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Dshs characteristic roster

WebA completed resident characteristic list Include all licensed rooms and all residents. If a nonresident in a licensed room, indicate nonresident. Provide a copy for each inspection team member. (Attachment D) Within two (2) hours of entry of facility Resident Information: WebApproved Sleeping Room List – DSHS 10-389. Additional Rooms List – DSHS 10-389A . Attachment A: Pre-Inspection ... Attachment C: Resident List (DSHS 10-361) Attachment D: Resident Characteristic Roster (DSHS 10-362) Attachment E: Resident Group Meeting (DSHS 10-363) Attachment G: Resident Interview (DSHS 10-365) Attachment H: Other …

DSHS - What does DSHS stand for? The Free Dictionary

WebDSHS 10-362 (REV. 07/2015) Coding: In order to assist in more accurate communication of resident characteristics, the following coding legend has been provided. If characteristics do not apply, leave box blank. MARK THE BOX: Nursing Services (services only a … WebAttachment D (Resident Characteristic Roster/Sample Selection) (DSHS 10-362) 5. Attachment E (Resident Group Meeting) (DSHS 10-363) 6. Attachment G (Resident … sexuality during apartheid https://servidsoluciones.com

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WebAttachment D (Resident Characteristic Roster/Sample Selection) (DSHS 10-362) Attachment I (Environmental Observations) (DSHS 10-367) Attachment K (Facility Staff Sample/ Record Review) (DSHS 10-369) Attachment L (Notes/Worksheet) (DSHS 10-370) Attachment N (Contract Requirements) WebGet the free Assisted Living Facility Resident Characteristic Roster and Sample Selection - Attac... Description RESIDENT ROOM ADMIT DATE DSS 10362 (REV. 07/2015) RESIDENT ID NUMBER RESIDENT NAME Other Home Health / Hospice / Private Caregiver Oxygen / Respiratory Therapy Recent Hospitalization Pay Status: Private WebApr 3, 2024 · Home. Disproportionate Share Hospital Program Eligibility. Back to DSH main webpage. The following are eligibility related documents and files, including the … sexuality education season 3

Electronic DSHS Forms DSHS - Washington

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Dshs characteristic roster

BOARDING HOME RESIDENT CHARACTERISTIC ROSTER

WebRecord Reviews: Characteristic Roster, Infection Control Policy, COVID-19 protocols, screening, testing, reporting suspected and actual cases of a communicable illness. Page 1 of2 This do cument ... (COVID19) to DSHS as required, and did not take the necessary preventative and protective actions to manage and limit the spread within the facility. Web(DSHS 10-361) Attachment D (Resident Characteristic Roster/Sample Selection) (DSHS 10-362) Attachment N (Contract Requirements) (DSHS 10-371) PROCEDURES The Licensor will: Select the residents for the sample from the information gathered during the preliminary sample selection phases: pre-inspection preparation, entrance, tour.

Dshs characteristic roster

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WebFollow these simple instructions to get Assisted Living Facility Resident Characteristic Roster And Sample Selection - Attachment D - Dshs completely ready for sending: … WebDSHS 10-362A (02/2024)Page 1 of 3 CONFIDENTIAL INFORMATION – DO NOT DISCLOSE NOT FOR PUBLIC DISCLOSURE ALF Resident Characteristic Roster and Sample Selection Addendum Attachment D

WebCompleted Resident Characteristic Roster/Sample Selection (Attachment D). Completed list of staff with names, position, hire date, and month/day of birth (Attachment K). Request a copy of evidence of liability insurance coverage from the licensee/administrator. Request a copy of the disclosure form to identify the scope of care and services. WebRecord Reviews: Resident characteristic roster, staff list, infection line list, resident records, infection control policies and procedures, staff training, Page 1 of2 Thisdocument w / Residential Care Services Investigation Summary Report Allegation Summary:

WebATTACHMENTS: Complete Packet of Inspection Forms – Attachments A-O (DSHS 15-586) Pre-Inspection Preparation – Attachment A (DSHS 15-571) Request for Documentation … WebDSHS RCS REGION 3 Completion Date December I l, 2024 Statement of Deficiencies Plan of Correction Page I of 5 PO Box 98907, Lakewood, WA 98496 ... Review of the Resident Characteristic Roster dated 12/04/19 showed Resident #1 was admitted —17. Review of the care plan dated 08/20/19 showed Resident #1 was to the ALF on iagnosis.

WebDivision of Behavioral Health and Recovery William Stahl ProviderOne & PRISM Coordinator TQ93 MA5 Chris Imhoff, LICSW Division Director GP21 Reuss ( Rey) Falcatan

WebDSHS 10-363 (REV. 07/2015) • Costs. Are residents here informedby the facility about which items and services are paid by Medicare or Medicaid? Are you aware of any … sexuality education definitionWebcharacteristic roster, staff list, chart notes, medication administration records, Allegation Summary: 1) COVID positive test for a staff member. Record review showed the facility was screening staff upon start of shift. Observations showed the facility beauty salon was in operation during outbreak and staff were not wearing appropriate eye ... the two phases of a cooldown arehttp://www.ageiahealthservices.net/forms/Attachment%20D%20RESIDENT%20CHARACTERISTICS%20ROSTER.pdf sexuality empowermentWebDSHS 10-362 (10/2004) BOARDING HOME RESIDENT CHARACTERISTIC ROSTER ATTACHMENT D TOTAL CENSUS: BOARDING HOME NAME: LICENSE NUMBER: … sexuality explorationWebRecord Reviews: Resident characteristic roster, staff roster, staff work schedules, resident records (assessments, care plans, temporary service plans (TSP's) and progress notes), incident investigations, facility policy and procedures, facility's COVID-19 preparedness and response plan and the staff/visitor screening logs. Allegation Summary: 1. the two piece is realWebFind an Interpreter or Translator Reset. Candidate Id. Candidate Last Name. Candidate First Name. National Provider Identifier (NPI) Credentials. Medical Interpreter - Authorized … sexuality education season 3 مترجمWeb607 rows · DSHS forms are available for electronic completion in different software; … sexuality food