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While citations for F607 identify those facilities requiring initial and ongoing education of staff, the term “staff” refers not only to care-giving staff but also medical directors, consultants, contractors, volunteers, students in nurse aide training programs or students from other disciplines who may be fulfilling course requirements in the facility.

Since the roll-out of the new survey process, this regulation has gained a considerable amount of attention—it represents the basis for care delivery within a skilled nursing facility (SNF). This regulation not only enforces the need for regulatory compliance, but it also outlines guiding principles for providing exceptional person-centered care.

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Diving deeper into the nuts and bolts of the regulation shows that the guidelines are made up of several components, all of which need to be present to successfully meet the intent of the regulation. Below is an in-depth look at those components:

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Since November 2017, F607 has been cited 238 times across 28 different states. Six states top the list with 9 or more facilities, in each state, receiving citations for this regulation. The top 6 states include: Ohio with 63 locations; Texas with 35 locations; Illinois with 17 locations; California and Michigan tied with 14 locations; and Massachusetts with 12 locations cited. Each of the remaining 22 states reported that less than 9 facilities receiving this citation. Additionally, the highest level of scope and severity for this tag in the identified states was a level L, followed by a K, J, G, F, E and D.

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“…to provide protections for the health, welfare and rights of each resident residing in the facility. In order to provide these protections, the facility must develop written policies and procedures to prohibit and prevent abuse, neglect, exploitation of residents, and misappropriation of resident property.”

While F607 is a complicated and extensive regulation, it governs the basic necessities required in a person-centered care facility, not to mention it accounts for the best interest of residents. After all, residents are not living in your workplace; you have the privilege of working in their home. Be proactive, be complete, be an advocate, and be a first line responder who advocates for the safety and well being of residents you have the privilege of caring for.

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This week’s “F-Tags in Review” focuses on F607 – Development and Implementation of Policies for the Prevention, Identification and Training on Abuse and Neglect of Residents. This regulation was identified and implemented in the November 2018 Phase II of the Centers for Medicare and Medicaid Services’ roll-out of new survey procedures.