Tools and Resources

Admission Transfer Discharge Rights

Infection Control

PPE Guidance: Gowns

PPE Guidance: Gloves

DOHMH Infection Control Resource for Long-Term Care

Sample Antibiogram

SBAR_UTI

Facility Assessment

Facility Assessment – IG

GNY Sample Facility Assessment

Facility_Assessment_2017_08_18_Final QIO CMS

Regulatory Guidance

Generator Testing

Winter Weather Preparedness

Fire Watch Procedures

Temporary Fire Watch Plan

Fire Watch Log

CMS Requirements of Participation for Long Term Care Dental Services

GW-Sample SNF Investigations Log

(NYSDOH) POC guide

PDPM

PRESENTATION #1 GNYHCFA OVERVIEW HEALTH CARE LANDSCAPE MEDICARE 101 SNF DOCUMENTATION

PRESENTATION #2 GNYHCFA UNDERSTANDING PDPM; COMPONENTS & MDS CODING FOR PDPM

PRESENTATION #3 GNYHCFA ICD-10-CM AND UB-04 CODING FOR PDPM

PRESENTATION #4 GNYHCFA PUTTING IT ALL TOGETHER PDPM CASE STUDY

PRESENTATION #5 GNYHCA MANAGING THE MEDICARE RESIDENT

HANDOUT #1 SNF DOCUMENTATION GUIDELINES

HANDOUT #2 DAILY SKILLED NURSE’S NOTE FORM

HANDOUT #3 AANAC PDPM TOOLS

Handout #4 TCG PDPM Medicare Diagnosis Worksheet

HANDOUT #5 SAMPLE PHYSICIAN DIAGNOSIS QUERY TEMPLATES

TCG PROPOSED PDPM Rate DRAFT Nassau and Suffolk

TCG PROPOSED PDPM Rate DRAFT NY Boroughs

Phase II

4.13.22 SAMPLE Comprehensive Care Plan Policy

Discharge Planning Policy & Procedure

QAPI Policy and Procedure

Facility Assessment – IG

Phase III

2.7.23 Sample PP -Resident Expiration

1.31.23 Nursing Home Naloxone Policy and Procedure Tookit_508 compliant

12.7..22 Sample PP – license and recertification

11.8.22 Sample PP- Psychosocial Well Being Guide

11.7.22 Sample-PP-Abuse-Prevention-revised-11 7 22

F812 – 1. GNY PHYSICAL BIOLOGIC CHEM PEST CONTAMINATION

F812 – 2. GNY EMPLOYEE HEALTH AND HYGIENE AND FOODBORNE ILLNESS

F812 – 3. GNY STORAGE

F812 – 4. GNY PREPARATION

F812 – 5. GNY SERVICE AND DISTRIBUTION

F812 – 6. GNY MACHINE WASHING AND SANITIZING

F812 – 7. GNY MANUAL WASHING AND SANITIZING

F812 – 8. GNY CLEANING FIXED EQUIPMENT

9.29.22-Sample-PP-Search-of-Resident-Property-Packages_

9.28.22 Sample PP – Antibiotic Stewardship

9.20.22 Sample PP Abuse Prevention revised 9 20 22

9.20.22 Sample PP – Disposal of Fentanyl patches

9.16.22 Sample PP – Nursing Care Giver Hours-Census

LESSON PLAN -Sample – Nursing Care Giver Hours

9.16.22 Sample PP – Sexual Non Sexual Relationships

9.15.22 Sample PP – Trauma Informed Care

LESSON PLAN – Sample – Trauma Informed Care F699

9.15.22 Sample Package Log

9.15.22 Sample PP Residents with Substance Use Disorders

9.15.22 Sample PP – Training of Staff

9.13.22 Sample PP – Guidelines for IV Catheters 9 13 22

9.12.22 Sample PP – Infection Preventionist 9.5.2022

9.12.22 Sample PP – Opioid Usage

9.12.22 Sample PP – Physical Restraint

9.5.22 Sample PP – QAA Committee 9.5.2022

9.8.22 Sample PP – Visitation Rev 9.8.2022

9.5.22 Sample PP – Cleaning and Disinfection of Shared Equipment

9.5.22 Sample PP – Non Smoking 9.5.2022

9.6.22 Sample PP – Restraint Reduction-Elimination PP

9.6.22 Sample PP Transfer and Discharge Requirements

9.2022 CMS Phase 3 -Requirements of Participation Checklist – GNYHCFA

PsychosocialSeverityGuide

Policies and Procedures

SAMPLE Visitor Fact Sheet rev 3 23.23

3.23.23 Sample PP-Testing-Rev-3.23.23

3.23.23 Sample PP -Visitation-Rev-3 23 23

3.23.23 Sample PP – Comprehensive Covid

2.24.23 Sample PP – Staffing PP Guidelines

2.24.23 Sample PP -Emergency Preparedness-Staffing Shortages_

2.13.23 Sample PP – Mask Requirements 2.13.2023

2.6.23 Sample PP -Resident Expiration

1.30.23 Sample PP – Resident Care Planning

1.30.23-Sample-PP-Guidelines-for-IV-Catheters-rev 1.30.23

1.13.23 Sample Lesson Plan Influenza

1.13.23 SAMPLE PP – Influenza Prevention and and Management Jan 2023

1.10.23 Sample PP – Anaphylaxis

1.10.23 Sample PP – Eye Protection Use During Covid 19 Rev 1.10.2023

12.27.22 Sample PP – NOMNC

11.30.22 SAMPLE PP – Return to Work Rev 11.30.2022

11.8.22 Sample PP- Psychosocial Well Being Guide

