CMS Manual System - Louisiana Department of Health and Hospitals

Probes: §483.25(b)
Identify if resident triggers CAAs for visual function, and communication.
Consider whether the CAA process was used to assess causal factors for
decline, potential for decline or lack of improvement.
If the resident needs, and/or requests and does not have vision and/or hearing
assistive devices, what has the facility done to assist the resident in making
appointments and obtaining transportation to obtain these services?
If the resident has assistive devices but is not using them, why not (e.g., are
repairs or batteries needed)?
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F314
(Rev. 66, Issued: 10-01-10, Effective: 10-01-10 Implementation: 10-01-10)
§483.25(c) Pressure Sores
Based on the comprehensive Assessment of a resident, the facility must ensure that--
(1) A resident who enters the facility without pressure sores does not develop
pressure sores unless the individual’s clinical condition demonstrates that they were
unavoidable; and
(2) A resident having pressure sores receives necessary treatment and services to
promote healing, prevent infection and prevent new sores from developing.
Intent: (F314) 42 CFR 483.25(c)
The intent of this requirement is that the resident does not develop pressure ulcers unless
clinically unavoidable and that the facility provides care and services to:
Promote the prevention of pressure ulcer development;
Promote the healing of pressure ulcers that are present (including prevention of
infection to the extent possible); and
Prevent development of additional pressure ulcers.
NOTE: Although the regulatory language refers to pressure sores, the nomenclature
widely accepted presently refers to pressure ulcers, and the guidance provided
in this document will refer to pressure ulcers.