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Clinical Care

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483.25 Quality of Care

001

F684

QUALITY OF CARE - TREATMENT AND CARE

 
 
 
 
 
 
 
 
 
 
 
 

002

F684

QUALITY OF CARE - END OF LIFE SERVICES PROVIDED

 
 
 
 
 
 
 
 
 
 
 
 

003

F684

QUALITY OF CARE - HOSPICE - CHOICES AND PREFERENCES

 
 
 
 
 
 
 
 
 
 
 
 

004

F684

QUALITY OF CARE - HOSPICE - SYMPTOM MANAGEMENT

 
 
 
 
 
 
 
 
 
 
 
 

005

F684

QUALITY OF CARE - HOSPICE - PSYCHOSOCIAL NEEDS

 
 
 
 
 
 
 
 
 
 
 
 

006

F684

QUALITY OF CARE - HOSPICE ELECTED - SCSA

 
 
 
 
 
 
 
 
 
 
 
 

007

F684

QUALITY OF CARE - HOSPICE REVOCATION - SCSA

 
 
 
 
 
 
 
 
 
 
 
 

008

F684

QUALITY OF CARE - HOSPICE - CARE PLAN INTEGRATION

 
 
 
 
 
 
 
 
 
 
 
 

009

F684

QUALITY OF CARE - HOSPICE - PAIN MANAGEMENT CARE PLAN DIRECTIVES

 
 
 
 
 
 
 
 
 
 
 
 

010

F684

QUALITY OF CARE - HOSPICE - MEDICATIONS AND SUPPLIES

 
 
 
 
 
 
 
 
 
 
 
 

011

F684

HIGHEST PRACTICABLE BEING - NON PRESSURE-RELATED ULCER - WOUND

 
 
 
 
 
 
 
 
 
 
 
 

012

F685

PROPER TREATMENT AND ASSISTIVE DEVICES - HEARING AND VISION

 
 
 
 
 
 
 
 
 
 
 
 

013

F685

VISION AND HEARING APPOINTMENTS

 
 
 
 
 
 
 
 
 
 
 
 

014

F685

VISION AND HEARING TRANSPORTATION

 
 
 
 
 
 
 
 
 
 
 
 

015

F686

PRESSURE ULCERS - PREVENT NEW ULCERS

 
 
 
 
 
 
 
 
 
 
 
 

016

F686

PRESSURE ULCERS - PREVENTION OF DEVELOPMENT

 
 
 
 
 
 
 
 
 
 
 
 

017

F686

PRESSURE ULCERS - PREVENT INFECTIONS

 
 
 
 
 
 
 
 
 
 
 
 

018

F686

PRESSURE ULCERS - PROMOTE HEALING

 
 
 
 
 
 
 
 
 
 
 
 

019

F687

FOOT CARE - APPROPRIATE

 
 
 
 
 
 
 
 
 
 
 
 

020

F687

FOOT CARE - NAILS - CORNS - CALLUSES

 
 
 
 
 
 
 
 
 
 
 
 

021

F687

FOOT CARE - INTERFERE WITH MOBILITY

 
 
 
 
 
 
 
 
 
 
 
 

022

F687

FOOT CARE - PODIATRIST - APPOINTMENT

 
 
 
 
 
 
 
 
 
 
 
 

023

F688

INCONTINENCE - MAINTAIN CONTINENCE

 
 
 
 
 
 
 
 
 
 
 
 

024

F688

RANGE OF MOTION - REDUCTION AVOIDABLE

 
 
 
 
 
 
 
 
 
 
 
 

025

F688

MOBILITY - INCREASE ROM - PREVENT DECREASE IN ROM

 
 
 
 
 
 
 
 
 
 
 
 

026

F688

MOBILITY - MAINTAIN OR IMPROVE

 
 
 
 
 
 
 
 
 
 
 
 

027

F689

FREE OF ACCIDENTS - ENVIRONMENT

 
 
 
 
 
 
 
 
 
 
 
 

028

F689

ACCIDENTS - UNLOCKED CHEMICALS - POISONS

 
 
 
 
 
 
 
 
 
 
 
 

029

F689

CHEMICAL STORAGE - POISONS

 
 
 
 
 
 
 
 
 
 
 
 

