Fortress Risk Management Suite

Survey Pathways

Investigate and document deficiencies using structured pathways

41 results found

F600 Resident Rights

Abuse Critical Element Pathway

Form CMS-20059 - Investigate alleged violations of abuse including observations, interviews, record reviews, and critical element decisions

F689 Quality of Care

Accidents Critical Element Pathway

Form CMS 20127 - Review supervision, assistive devices, accident prevention including falls, smoking safety, elopement, resident altercations, substance use disorder, entrapment risks, and environmental hazards

F679 Quality of Life

Activities Critical Element Pathway

Form CMS-20065 - Comprehensive activities review covering program design, resident assessment, care planning, and activity implementation

F677 Quality of Care

Activities of Daily Living (ADL) Critical Element Pathway

Form CMS-20066 - Comprehensive ADL review covering hygiene, elimination, dining, and communication to determine if facility practices maintain, improve, or prevent avoidable decline in ADLs

F740 Quality of Care

Behavioral and Emotional Status Critical Element Pathway

Form CMS-20067 - Determine if facility provides necessary behavioral, mental, and emotional health care and services, implementing person-centered, non-pharmacological approaches

F690 Quality of Care

Bladder or Bowel Incontinence Critical Element Pathway

Form CMS 20125 - Review continence care, toileting programs, UTI prevention, environmental accommodations, and interventions to maintain/restore continence

F685 Quality of Care

Communication and Sensory Problems Critical Element Pathway

Form CMS-20069 - Review communication abilities, vision and hearing needs, assistive devices, and environmental accommodations

F684 Quality of Care

Death Critical Element Pathway

Form CMS-20074 - Investigate circumstances surrounding death of resident not receiving end of life care to determine if facility identified, assessed, and intervened appropriately

F744 Quality of Care

Dementia Care Critical Element Pathway

Form CMS 20133 - Assess and treat residents with dementia using person-centered, non-pharmacological approaches, ensuring highest practicable well-being

F790 Quality of Care

Dental Status and Services Critical Element Pathway

Form CMS-20070 - Review oral/dental health, denture care, routine and emergency dental services, and dental care planning

F698 Quality of Care

Dialysis Critical Element Pathway

Form CMS-20071 - Review hemodialysis, home hemodialysis, and peritoneal dialysis care including infection control, monitoring, and coordination with dialysis facilities

F803 Dietary Services

Dining Observation

Form CMS-20053 - Comprehensive dining observation covering meal services, dignity, environment, and nutrition

F627 Resident Rights

Discharge Critical Element Pathway

Form CMS-20132 - Evaluate compliance with discharge rights and requirements, proper notice, discharge planning, and post-discharge care coordination

F584 Physical Environment

Environmental Observations

Form CMS-20061 - Review environmental concerns including accommodation of needs, call systems, temperature, lighting, cleanliness, equipment condition, pest control

F838 Administration

Extended Survey

Form CMS-20091 - Comprehensive review conducted when Substandard Quality of Care (SQC) is verified, investigating systemic failures in staffing, training, policies, and administration

F684 Quality of Care

General Critical Element Pathway

Form CMS-20072 - Investigate quality of care concerns not covered by other specific pathways

F849 Quality of Care

Hospice and End of Life Care Critical Element Pathway

Form CMS-20073 - Review end of life care, palliative care, comfort care, or hospice care from Medicare-certified hospice

F684 Quality of Care

Hospitalization Critical Element Pathway

Form CMS 20123 - Investigate hospitalizations to determine if facility identified changes in condition, intervened appropriately, and complied with transfer/discharge requirements

F692 Quality of Care

Hydration Critical Element Pathway

Form CMS 20092 - Review residents at risk for or who have experienced dehydration, covering fluid intake monitoring, assistance, interventions, and care planning

F880 Infection Control

Infection Prevention, Control & Immunizations

Form CMS-20054 - Comprehensive infection control review covering standard precautions, IPCP, surveillance, and immunizations

F812 Dietary Services

Kitchen/Food Service Observation

Form CMS-20055 - Complete kitchen inspection covering food storage, preparation, service, sanitation, and dietary staff

F755 Pharmacy Services

Medication Administration Observation

Form CMS-20056 - Observe medication administration across all routes, minimum 25 opportunities, calculate error rates

