Competency-Based Care & Facility Assessments: A Compliance Guide for F726 and F838

Stefanie Corbett, DHA, postacute regulatory specialist for HCPro

Skilled nursing facilities must be careful—no longer can administrators assume that competency of staff is handled through routine training. Facilities need proper competency assessment and documentation, and management must always be up to date. Competency-Based Care & Facility Assessments: A Compliance Guide for F726 and F838 provides guidance on assessing what your facility needs and determining whether staff are meeting those needs.

CMS updated F-tag 726 and F-tag 838, which require facilities to complete facility assessments annually—to identify specific competencies staff need, and to ensure adequate training and education. This book helps leaders tie competency into staff accountability and provides a road map for new competency development.

With an explanation of how to stay compliant, how to properly conduct assessments, and how to develop a competency-based training program, plus more than 100 competency assessments, forms, and checklists, this resource is everything long-term care leadership needs.

This book features:

• Training for staff educators and managers on performing competency validation
• Assessment tools to develop your nurses’ and CNAs’ skill sets for more than 100 competencies
• Time-saving strategies and a template for conducting a facility assessment per Conditions of Participation requirements
• Guidance for mitigating risk of survey deficiencies associated with nursing staff competency and facility assessments (F726 and F838)
• Tips for differentiating between orientation checklists and skills checklists

Click here to access chapter previews.

Published: March 2019

Dimensions: 8.5” X 11”
Page count: 230
ISBN: 978-1-68308-880-6

Table of Contents

Introduction

Chapter 1: Why Is Competency Validation Required?

CMS Conditions of Participation 
F726 Competent Nurse Staffing and F838 Facility Assessment 
Additional Regulatory Agencies That Require Competency Assessment 
Facility Competency Initiatives

Chapter 2: What Is Competency Validation? 

Classifying Competencies by Domains and Levels 
Who Performs Competency Validation? 
Mandatory Training vs. Competencies 
Methods for Validating Competencies

Chapter 3: Completing a Facility Assessment to Determine Competency Focus Areas

How Often Should the Facility Assessment Be Completed? 
Who Should Complete the Facility Assessment? 

Action Steps for Completing the Facility Assessment 
How to Use the Facility Assessment Findings 
Concluding Your Facility Assessment and Preparing for Surveyor Scrutiny 
Evaluate Your Process and Plan for Future Assessments

Chapter 4: Competency Validation as an HR Function 

Competency Validation Begins Prior to Hire 
Job Descriptions 
Performance Evaluations

Chapter 5: Train Staff to Perform Competency Validation 

Developing a Competency Assessment Training Program 
Identifying Competency Assessors 
Keeping Your Validation System Consistent 
Incorporating Population-Specific Competencies 
Documentation and Recordkeeping

Chapter 6: Keep Up With New Competencies 

Potential Categories for New Competencies 
Guidelines for New Competency Development 
Best Practices for the Implementation of New Competencies

Chapter 7: Using Skills Checklists 

Differences Between Orientation Checklists and Skills Checklists 
Skills Checklists for Annual Competency Assessment 
The Competencies Analyzer

Chapter 8: Competency Assessment Tools 

More than 100 competency assessment tools

Appendix A: QIO Facility Assessment Tool

Appendix B: Nurse Assessment Toolkit by CMS and CMPRP 

Overview 
Behavioral Competencies 
Advocacy 
Communications 
Conflict resolution 
Education and training 
Ethics 
Leadership 
Problem solving 
Professionalism 
Teamwork and collaboration 
Time management and adaptability 
Technical Competencies 
Activities of daily living 
Admission, transfer, and discharge 
Detecting resident change in condition 
Documentation 
Infection control and prevention 
Medication administration 
Pain evaluation and management 
Person-centered care 
Quality Assurance Performance Improvement (QAPI) 
Resident evaluation 
Resident-Based Competencies 
Managing chronic obstructive pulmonary disease 
Managing congestive heart failure 
Managing dementia/cognitive impairment 
Managing diabetes mellitus 
Managing residents with impaired mobility 
Managing mental health 
Managing and preventing pneumonia 
Managing and preventing pressure ulcers/injuries 
Managing and preventing resident falls 
Treating and preventing urinary incontinence 
Treating and preventing urinary tract infections

Appendix C: CNA Assessment Toolkit by CMS and CMPRP 

Overview 
Behavioral Competencies 
Advocacy 
Communications 
Conflict resolution 
Education and training 
Ethics 
Leadership 
Problem solving 
Professionalism 
Teamwork and collaboration 
Time management and adaptability 
Technical Competencies 
Activities of daily living 
Admission, transfer, and discharge 
Detecting resident change in condition 
Documentation 
Infection control and prevention 
Medication administration 
Pain management 
Person-centered care 
Quality Assurance Performance Improvement (QAPI) 
Resident-Based Competencies 
Managing chronic obstructive pulmonary disease 
Managing congestive heart failure 
Managing dementia/cognitive impairment 
Managing diabetes mellitus 
Managing residents with impaired mobility 
Managing mental health 
Managing and preventing pneumonia 
Managing and preventing pressure ulcers/injuries 
Managing and preventing resident falls 
Treating and preventing urinary incontinence 
Treating and preventing urinary tract infections

Appendix D: Additional Competency Assessment Tools 

Bloodborne Pathogens and Standard Precautions 
Communication 
Cultural Diversity 
Elder Abuse 
End of Life 
Ethics 
HIPAA 
Infection Prevention for Standard Additional Precautions 
Lifting and Transferring 
Mental Illness 
Pain Management 
Preventing Readmission to Hospitals 
Professionalism and Accountability 

About the Author

Stefanie Corbett, DHA, is a healthcare educator, consultant, researcher, and author with extensive senior healthcare leadership experience. She is an advisor and consultant for skilled nursing facilities, and develops training resources, including seminars, eLearning, webcasts, books, articles, and newsletters. She teaches HCPro’s Medicare Boot Camp®—Long-Term Care Version, the Long-Term Care Administrator’s Boot Camp®, and the Skilled Nursing Facility Billing Boot Camp®. She is a member of the Editorial Advisory Board for HCPro’s Billing Alert for Long-Term Care. She is the author of The Theft Prevention Guide for Senior Living, as well as Long-Term Care Quality Measures: A Guide to Data Analysis, Performance Improvement, and Public Reporting. She is the co-author of the SNF Compliance and Ethics Toolkit.

Chapter Previews

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