030

F689

ACCIDENTS - CAUTION SIGNS READABLE

 
 
 
 
 
 
 
 
 
 
 
 

031

F689

ACTIVITY EQUIPMENT STORAGE

 
 
 
 
 
 
 
 
 
 
 
 

032

F689

ACCIDENTS - WET FLOOR WARNING SIGNS

 
 
 
 
 
 
 
 
 
 
 
 

033

F689

ACTIVITIES SDS SHEETS

 
 
 
 
 
 
 
 
 
 
 
 

034

F689

ACCIDENTS - ELECTRICAL CORDS FRAYED

 
 
 
 
 
 
 
 
 
 
 
 

035

F689

ACCIDENTS - ASSISTIVE DEVICES

 
 
 
 
 
 
 
 
 
 
 
 

036

F689

ACCIDENTS - POWER STRIPS

 
 
 
 
 
 
 
 
 
 
 
 

037

F689

ACCIDENTS - WATER TEMPERATURES

 
 
 
 
 
 
 
 
 
 
 
 

038

F689

DOOR ALARMS - WANDER ALARMS

 
 
 
 
 
 
 
 
 
 
 
 

039

F689

ACCIDENTS - WANDER GUARD ALARM WORKS

 
 
 
 
 
 
 
 
 
 
 
 

040

F689

FREE OF ACCIDENTS - SUPERVISION AND ASSISTIVE DEVICES

 
 
 
 
 
 
 
 
 
 
 
 

041

F689

ACCIDENTS - CARE PLAN - MINIMIZE RISK

 
 
 
 
 
 
 
 
 
 
 
 

042

F689

ACCIDENTS - FALLS -IMPLEMENTATION OF INTERVENTIONS

 
 
 
 
 
 
 
 
 
 
 
 

043

F689

ACCIDENTS - SMOKING - ADEQUATE SUPERVISION

 
 
 
 
 
 
 
 
 
 
 
 

044

F689

ACCIDENTS - SMOKING - RESIDENT SAFETY

 
 
 
 
 
 
 
 
 
 
 
 

045

F689

ACTIVITIES SAFETY

 
 
 
 
 
 
 
 
 
 
 
 

046

F689

ACCIDENTS - WANDER GUARD RESPONSE TIME

 
 
 
 
 
 
 
 
 
 
 
 

047

F689

ACCIDENTS - OUTDOOR ACTIVITIES

 
 
 
 
 
 
 
 
 
 
 
 

048

F689

ACCIDENTS - FALLS - RISK FACTORS

 
 
 
 
 
 
 
 
 
 
 
 

049

F690

CONTINENCE - MAINTAIN FUNCTION

 
 
 
 
 
 
 
 
 
 
 
 

050

F690

INCONTINENCE - NECESSARY CATHETERIZATION

 
 
 
 
 
 
 
 
 
 
 
 

051

F690

INCONTINENCE - CATHETER REMOVAL ASSESSMENT

 
 
 
 
 
 
 
 
 
 
 
 

052

F690

INCONTINENCE - RESTORE FUNCTION

 
 
 
 
 
 
 
 
 
 
 
 

053

F690

INCONTINENCE - PREVENT INFECTION

 
 
 
 
 
 
 
 
 
 
 
 

054

F690

INCONTINENCE - FECAL CONTINENCE RESTORATION

 
 
 
 
 
 
 
 
 
 
 
 

055

F691

COLOSTOMY - URETEROSTOMY- ILEOSTOMY

 
 
 
 
 
 
 
 
 
 
 
 

056

F691

COLOSTOMY - URETEROSTOMY - ILEOSTOMY - PLAN OF CARE

 
 
 
 
 
 
 
 
 
 
 
 

057

F691

COLOSTOMY - URETEROSTOMY - ILEOSTOMY - CARE

 
 
 
 
 
 
 
 
 
 
 
 

058

F692

NUTRITIONAL STATUS - MAINTAINS

 
 
 
 
 
 
 
 
 
 
 
 

059

F692

NUTRITION - CHEWING ABNORMALITIES

 
 
 
 
 
 
 
 
 
 
 
 

060

F692

NUTRITION - SWALLOWING ABNORMALITIES

 
 
 
 
 
 
 
 
 
 
 
 

061

F692

NUTRITION - FUNCTIONAL ABILITY

 
 