F761 Pharmacy Services

Medication Storage and Labeling

Form CMS-20089 - Review medication storage rooms and carts for proper security, temperature control, labeling, controlled substance management, and disposal procedures

F609 Resident Rights

Neglect Critical Element Pathway

Form CMS 20130 - Investigate alleged neglect involving structure/process failures, systemic care delivery issues, staffing deficiencies, and staff training requirements

F692 Quality of Care

Nutrition Critical Element Pathway

Form CMS-20075 - Review resident not maintaining acceptable nutritional status or at risk for impaired nutrition

F697 Quality of Care

Pain Recognition and Management Critical Element Pathway

Form CMS-20076 - Review pain assessment, management, and monitoring to support highest practicable well-being

F567 Resident Rights

Personal Funds Review

Form CMS-20063 - Review personal funds management including access, quarterly statements, costs disclosure, separate accounting, interest payments, and surety bond

F604 Resident Rights

Physical Restraints Critical Element Pathway

Form CMS-20077 - Investigate use of physical restraints, devices, or practices that restrict resident freedom of movement

F688 Quality of Care

Positioning, Mobility & Range of Motion (ROM) Critical Element Pathway

Form CMS 20120 - Review ROM, mobility, and positioning concerns including exercises, assistive devices, contracture care, and therapy services

F644 Quality of Care

Preadmission Screening and Resident Review (PASARR) Critical Element Pathway

Form CMS-20090 - Review Level I pre-screening and Level II referrals for residents with mental disorders, intellectual disabilities, or related conditions

F686 Quality of Care

Pressure Ulcer/Injury Critical Element Pathway

Form CMS 20078 - Review pressure ulcer prevention, treatment, wound care practices, infection control, and healing interventions

F865 Administration

QAPI and QAA Review

Form CMS-20058 - End-of-survey review of Quality Assurance & Performance Improvement program, QAA Committee activities, systemic issue identification and corrective actions

F636 Administration

Resident Assessment Critical Element Pathway

Form CMS 20131 - Review MDS accuracy, completion, submission, certification, and adherence to RAI guidelines when assessment concerns are identified

F572 Resident Rights

Resident Council Interview

Form CMS-20057 - Interview active members of the Resident Council covering council operations, grievances, resident rights, and facility responsiveness

F695 Quality of Care

Respiratory Care Critical Element Pathway

Form CMS 20081 - Review respiratory care services including oxygen therapy, breathing exercises, sleep apnea, nebulizers/inhalers, tracheostomy, and ventilator care

F582 Administration

SNF Beneficiary Notification Review

Form CMS-20052 - Evaluate compliance with Medicare Part A beneficiary notification requirements (SNF ABN and NOMNC)

F825 Quality of Care

Specialized Rehabilitative or Restorative Services Critical Element Pathway

Form CMS-20080 - Review provision of specialized rehabilitative services (PT, OT, SLP) and restorative nursing programs to maintain, restore, or improve functional ability

F725 Nursing Services

Sufficient and Competent Nurse Staffing Review

Form CMS-20062 - Evaluate sufficient and competent nursing staff through PBJ review, observations, interviews, and record reviews

F693 Quality of Care

Tube Feeding Status Critical Element Pathway

Form CMS-20093 - Review tube feeding care covering insertion rationale, infection control, complications prevention, restoring eating skills, and care planning

F757 Pharmacy Services

Unnecessary Medications, Chemical Restraints & MRR Critical Element Pathway

Form CMS 20082 - Review medication regimen for unnecessary medications, psychotropic medications, chemical restraints, and medication regimen review process

F690 Quality of Care

Urinary Catheter or Urinary Tract Infection Critical Element Pathway

Form CMS 20068 - Review catheter care, UTI prevention and treatment, infection control practices, proper catheter management and resident education

What are Survey Pathways?

Survey Pathways are structured investigation tools that guide surveyors through the systematic review of compliance with specific regulatory requirements.

  • • Step-by-step investigation guidance for each F-tag
  • • Critical elements that must be reviewed
  • • Interview questions and observation focus areas
  • • Documentation requirements and record review checklists
  • • Severity and scope determination criteria
  • • Examples of compliant and non-compliant practices