CMS Manual System - Louisiana Department of Health and Hospitals

If there is a problem with confidentiality, is it systematic, that is, does the problem
lie in the recordkeeping system, or with a staff person‘s use of records, e.g.,
leaving records in a place easily accessible to residents, visitors, or other
unauthorized persons?
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Intent: §483.75(l)(3)
To maintain the safety and confidentiality of the resident‘s record.
Procedures: §483.75(l)(3)
Determine through observations and interviews with staff, the policy and implementation
of that policy, for maintaining confidentiality of residents‘ records.
Probes: §483.75(1)(3)
How does the facility ensure confidentiality of resident records/
If there is a problem with confidentiality, is it systematic, that is, does the problem
lie in the recordkeeping system, or with a staff person‘s use of records, e.g.,
leaving records in a place easily accessible to residents, visitors, or other
unauthorized persons?
_______________________________________________________________________
§483.75(m) Disaster and Emergency Preparedness
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F517
§483.75(m)(1) The facility must have detailed written plans and procedures to meet
all potential emergencies and disasters, such as fire, severe weather, and missing
residents.
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F518
§483.75(m)(2) The facilities must train all employees in emergency procedures
when they begin to work in the facility, periodically review the procedures with
existing staff, and carry out unannounced staff drills using those procedures.
Interpretive Guidelines §483.75(m)
The facility should tailor its disaster plan to its geographic location and the types of
residents it serves. ―Periodic review‖ is a judgment made by the facility based on its