 
 
 
 
 
 
 
 
 
 

062

F692

HYDRATION - DRY SKIN - CRACKED LIPS - THIRST

 
 
 
 
 
 
 
 
 
 
 
 

063

F692

HYDRATION - ADEQUATE FLUID INTAKE

 
 
 
 
 
 
 
 
 
 
 
 

064

F692

NUTRITION - THERAPEUTIC DIET

 
 
 
 
 
 
 
 
 
 
 
 

065

F693

NASOGASTRIC TUBES - AVOIDABLE

 
 
 
 
 
 
 
 
 
 
 
 

066

F693

NASOGASTRIC TUBES - PNEUMONIA PREVENTION

 
 
 
 
 
 
 
 
 
 
 
 

067

F693

NASOGASTRIC TUBES - ABNORMALITIES

 
 
 
 
 
 
 
 
 
 
 
 

068

F693

ENTERAL NUTRITION - AVOIDABLE WEIGHT LOSS

 
 
 
 
 
 
 
 
 
 
 
 

069

F693

NUTRITION - THERAPEUTIC DIET

 
 
 
 
 
 
 
 
 
 
 
 

070

F693

NASOGASTRIC TUBES - PHARYNGEAL ULCERS

 
 
 
 
 
 
 
 
 
 
 
 

071

F693

NASO GASTRIC TUBES - DEHYDRATION, DIARRHEA

 
 
 
 
 
 
 
 
 
 
 
 

072

F693

ENTERAL FLUIDS - INFLAMMATION

 
 
 
 
 
 
 
 
 
 
 
 

073

F693

ENTERAL FLUIDS - TECHNIQUE

 
 
 
 
 
 
 
 
 
 
 
 

074

F693

ENTERAL FLUIDS - RATE

 
 
 
 
 
 
 
 
 
 
 
 

075

F693

ENTERAL FLUIDS - AMOUNT

 
 
 
 
 
 
 
 
 
 
 
 

076

F694

PARENTERAL FLUIDS - RATE

 
 
 
 
 
 
 
 
 
 
 
 

077

F694

PARENTERAL FLUIDS - INFILTRATION

 
 
 
 
 
 
 
 
 
 
 
 

078

F694

PARENTERAL FLUIDS - AMOUNT

 
 
 
 
 
 
 
 
 
 
 
 

079

F694

PARENTERAL FLUIDS - TECHNIQUE

 
 
 
 
 
 
 
 
 
 
 
 

080

F695

TRACHEOSTOMY CARE - DRESSING

 
 
 
 
 
 
 
 
 
 
 
 

081

F695

TRACHEOSTOMY CARE - CLEAN

 
 
 
 
 
 
 
 
 
 
 
 

082

F695

TRACHEOSTOMY - SUCTION

 
 
 
 
 
 
 
 
 
 
 
 

083

F695

TRACHEOSTOMY CARE - AIRWAY

 
 
 
 
 
 
 
 
 
 
 
 

084

F695

TRACHEAL SUCTIONING - SUCTION MACHINE

 
 
 
 
 
 
 
 
 
 
 
 

085

F695

TRACHEAL SUCTIONING - PLAN OF CARE

 
 
 
 
 
 
 
 
 
 
 
 

086

F695

TRACHEOSTOMY - CANNULA

 
 
 
 
 
 
 
 
 
 
 
 

087

F695

RESPIRATORY CARE - OXYGEN STORAGE

 
 
 
 
 
 
 
 
 
 
 
 

088

F695

RESPIRATORY CARE - NO SMOKING SIGNS

 
 
 
 
 
 
 
 
 
 
 
 

089

F696

PROSTHESES - USE

 
 
 
 
 
 
 
 
 
 
 
 

090

F696

PROSTHESES - CORRECT FIT

 
 
 
 
 
 
 
 
 
 
 
 

091

F696

PROSTHESES - ABRASIONS - WOUNDS - IRRITATION

 
 
 
 
 
 
 
 
 
 
 
 

092

F696

PROSTHESES - ASSISTANCE

 
 
 
 
 
 
 
 
 
 
 
 

093

F696

PROSTHESES - REHAB SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

094

F696

PROSTHESES - REHAB - OUTSIDE RESOURCE

 
 
 
 
