Table 2.
Individual Deficiency Definitions
| Deficiency | State Operation Manual Regulation |
|---|---|
| F221—Free from physical restraints | The resident has the right to be free from any physical or chemical restraints imposed for purposes of discipline or convenience, and not required to treat the resident's medical symptoms. This regulation pertains to the use of physical restraints |
| F314—Pressure ulcers | Based on the comprehensive assessment of a resident, the facility must ensure that—(1) A resident who enters the facility without pressure sores does not develop pressure sores unless the individual's clinical condition demonstrates that they were unavoidable; and (2) A resident having pressure sores receives necessary treatment and services to promote healing, prevent infection, and prevent new sores from developing |
| F316—Prevention of urinary tract infections | A resident who is incontinent of bladder receives appropriate treatment and services to prevent urinary tract infections and to restore as much normal bladder function as possible |
| F324—Adequate supervision to prevent accidents | The facility must ensure that the resident environment remains as free of accident hazards as is possible |
| F329—Free from unnecessary drugs | Each resident's drug regimen must be free from unnecessary drugs. An unnecessary drug is any drug when used (i) in excessive dose (including duplicate therapy); or (ii) for excessive duration; or (iii) without adequate monitoring; or (iv) without adequate indications for its use; or (v) in the presence of adverse consequences which indicate the dose should be reduced or discontinued; or (vi) any combinations of the reasons above |
| F332—Free of medication error rates of 5%+ | The facility must ensure that it is free of medication error rates of 5 percent or greater |
| F353—Sufficient numbers of staff | The facility must have sufficient nursing staff to provide nursing and related services to attain or maintain the highest practicable physical, mental, and psychosocial well-being of each resident, as determined by resident assessments and individual plans of care |
Source: CMS (2004).