Resident Selection –
Risk – Admitting residents that require care that is outside of the scope of services that the facility can safely provide (staffing, medications, services, etc.,). This can happen when the facility does not have complete or accurate information about the resident and resident’s care needs prior to admission; when a complete pre-admission screening is not completed or when faced with family/other facility pressures to admit the resident. This risk can also surface when marketing materials reflect the capability to provide services beyond the current capacity of the facility.
Risk Management Strategies:
- Scope of Services – Define in writing the scope of services that the facility can safely provide. Ensure marketing materials and the facility’s website accurately reflect the current scope of services.
- Required Documents – Develop a list of documents that are required to be completed/obtained for each resident prior to admission.
- Pre-Admission Screening – Ensure a comprehensive pre-admission screening is completed for each new admission. Develop a documentation tool to support consistency in assessment and evaluation. Visiting the resident in their pre-admission environment is recommended (as feasible).
- Facility Visit Prior to Admission – Invite the resident and family to visit the facility prior to admission (as possible/practical). Learn about their life preferences, their clinical care preferences and their emotional/social preferences. Be realistic in determining if the facility can meet the needs of the resident. Identify what the resident understands about the care and services provided by the facility. Clarify any misinformation that the resident or family members have about the facility.