Form Cms-1893 - Outpatient Physical Therapy - Speech Pathology Survey Report Page 12

Download a blank fillable Form Cms-1893 - Outpatient Physical Therapy - Speech Pathology Survey Report in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Cms-1893 - Outpatient Physical Therapy - Speech Pathology Survey Report with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

NAME
NOT
CODE
STANDARDS
MET
N/A
EXPLANATORY STATEMENT
MET
I121
(b) Maintenance of equipment, building, and grounds. The
organization establishes a written preventive-maintenance
program to ensure that:
(1) The equipment is operative and is properly calibrated,
and
(2) The interior and exterior of the building are clean and
orderly and maintained free of any defects that are a
potential hazard to patients, personnel, and the public.
I123
(c) Other environmental considerations. The organization
provides a functional, sanitary, and comfortable environment
for patients, personnel, and the public.
(1) Provision is made for adequate and comfortable lighting
levels in all areas; limitation of sounds at comfort levels;
a comfortable room temperature; and adequate
ventilation through windows, mechanical means, or a
combination of both.
(2) Toilet rooms, toilet stalls, and lavatories are accessible
and constructed so as to allow use by nonambulatory
and semiambulatory individuals.
(3) Whatever the size of the building, there is an adequate
amount of space for the services provided and
disabilities treated, including reception area, staff
space, examining room, treatment areas, and storage.
I160
§485.725 Infection Control
The organization that provides outpatient physical therapy
services establishes an infection-control committee of
representative professional staff with responsibility for overall
infection control. All necessary housekeeping and maintenance
services are provided to maintain a sanitary and comfortable
environment and to help prevent the development and
transmission of infection.
I161
(a) Infection-control committee. The infection-control
committee establishes policies and procedures for
investigating, controlling, and preventing infections in
the organization and monitors staff performance to ensure
that the policies and procedures are executed.
Form CMS-1893 (01/13)
12

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Medical