LEEDer Group Inc.
8508 North West 66th St.
Miami, Florida 33166 USA

Phone: 305.436.5030
Fax: 305.436.0086
E-mail Address: info {at] LEEDerGroup [dot] com

Guidance to Surveyors Long Term Care Alert

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LEEDerGroup.com: KYDEX Pro Multi Podus boot with ambulation pad Prevent Mitigate Heel UlcersKYDEX PRO Multi Podus
LEEDer Group manufactures Contracture Management and Related Products. Browse LEEDer products by clicking Products in the MENU bar above; alternately, browse clicking Online Store . Our products include KYDEX platform Multi Podus boots, Flex-E-Core Hand splints adjustable without heat or tools, LSO back braces, etc.
  • LONG TERM CARE ALERT
    On November 12, 2004 CMS released Transmittal # 4 “Guidance to Surveyors for Long Term Care Facilities”. This transmittal will dramatically change the way in which skilled nursing facilities care for pressure ulcers.
  • REVISED GUIDELINES OVERVIEW
    Pressure ulcers can develop within two hours Skin assessments on admission and weekly for four weeks Avoid cookie cutter plans of care: Facilities will need to concentrate on resident’s risk factors and prevention
    Advance directives will not void care related to pressure ulcers
    Staff training and knowledge of pressure ulcer care will be challenged
    Request a LEEDer Training DVD…they’re FREE
  • Skilled nursing facilities may find themselves subject to more citations and in some circumstances higher severity citations.
  • POSSIBLE CITATIONS:

LEVEL FOUR: Immediate Jeopardy Resident acquires a stage 4 avoidable pressure ulcer, or a stage 4,which worsens or shows no improvement.

LEVEL THREE: Actual Harm Resident acquires a stage 3 avoidable pressure ulcer or facility fails to Implement a comprehensive care plan for the treatment of pressure ulcers.

LEVEL TWO: Avoidable pressure ulcers, per surveyor; improperly addressing resident’s risk. Residents with pressure ulcers will be cited under F-Tag #314, however, skilled nursing facilities will also need to address non-pressure ulcers or they could be cited under F-Tag #309.

  • Quality of Care F-Tag #309 has clarified the definitions of arterial, venous, and diabetic ulcers as well as other wounds. Surveyors may now cite skilled nursing facilities for care related to an ulcer not created by pressure under F-Tag #309.
  • Under regulation 483.25 Quality of Care: each resident must receive and the facility must provide the necessary care and services to attain or maintain the highest practicable physical, mental, and psychological well being, in accordance with the comprehensive assessment, and plan of care.
LEEDer GRIPing Hand Splint WHFO
  • The intent of 483.25: the facility must ensure that the resident obtains optimal improvement or does not deteriorate within the limits of the resident’s right to refuse treatment, and within the limits of recognized pathology and the normal aging process.
Contracture Management-Ulcer Prevention
  • Skilled Nursing Facilities need to make changes now to their prevention and treatment protocols for the care of pressure ulcers and other wounds.
LEEDer Group manufactures a variety of products some designed specifically for the prevention of wound/decubitus ulcer development:
  • Multi Podus * Boots / Adult & Pediatric: “With KYDEX, Fleece or No-FLeece, Bed or Ambulation

(* Multi PodusĀ® is a registered U.S. Trademark of “Restorative CareofAmerica, Inc” and is used herein with permission. No affiliation or endorsement by “RCAI” should be inferred.) podis