relationship between staffing and resident outcomes.

Over the past 5 years, approximately 12% of the citations issued to San Diego facilities were for violations related to staffing requirements.  To help facilities reduce non-compliance in this area, below is a list of items facilities should review regularly.  

Choose Well Times - November Edition

The new Choose Well Times for November has been sent to your email inbox, and we're posting it here for you as well.  This issue contains an interview with Tami Amundson, licensee of 3 Sisters Hacienda, and how she works to attract and retain staff members. There is also Save-the-Date information about the upcoming 12/6 Advisory Workgroup Meeting, and the February 7th Lunch n' Learn.

Choose Well Times - September Edition

Dan Bailey's Lakeside Manor is featured in the September issue of the Choose Well Times.   The newsletter also reports on the latest PINS which have been added to the website.  You'll find 5 cool things about Choose Well that you may not have known, and Chrisy Selder's article about staying in compliance with Title 22's water temperature reg is also a good read.  In the Compliance Corner you'll see a reminder to have the LGBT Bill of Rights posted next to your nondiscrimination policy.  



Want to Improve Your Choose Well Score?

The Choose Well Team hears from providers that not all citations issued by the state tell a complete story of the incident nor do they reflect the true nature of the facility’s operations.  As a result, the Choose Well Program offers facilities a number of ways to balance their Choose Well Score to create a more complete public profile for families and professionals considering placement.

Facilities that join the Choose Well Program with citations, or those that experience a drop in their Choose Well score due to a recent state inspection, should absolutely be taking advantage of the Choose Well Program’s Bonus Point system and the Provider Comment Section.  Read more to learn how.

Quality Measure 6: Resident Rights

Quality Measure 6: Resident Rights Ensuring residents are treated with dignity and respect and are fully educated on their rights.

Sometimes honoring a resident's right to choose might feel at odds with the care and supervision facilities are responsible for providing. 

Research suggests facilities should focus on redirecting residents in positive ways to accomplish tasks and respect resident choice.  Read on for some suggestions on how to create a culture that empowers and dignifies residents.

Quality Measure 4: Tips for Optimal Nutrition

Quality Measure 4: Food & Nutrition

Ensuring residents are served meals that meet their physical and nutritional needs and that facilities follow food storage, safety and cleanliness guidelines and maintain an adequate food supply.

Facilities are required to provide three nutritionally, well-balanced meals and snacks daily, including low salt or other diets deemed medically necessary.  State inspection data shows a majority of San Diego facilities are meeting regulatory food and safety requirements, with less than 4% of citations issued to San Diego facilities for deficiencies in 87555, General Food Service Requirements since 2013.  But a large number of these food and nutrition related citations (70%) were issued to smaller facilities (1-6 beds).  That’s not to imply that delicious, high quality meals are not being served in these more homelike environments!  But since 82% of Choose Well Members are small facilities, we wanted to feature an article to help all facilities spice things up.

Quality Measure 3: All About Water Temperature

Quality Measure 3 :  All About Water Temperature

Ensuring a facility is clean, safe, sanitary and in good repair at all times and that all facility maintenance and safety guidelines are followed.

One of the most frequently cited Title 22 regulations is 87303, Maintenance & Operation. Between March 2013 and August 2018, 10% of the citations issued to San Diego’s licensed RCFEs by California’s Department of Social Services, Community Care Licensing Division (DDS/CCLD) were for deficiencies in 87303, with non-compliant water temperature among the top reasons for DSS/CCLD issuing the citation.

According to 87303(e)(2), an RCFE shall maintain the temperature of water used by residents within the range of 105 degrees (F) and 120 degrees (F).  This article shares information on facility water temperature as it relates to compliance and resident safety and comfort.

Staying in compliance

In a facility, hot water has many uses – showering, hand-washing, laundry, dish washing to name a few. 

Quality Measure 2: "SMART" Emergency Disaster Planning for RCFEs

Quality Measure 2: Ensuring a facility has written, readily available disaster, mass casualty and evacuation plans and that all staff is knowledgeable about the plan and prepared to execute it. 

Cal Fire has already responded to more than 1,200 fires since January and with last month’s seismic activity reported in Anaheim, every Californian would be wise to (re)evaluate their emergency disaster plans.  Facilities that can demonstrate modern, practical approaches to managing emergencies may earn the confidence of families more readily.

Quality Measure 1: Keeping Residents Active and Engaged

Choose Well Quality Measure 1 – Activities & Socialization:  Ensuring that residents have access to planned activities that are appropriate to the interests and capabilities of the residents.

Moving into assisted living is often seen by seniors and their families as a remedy to the social isolation experienced when living alone.  For example, by moving into a facility, mom or dad will have greater access to peers, caregiving staff and activities. However, an incorrect assumption during this well-intentioned effort is that just because mom or dad is now living among more people in a more stimulating environment, they will not still experience loneliness


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