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It is against Federal Regulations to allow a Resident to suffer a preventable Accidents

Most Accidents and falls are preventable!

Ftag 323

§483.25(h) Accidents: 42 CFR 483.25(H) (1) AND (2) ACCIDENTS AND SUPERVISION

The facility must ensure that -
(1) The resident environment remains as free from accident hazards as is possible; and
(2) Each resident receives adequate supervision and assistance devices to prevent accidents.


The intent of this requirement is to ensure the facility provides an environment that is free from accident hazards over which the facility has control and provides supervision and
assistive devices to each resident to prevent avoidable accidents.

This includes:
- Identifying hazard(s) and risk(s);
- Evaluating and analyzing hazard(s) and risk(s);
- Implementing interventions to reduce hazard(s) and risk(s); and
- Monitoring for effectiveness and modifying interventions when necessary.

- "Accident" refers to any unexpected or unintentional incident, which may result in injury or illness to a resident. This does not include adverse outcomes that are a
direct consequence of treatment or care that is provided in accordance with current standards of practice (e.g., drug side effects or reaction).

- "Avoidable Accident" is clearly defined: it means that an accident occurred because the facility failed to:
- Identify environmental hazards and individual resident risk of an
accident, including the need for supervision; and/or
- Evaluate/analyze the hazards and risks; and/or
- Implement interventions, including adequate supervision, consistent with a resident's needs, goals, plan of care, and current standards of practice in order to reduce the risk of an accident;
and/or
- Monitor the effectiveness of the interventions and modify the interventions as necessary, in accordance with current standards of practice.

- "Unavoidable Accident" means that an accident occurred despite facility efforts to:
- Identify environmental hazards and individual resident risk of an accident, including the need for supervision; and
- Evaluate/analyze the hazards and risks; and
- Implement interventions, including adequate supervision, consistent with the resident's needs, goals, plan of care, and current standards of practice in order to reduce the risk of an accident; and
- Monitor the effectiveness of the interventions and modify the interventions as necessary, in accordance with current standards of practice.

Unless the Nursing Home has diligently followed all of these safety precautions, the resident is at risk and any resulting inujry cannot be termed "Unavoidable"!

Call us at 617-479-4300 if a loved one has been severly injured by a lack of care resulting in dehydration.

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