 
 
 
 
 
 
 
 

095

F697

QUALITY OF LIFE - PAIN MANAGEMENT

 
 
 
 
 
 
 
 
 
 
 
 

096

F697

QUALITY OF LIFE - PAIN MANAGEMENT - ROUTINE CARE AND ACTIVITIES

 
 
 
 
 
 
 
 
 
 
 
 

097

F697

QUALITY OF LIFE - PAIN MANAGEMENT - ADVERSE CONSEQUENCES

 
 
 
 
 
 
 
 
 
 
 
 

098

F697

QUALITY OF LIFE - PAIN MANAGEMENT - NON-VERBAL COGNITIVELY IMPAIRED RESIDENTS

 
 
 
 
 
 
 
 
 
 
 
 

099

F697

QUALITY OF LIFE - PAIN MANAGEMENT - INEFFECTIVE INTERVENTIONS

 
 
 
 
 
 
 
 
 
 
 
 

100

F697

QUALITY OF LIFE - PAIN MANAGEMENT - THERAPY SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

101

F697

QUALITY OF LIFE - PAIN MANAGEMENT - PRN MEDICATIONS

 
 
 
 
 
 
 
 
 
 
 
 

102

F698

QUALITY OF LIFE - DIALYSIS TREATMENT - COORDINATION

 
 
 
 
 
 
 
 
 
 
 
 

103

F698

QUALITY OF LIFE - DIALYSIS - CONTRACT

 
 
 
 
 
 
 
 
 
 
 
 

104

F698

QUALITY OF LIFE - DIALYSIS - MEDICATION ADMINISTRATION

 
 
 
 
 
 
 
 
 
 
 
 

105

F698

QUALITY OF LIFE - DIALYSIS - COMPLICATIONS

 
 
 
 
 
 
 
 
 
 
 
 

106

F698

QUALITY OF LIFE - DIALYSIS - INTERCHANGE OF INFORMATION

 
 
 
 
 
 
 
 
 
 
 
 

107

F698

QUALITY OF LIFE- DIALYSIS - CARE PLAN

 
 
 
 
 
 
 
 
 
 
 
 

108

F698

QUALITY OF CARE - DIALYSIS - BLOOD PRESSURE

 
 
 
 
 
 
 
 
 
 
 
 

109

F698

QUALITY OF LIFE - DIALYSIS - MONITORING

 
 
 
 
 
 
 
 
 
 
 
 

110

F699

TRAUMA INFORMED CARE - TRAUMA SURVIVOR

 
 
 
 
 
 
 
 
 
 
 
 

111

F699

TRAUMA INFORMED CARE - CULTURALLY COMPETENT

 
 
 
 
 
 
 
 
 
 
 
 

112

F700

ACCIDENTS - SIDE RAIL ALTERNATIVE

 
 
 
 
 
 
 
 
 
 
 
 

113

F700

ACCIDENTS - SIDE RAIL INSTALLATION

 
 
 
 
 
 
 
 
 
 
 
 

114

F700

ACCIDENTS - SIDE RAIL ASSESSMENT - ENTRAPMENT

 
 
 
 
 
 
 
 
 
 
 
 

115

F700

ACCIDENTS - SIDE RAILS - RISKS AND BENEFITS

 
 
 
 
 
 
 
 
 
 
 
 

116

F700

ACCIDENTS - SIDE RAILS - BED DIMENSIONS

 
 
 
 
 
 
 
 
 
 
 
 

117

F700

BED RAILS - INSTALLING AND MAINTAINING

 
 
 
 
 
 
 
 
 
 
 
 
483.30 Physician Services

118

F710

PHYSICIAN SERVICES - RESIDENT ADMISSION

 
 
 
 
 
 
 
 
 
 
 
 

119

F710

PHYSICIAN SERVICES - ORDERS FOR IMMEDIATE CARE AND NEEDS

 
 
 
 
 
 
 
 
 
 
 
 

120

F710

PHYSICIAN SERVICES - PHYSICIAN SUPERVISION

 
 
 
 
 
 
 
 
 
 
 
 

121

F710

PHYSICIAN SERVICES - PHYSICIAN ASSIGNMENT

 
 
 
 
 
 
 
 
 
 
 
 

