Medium

Available on

Apple Android Windows

Medical Day Care Assessment and Survey Mobile App

Use the Medical Day Care Assessment and Survey mobile app to complete a medical day care assessment with your smartphone or tablet. Maintain resident confidentiality. Use understandable language that avoids medical terminology and regulatory jargon (okay to use tag numbers but describe deficiency also). Notify the facility formally if there is an Immediate Jeopardy, Curtailment of Admissions or other special situations (if applicable). Inform the facility that they will receive the Statement of Deficiencies (SOD) via email within ten days and they will have ten days in which to respond (via email) with an acceptable Plan of Correction (POC). Describe the elements of an acceptable POC. Explain to the facility the importance of accurate completion dates.

  • Lendlease
  • The Cooperative
  • PG&E
  • oxy
  • Red Bull
  • Mirvac

Want to learn more about GoCanvas?

Request a Demo

Take a peek inside the Medical Day Care Assessment and Survey Mobile App

Included Features

Our App Builder gives you the power to easily add and remove the ones you want. {{controller.show_all ? 'See included features.' : 'See more features.'}}

  • {{data.title}}

Included Fields

Customize to add, remove, or edit any of the fields below.

  • Ico textbox

    Facility Name

  • Ico textbox

    Facility ID

  • Ico textbox

    Medicaid Provider Number

  • Ico date

    Date

  • Ico time

    Time

  • Ico dropdown

    Facility Staff Attended?

  • Ico multiline

    If Yes, List:

  • Ico dropdown

    Facility provided additional information upon request?

  • Ico multiline

    If Yes, List:

  • Ico checkbox

    Facility was provided with a list of sample residents (names and identifiers only).

  • Ico checkbox

    Summarize survey protocols and decision making and purpose of the Exit Conference (5 minutes).

  • Ico checkbox

    Systematically describe specific deficiencies, one regulatory area at a time with substantiating ...

  • Ico checkbox

    Maintain resident confidentiality

  • Ico checkbox

    Use understandable language that avoids medical terminology and regulatory jargon (okay to use ta...

  • Ico checkbox

    applicable).

  • Ico checkbox

    Inform the facility that they will receive the Statement of Deficiencies (SOD) via email within t...

  • Ico checkbox

    Describe the elements of an acceptable POC.

  • Ico multiline

    Facility questions/concerns:

  • Ico statictext

    Signature of Team Leader below indicates that the above steps were completed as described.

  • Ico textbox

    Name of Team Leader

  • Ico signature

    Signature of Team Leader

  • Ico statictext

    Signature of Administrator (or alternate) below indicates that the above items were completed as ...

  • Ico textbox

    Name of Administrator

  • Ico signature

    Signature of Administrator

  • Ico textbox

    Tag No.

  • Ico multiline

    Issues

  • Ico multiline

    Comments/Def.

  • ...and More!

Related Health Care & Social Services Apps... and they're all free for GoCanvas subscribers!

App Name

Physician's Report for Residential Ca...

Health care providers of all types – nurse practitioners, physician's assistants, physicians, therapists – take notes and ...

App Name

Assisted Living Assessment and Survey

The Assisted Living Assessment and Survey mobile app offers a helpful way for nursing homes and long-term care facilities ...

App Name

Nursing Home Hazards Checklist

Professionals working in residential and assisted living healthcare facilities may be at risk for exposure to numerous wor...

App Name

Declaration of Compliance with Adviso...

Use the Declaration of Compliance with Advisory Standards mobile app on your smartphone or tablet to complete a declaratio...

App Name

Assisted Living Record of Vital Sign...

Assisted Living Facilities need to keep detailed patient and resident records. The mobile app can easily be completed usin...

App Name

Assisted Living Entrance Guide

Assisted Living Facilities need to keep detailed patient and resident records. The mobile app can easily be completed usin...

App Name

Autoclave Self-Audit Checklist

Autoclave chambers offer sterilization of objects using high pressure steam. This sterilization process is popular in many...

App Name

Assisted Living Follow-Up Report

Assisted Living Facilities need to keep detailed patient and resident records. The mobile app can easily be completed usin...

More Information