11.7.22 Sample-PP-Abuse-Prevention-revised-11 7 22

11.7.22 Sample – FIR -Five Day Report

10.31.22 Sample PP – Physical Restraint rev 10 31 22

10.24.22 Sample PP-Side Rail Usage revised 10 24 22

NYS Discharge Notice Template

9.28.22 Sample PP – Antibiotic Stewardship

9.21.22 Sample PP – Covid-19-Vaccine-for-Residents-Rev-9 21 22

9.21.22 Sample PP -Covid-19-Vaccine-for-Staff-Rev 9 21 22

9.2.22 Sample PP – Monkeypox 9 2 22

4.26.22 Sample PP Legionella Policy incl audits

4.22.22 Sample PP – Legionella

4.26.22 Sample PP – Out on Pass Rev 4-26-2022

3.10.22 Sample PP – Tuberculosis

3.7.22 Sample PP – Thickening Liquids

3.7.22 Sample PP – Medication Adminstration Guidance for Thickened Liquids

2-24-2022 3.2.22 Sample PP – Linen Management

2.17.22 Sample PP – Foley Catheter Insertion Removal and Maintenance Rev

2.10.22 Sample PP – Notification Communication COVID-19

1.14.22 i-Health Swab instructions

1.5.22 NYS Work Restriction for HCP Algorithm

12.28.21 Sample -NFPA_99_Risk_Assessment

11.3.21 Sample – Contact Tracing – Staff

11.3.21 Sample Contact Tracing – Residents

Covid19_immunization_screening_and_consent_form_10.23.21
Information for Healthcare Providers_COVID-19 Screening Checklist_10-23-21
Guidance for COVID Vaccine Providers 10.23.21

QAPI

9.15.21 Religious Exemption Form – Rev 9 15 21

GNY – Medical Exemption Form Rev

7.21.21 Sample PP – Candida Auris

7.14.21 Sample PP – Cleaning and Disinfecting Environmental Surfaces

6.10.21 Sample PP – Personal and Compassionate Caregiving Visitation in NHs

Bed System Measurement Device Test Results Worksheet

Vaccine Fact Sheets

6.3.21 Sample Covid-19 Vaccine Tool

6.3.21- Lesson Plan – Covid Vaccine

5.30.21 SAMPLE PP – Eye Protection Use During Covid 19 Rev 5-20-2021

NYSDOH – Predrawn Vaccine Policy 5-3-2021

4.22.21 Sample PP – Out on Pass

4.22.21 – Sample Risk Assessment – Covid Exposure OOP

4.22.21 Sample PP – Resident Risk Assessment for Covid Exposure

4.22.21 Sample Risk Assessment – Covid Exposure Admissions

4.20.21 Sample Risk Assessment – Residents Going out to Community

4.19.21 Sample Covid Vaccine Declination Form HCP

4.19.21 Sample Covid Vaccine Declination Form – Residents

P and P – Using Rehab Gym During Covid Pandemic

Summary – DOH Visitation Guidelines 3 25 2021

NYSDOH Updated NH Visitation Guidance 3 25 21

2.18.21 SAMPLE PP Influenza Vaccine – Residents

2.18.21 SAMPLE PP Influenza Vaccine – Staff

Sample PP – Resident with Dementia

Dementia Care Compentency

PP Elevator Entrapment

PP COVID-19 Revised 1-27-2021

21-02 Attachment – Encouraging Staff to Vaccinate

PP Resident Screening

PP Regulated Medical Waste – biohazard

PP Staff Screening Tool

SAMPLE PP BedHold 2020

PP Vendors during Pandemic

PP Surveillance of Infection

PP Developing Cohorts During Pandemic

CDC Guidance Resident Cohorting

PP Telehealth During Pandemic

PP PPE

PP Subsistence Policy

PP Infection Control Program

Risk Communication Policy

DOH SURVEY Q&A

Emergency Communication Policy

Communication with Family and Residents

Communication with NYS DOH and NYC DOHMH

NYSDOH Review PPE Notification

NYSDOH Advisory – Tropical Storm Isaias Guidance

Federal Point of Care Testing Equipment

CEMP & PEP

PP SAMPLE Contact Tracing Policy Covid 19 Pandemic 7.22.20

NYC Nursing Home Emergency Surge Staffing

SAMPLE RESPIRATORY PROTECTION PROGRAM rev [1]

OSHA Hospital Respiratory Protection Toolkit

COVID-19 Inservice Education Curriculum

PP Medically Necessary Consultant Services

NYSDOH DAL – Required COVID-19 Testing for all Nursing Home and Adult Care Facility Personnel

Covid Testing Letter Employee

PP COVID-19 Response and Updates

Weekly Letter to Families

Facility Daily Messaging

PP Paid Feeding Assistants COVID-19

OSHA Information

OSHA4120 ETS Summary

OSHA4123 Fact Sheet

COVID-19_Healthcare_ETS_Model_Written_Plan

COVID-19 Healthcare ETS 504 Mini Respiratory Protection Program Employee Training

COVID-19 Healthcare ETS 502 Employee Training

OSHA COVID