122

F710

PHYSICIAN SERVICES - ON-CALL PHYSICIAN

 
 
 
 
 
 
 
 
 
 
 
 

123

F711

PHYSICIAN VISITS - REVIEW OF MEDICAL REGIMEN

 
 
 
 
 
 
 
 
 
 
 
 

124

F711

PHYSICIAN VISITS - REVIEW OF TOTAL PROGRAM OF CARE

 
 
 
 
 
 
 
 
 
 
 
 

125

F711

PROGRESS NOTES - EACH VISIT

 
 
 
 
 
 
 
 
 
 
 
 

126

F711

PHYSICIAN VISITS - SIGN AND DATE ORDERS

 
 
 
 
 
 
 
 
 
 
 
 

127

F712

PHYSICIAN VISITS - FIRST 90 DAYS

 
 
 
 
 
 
 
 
 
 
 
 

128

F712

PHYSICIAN VISITS - AFTER 90 DAYS

 
 
 
 
 
 
 
 
 
 
 
 

129

F712

PHYSICIAN VISITS - 10 DAY RULE

 
 
 
 
 
 
 
 
 
 
 
 

130

F712

PHYSICIAN VISITS - PERSONALLY VISIT

 
 
 
 
 
 
 
 
 
 
 
 

131

F712

PHYSICIAN VISITS - ALTERNATE VISITS

 
 
 
 
 
 
 
 
 
 
 
 

132

F713

EMERGENCY PHYSICIAN - AVAILABLE 24 HOURS PER DAY

 
 
 
 
 
 
 
 
 
 
 
 

133

F713

EMERGENCY PHYSICIAN - RESPOND - ON-CALL MD

 
 
 
 
 
 
 
 
 
 
 
 

134

F713

EMERGENCY PHYSICIAN - ER - REASON

 
 
 
 
 
 
 
 
 
 
 
 

135

F714

PHYSICIAN DELEGATION - LICENSE - PA, NP AND CLINICAL NURSE SPECIALIST

 
 
 
 
 
 
 
 
 
 
 
 

136

F714

PHYSICIAN DELEGATION - SCOPE - PA, NP AND CLINICAL NURSE SPECIALIST

 
 
 
 
 
 
 
 
 
 
 
 

137

F714

PHYSICIAN DELEGATION - SUPERVISION - PA, NP AND CLINICAL NURSE SPECIALIST

 
 
 
 
 
 
 
 
 
 
 
 

138

F714

PHYSICIAN DELEGATION OF TASKS - PROHIBITED

 
 
 
 
 
 
 
 
 
 
 
 

139

F714

PHYSICIAN DELEGATION - NON-EMPLOYEE OF FACILITY

 
 
 
 
 
 
 
 
 
 
 
 

140

F715

PHYSICIAN DELEGATION - SCOPE - RD

 
 
 
 
 
 
 
 
 
 
 
 

141

F715

PHYSICIAN DELEGATION - SUPERVISION - RD

 
 
 
 
 
 
 
 
 
 
 
 

142

F715

PHYSICIAN DELEGATION - SCOPE - THERAPY

 
 
 
 
 
 
 
 
 
 
 
 

143

F715

PHYSICIAN DELEGATION - SUPERVISION - THERAPY

 
 
 
 
 
 
 
 
 
 
 
 
483.35 Nursing Services

144

F725

SUFFICIENT STAFF WITH APPROPRIATE COMPETENCIES

 
 
 
 
 
 
 
 
 
 
 
 

145

F725

SUFFICIENT STAFFING

 
 
 
 
 
 
 
 
 
 
 
 

146

F725

SUFFICIENT LICENSED NURSES

 
 
 
 
 
 
 
 
 
 
 
 

147

F725

SUFFICIENT NURSING STAFF

 
 
 
 
 
 
 
 
 
 
 
 

148

F725

CHARGE NURSE - DESIGNATION

 
 
 
 
 
 
 
 
 
 
 
 

149

F726

LICENSED NURSE COMPETENCY

 
 
 
 
 
 
 
 
 
 
 
 

150

F726

SUFFICIENT STAFF - PROVIDING CARE

 
 
 
 
 
 
 
 
 
 
 
 

151

F726

PROFICIENCY OF NURSE AIDES

 
 
 
 
 
 
 
 
 
 
