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Entrance conference worksheet 2024

Beneficiary notice entrance conference worksheet 2025

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The document is an Entrance Conference Worksheet from the Department of Health and Human Services, Centers for Medicare & Medicaid Services. It outlines the information that healthcare facilities must provide immediately upon entrance and within specified timeframes during a survey. Key requirements include resident census lists, staffing schedules, meal and medication administration schedules, and details on residents receiving specialized services such as dialysis or hospice care. The document emphasizes the importance of communication between the survey team and facility staff throughout the survey process.

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Click ‘Get Form’ to open the beneficiary notice entrance conference worksheet in the editor.
Begin by filling out the facility census and an alphabetical resident census list, ensuring to note any residents not currently in the facility.
Complete the New Admission Information form, listing all new admissions within the specified 30-day period, including their Admission Date, Date of Birth, and Room Number/Unit.
Upload a copy of your facility floor plan and staffing schedules for licensed nursing staff during the survey period.
Within one hour of the entrance conference, provide a list of key personnel and their locations, along with meal times and medication administration schedules.
Ensure to complete pages 3 and 4 of the worksheet regarding residents receiving specific services like PASRR Level II or dialysis care.

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2013	4.8 Satisfied (256 Votes)

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