Hours: None
12Q. Improper Restraint Copy
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Question 1 of 4
1. Question
1 point(s)Category: DeficienciesTrue or False:
LPA conducted a file review to find a prescription from a physician giving approval for the use of restraints, but the files reviewed did not have any documentation approving restraints.CorrectIncorrectHint
LPA conducted a file review of each resident’s file to find a prescription from a physician giving approval for the use of restraints. The files reviewed did not have any documentation approving soft ties/restraints.
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Question 2 of 4
2. Question
1 point(s)Category: DeficienciesDuring the tour, how many resident restraints were observed?
CorrectIncorrectHint
During this visit, LPA toured the facility to observe if there are any residents with restraints. During the tour no restraints were observed. At the time of the visit, most residents were attending a day program and were not available for interview
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Question 3 of 4
3. Question
1 point(s)Category: DeficienciesMatch this deficiency with the proper Plan of Correction.
(Mark all that are correct)A written order from a physician indicating the need for postural support shall be maintained in the resident’s record. The licensing agency is authorized to require additional documentation if needed. R1 & R2 have wheelchairs with seatbelts attached without a physician’s order on file.
CorrectIncorrectHint
Deficiency Type /
Section NumberDEFICIENCIES PLAN OF CORRECTIONS (POCs) Type A
11/28/2016
Section Cited
87608(a)(3)87608(a)(3) Postural Supports. A written order from a physician indicating the need for postural support shall be maintained in the resident’s record. The licensing agency is authorized to require additional documentation if needed. R1 & R2 have wheelchairs with seatbelts attached without a physician’s order on file. Administrator will submit plan of correction to LPA by POC due date. Administrator will ensure restraints are only used with the proper physician’s order. Type B
11/28/2016
Section Cited
87468 a(1)Personal Rights. Each resident shall be accorded dignity in his/her personal relationships with staff, residents and other persons. Each resident shall be accorded safe, healthful and comfortable accommodations, furnishings and equipment.
Each resident shall be free from corporal or unusual punishment, humiliation, intimidation, mental abuse, or other actions of a punitive nature.
R1 and R2 are restrained in wheelchairs with seatbelts.Administrator will submit a plan of correction regarding the proper use of restraints and ensure that resdents have physician’s approval on file. -
Question 4 of 4
4. Question
1 point(s)Category: DeficienciesTrue or False:
Two residents were restrained in wheelchairs with rope.CorrectIncorrectHint
Each resident shall be free from corporal or unusual punishment, humiliation, intimidation, mental abuse, or other actions of a punitive nature. R1 and R2 are restrained in wheelchairs with seatbelts.