Nursing Home Incident Reporting System 2025

1. Click ‘Get Form’ to open the Nursing Home Incident Reporting System in the editor.
2. Begin by filling out the basic information section, including the date of the incident and facility details. Ensure accuracy as this information is crucial for tracking.
3. Navigate to the 'Incident Overview' tab. Here, provide a detailed description of the incident, including any relevant case numbers if law enforcement has been notified.
4. In the 'Residents' tab, enter information about affected residents. Include their names and any pertinent medical history that may relate to the incident.
5. Use the 'Witness' tab to document individuals who witnessed the incident. Collect statements if possible, as these can be vital for investigations.
6. If applicable, complete the 'Accused' tab with details regarding any staff involved in the incident. This ensures accountability and proper follow-up.
7. Review all entered data by clicking on ‘Preview Data to be Submitted’. Make sure everything is accurate before final submission.
8. Submit your report. After submission, look for a confirmation message indicating that your data has been successfully sent to the Department of Health.

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