AmeriWound is committed to consistently achieving industry leading Days to Healing results while ensuring the highest level of quality wound care.

 We work with our client facilities as a cohesive team to ensure that the wound care provided is consistent with the current standards of practice. As a team we work on healing and preventing all skin integrity issues, while preventing survey deficiencies related to wound care.

State Survey Process and F-Tags relevant to Wound Care

Nursing homes participating in Medicare and Medicaid are required by law to undergo an annual survey and certification process by its state’s health department. Facilities have to follow survey protocols and Federal requirements to determine whether a citation of non-compliance is appropriate. Deficiencies are based on violations of the regulations, which are to be based on observations of the nursing home’s performance or practices. Regulations require each facility to have its latest survey results readily available for review. The survey assesses whether the quality care is being provided in the nursing home. If a nursing home is found to be violating nursing home regulations, federal law enforcement options include denying payment for new admissions, fining the home, revoking Medicaid and Medicare certifications, transferring residents, and imposing temporary management.

Effective Nov. 28, 2017, state surveyors are using an entirely new numbering system for F-tags. The CMS updated the F-tags to correspond with the new regulatory sections implemented through the roll-out of the Reform of Requirements for Long-term Care Facilities. Below are F-Tag changes that are relevant to Wound Care:

 

F-TAG 686 (Formally F-Tag 314)

Treatment/Services to Prevent/Heal Pressure Injuries
  • ♦A resident enters the facility without pressure injuries and does not develop them unless the individual’s clinical condition demonstrates that they were unavoidable
  • ♦A resident who has a pressure injury receives care and services to promote healing and prevent infection
  • ♦A resident who has a pressure injury receives care and services to prevent additional injuries
  • ♦Appropriate prevention, assessment, and treatment plans in place
  • ♦Refer all wound patients to your AmeriWound provider for early for prevention and protection

F-TAG 710 (Formally F-Tag 385)

Residents Care Supervised by a Physician
  • ♦Resident’s Care/plan of action is supervised by a Physician
  • ♦Adequate physician supervision must be provided for SNF wounds.
  • ♦Weekly rounding, see all wound and skin referrals
  • ♦Standardized wound care program so all wounds are documented appropriately to reduce risk
  • ♦Change treatment in two weeks if no change in wound condition
  • ♦Another Physicians supervises the care of resident when attending is unavailable

F-TAG 580 (Formally F-Tag 157)

Notification of Changes (Injury/Decline/Room, Etc.)
  • ♦Immediate notification of change to resident/residents family
  • ♦Consult with residents Primary Physician if change in condition
  • ♦A physician must be notified of any changes to wound health
  • ♦AmeriWound physician is always available to the wound care nurse(s)
  • ♦Standardized referral program addresses any changes or newly developed wounds immediately

F-TAG 658 (Formally F-Tag 281)

Services Provided Meet Professional Standards
  • ♦Services provided meet accepted standards of clinical practice
  • ♦Efficient evidence of assessment and care planning
  • ♦Correct wound dressings are used on different wound types
  • ♦AmeriWound providers are highly trained specialists with an extensive wound dressing database
  • ♦Incomparable clinical and industry knowledge and experience

F-TAG 841 (Formally F-Tag 501)

Responsibilities of Medical Director
  • ♦The medical director must be involved in the wound care program
  • ♦Ensures the Physician is knowledgeable about current standards of practice
  • ♦We communicate often and effectively with the entire facility team
  • ♦We are highly engaged in the facilities care delivery team and system
  • ♦Helps to identify, evaluate, address, and resolve any medical and clinical concerns

 

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