26 Tex. Admin. Code § 554.910 - Quality Assurance Early Warning System
The Health and Human Services Commission (HHSC) uses an early warning system to detect conditions that could be detrimental to the health, safety, and welfare of residents.
(1) Quality-of-care monitors conduct visits
that may be announced or unannounced and may occur on any day and at any time,
including nights, weekends, and holidays.
(2) Quality-of-care monitors may visit a
facility:
(A) with a history of resident care
deficiencies;
(B) that is
identified as a medium risk through the early warning system; or
(C) that requests a visit.
(3) Quality-of-care monitors
assess:
(A) the overall quality of life in the
facility; and
(B) specific
conditions in the facility directly related to resident care, including
conditions identified through the facility's quality measure reports based on
MDS assessments.
(4) A
quality-of-care monitor assessment visit includes:
(A) observation of the care and services
provided to a resident; and
(B)
formal and informal interviews with residents, family members, facility staff,
resident guests, volunteers, other regular staff, and resident representatives
and advocates.
(5) HHSC
does not disclose the identity of a resident or family member of a resident
interviewed by a quality-of-care monitor unless required by law to do
so.
(6) A quality-of-care monitor
provides the findings of a monitoring visit, both positive and negative, orally
and in writing to the facility administrator or, in the absence of the facility
administrator, to the administrator on duty or the director of
nursing.
(7) A quality-of-care
monitor may recommend to the facility administrator procedural and policy
changes and staff training to improve the care or quality of life of
residents.
(8) A quality-of-care
monitor conducts a follow-up visit within 45 days after the date of an initial
visit.
(9) A quality-of-care
monitor who observes conditions that may constitute an immediate threat to the
health or safety of a resident immediately reports the conditions to the
facility administrator, the monitor's regional office supervisor for
appropriate action and, as appropriate, to law enforcement, adult protective
services, other divisions of HHSC, and other agencies.
Notes
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