 
 

152

F727

REGISTERED NURSE - COVERAGE

 
 
 
 
 
 
 
 
 
 
 
 

153

F727

DIRECTOR OF NURSING SERVICES

 
 
 
 
 
 
 
 
 
 
 
 

154

F727

DNS STAFFING

 
 
 
 
 
 
 
 
 
 
 
 

155

F728

NURSE AIDES -COMPETENT

 
 
 
 
 
 
 
 
 
 
 
 

156

F728

NURSE AIDES - COMPLETED PROGRAM

 
 
 
 
 
 
 
 
 
 
 
 

157

F728

NURSE AIDE - FULL TIME AND DEEMED COMPETENT

 
 
 
 
 
 
 
 
 
 
 
 

158

F728

NON-PERMANENT NURSING EMPLOYEES

 
 
 
 
 
 
 
 
 
 
 
 

159

F728

NURSES AIDES- MINIMUM COMPETENCY - IN TRAINING

 
 
 
 
 
 
 
 
 
 
 
 

160

F728

NURSES AIDES - MINIMUM COMPETENCY - COMPLETION OF TRAINING

 
 
 
 
 
 
 
 
 
 
 
 

161

F728

NURSE AIDE - LESS THAN 4 MONTHS

 
 
 
 
 
 
 
 
 
 
 
 

162

F729

COMPETENCY EVALUATION - IN TRAINING

 
 
 
 
 
 
 
 
 
 
 
 

163

F729

COMPETENCY EVALUATION - COMPLETION OF TRAINING - NON-REGISTERED

 
 
 
 
 
 
 
 
 
 
 
 

164

F729

MULTI-STATE REGISTRY VERIFICATION

 
 
 
 
 
 
 
 
 
 
 
 

165

F729

NURSE AIDES - REQUIRED RETRAINING

 
 
 
 
 
 
 
 
 
 
 
 

166

F730

NURSE AIDES - PERFORMANCE REVIEW

 
 
 
 
 
 
 
 
 
 
 
 

167

F731

DILIGENT EFFORT

 
 
 
 
 
 
 
 
 
 
 
 

168

F731

WAIVER

 
 
 
 
 
 
 
 
 
 
 
 

169

F731

24 HR LICENSED

 
 
 
 
 
 
 
 
 
 
 
 

170

F731

STAFFING WAIVER

 
 
 
 
 
 
 
 
 
 
 
 

171

F731

ANNUAL STAFFING WAIVER

 
 
 
 
 
 
 
 
 
 
 
 

172

F731

NOTICE TO OMBUDSMAN

 
 
 
 
 
 
 
 
 
 
 
 

173

F731

NOTICE TO ADVOCACY AGENCIES FOR MENTALLY ILL

 
 
 
 
 
 
 
 
 
 
 
 

174

F731

NOTICE TO ADVOCACY AGENCIES

 
 
 
 
 
 
 
 
 
 
 
 

175

F731

NOTICE TO RESIDENT

 
 
 
 
 
 
 
 
 
 
 
 

176

F731

RN GREATER THAN 40 HOURS AND DIRECTOR OF NURSING REQUIREMENT WAIVED

 
 
 
 
 
 
 
 
 
 
 
 

177

F731

DIRECTOR OF NURSING REQUIREMENT WAIVED

 
 
 
 
 
 
 
 
 
 
 
 

178

F731

WAIVER TO LONG TERM OMBUDSMAN AND PROTECTION AND ADVOCACY SYSTEM

 
 
 
 
 
 
 
 
 
 
 
 

179

F731

RN/DON WAIVER - NOTIFICATION TO RESIDENTS AND REPRESENTATIVES

 
 
 
 
 
 
 
 
 
 
 
 

180

F731

NEED FOR SKILLED R.N.

 
 
 
 
 
 
 
 
 
 
 
 

181

F731

NEED FOR SKILLED PHYSICIAN

 
 
 
 
 
 
 
 
 
 
 
 

182

F731

NO FULL-TIME R.N. ON DUTY

 
 
 
 
 
 
 
 
 
 
 
 

183

F731

WAIVER - ANNUAL RENEWAL

 
 
 
 
 
 
 
 
 
 
 
 

184

F732

NURSE STAFFING INFORMATION - FACILITY NAME