RCC Question Changes

Attachment D-1 RCC Question Changes
2020 Change	2018 Questionnaire Number and Wording
DROP	RCC 5. What is the total number of years this residential care community has been operating as a residential care community at this location?
DROP	RCC 10 When does this residential care community screen each resident with a standardized tool for each of the following? a. Alcohol or substance abuse b. Anxiety c. Cognitive impairment d. Depression e. Pain f. Pressure injury/ulcer risk g. Activities of Daily Living (ADLs) h. Instrumental Activities of Daily Living (IADLs)
DROP	RCC 12. Does this residential care community use computerized capabilities to… a. Record resident demographics. b. Record clinical notes. c. Record resident medications and allergies. d. Record resident problem list. e. Record individual service plans. f. View lab results. g. View imaging reports. h. Order prescriptions.
DROP	RCC 14. For each of the following statements, please indicate how often this is your residential care communities’ current practice. Residents choose the times they prefer to eat. Residents have access to food in the residential care community at any time. Residents participate in choosing the types of activities that are offered to them. Residents choose when they want to get up in the morning. Residents choose the way they bathe, such as shower, bed bath, or bathtub. Residents choose the time of day they bathe. Residents participate in developing their care plan. Residents participate in deciding which aides are assigned to care for them. Residents with memory problems have special activities designed for them. Residents or their family members are provided with opportunities to express their preferences about end-of-life care.
DROP	RCC 15. Which of the following best describes your residential care community’s policy for residents leaving the building?
DROP	RCC 22. Of the residents currently living in this residential care community, about how many have a private apartment or room? Include residents who have chosen to share an apartment or room, for example couples or family members.
DROP	RCC 23 In the last 12 months, about how many residents moved out of this residential care community? Exclude deaths and residents for whom the residential care community is currently holding a bed.
DROP	RCC 24. Of residents who moved out in the last 12 months, how many of these residents went to each of the following locations immediately after they moved out? Each resident who moved out should be counted only once.
DROP	RCC 25. Of residents who moved out in the last 12 months, how many left because the cost of care, including housing, meals, and services required to meet their needs, exceeded their ability to pay?
DROP	RCC 27 For each specialized service listed below… MARK ALL THAT APPLY IN EACH ROW This residential care community… Provides the service by paid residential care community employees Arranges for the service to be provided by outside service providers Refers residents or family to outside service providers Does not provide, arrange, or refer for this service a. Management of behavioral symptoms, such as agitation b. Pressure injury or wound care c. Continence management d. Palliative care—treatment of the pain, discomfort, and symptoms of serious illness
DROP	RCC 28. Fall risk assessment tools often address gait, mobility, strength, balance, cognition, vision, medications, and environmental factors. Examples of tools include but are not limited to CDC’s “Stopping Elderly Accidents, Deaths & Injuries” or STEADI; Timed Up and Go or TUG test; 30-second chair stand test; and 4-stage balance test. Does this residential care community typically evaluate each resident’s risk for falling using any fall risk assessment tool?
DROP	RCC 29. Fall reduction interventions may include but are not limited to environmental safety measures; medication reconciliation; exercise, gait, or balance training; and resident or family education. Does this residential care community currently use any formal fall reduction interventions?
DROP	RCC 30. Please indicate how often your residential care community engages in the following practices when a resident is dying or has died.
DROP	RCC 32 Of the number of full-time and part-time employees currently employed in this residential care community, indicate how many have been employed at this residential care community for more than 1 year.
DROP	RCC 33. For each of the following employees, indicate how many full-time and part-time employees this residential care community had on January 1, 2017.
DROP	RCC 34. Of the number of full-time and part-time employees this residential care community had on January 1, 2017, indicate how many left this residential care community between January 1, 2017 and December 31, 2017. This would include both voluntary and involuntary terminations (retired, dismissed, resigned).
DROP	RCC 35. If hired today in this residential care community, what would be the lowest and highest hourly wage that might be offered to an entry-level aide employee?
DROP	RCC 36. How many hours of training does this residential care community require newly employed aide employees to have prior to providing care to residents?
DROP	RCC 37. How many hours of on-going continuing education or in-service training annually does this residential care community provide or arrange for your aide employees?
DROP	RCC . 38 Does this residential care community offer the following benefits to full-time aide employees? Health insurance for the employee only. Health insurance that includes family coverage. Life insurance A pension, a 401(k), or a 403(b). Paid personal time off, vacation time, or sick leave
DROP	RCC 39. For each of the items below, please indicate how often this occurs at this residential care community…… Aides attend resident care plan meetings. Changes in residents’ care are made as a result of aide input. Aides work with the same residents.
REVISE- response categories to add “permitted, licensed or regulated to serve adults with” (RCC 5)	RCC Screener 3. Does this residential care community only serve adults with…
REVISE- response categories—added “or on call” (RCC 8)	RCC Screener 6. Does this residential care community provide or arrange for any of the following types of staff to be on-site 24 hours a day, 7 days a week to meet any resident needs that may arise? On-site means the staff are located in the same building, in an attached building or next door, or on the same campus. Yes On an as needed basis or on call No
REVISE- delete Behavioral health provider from the list (RCC 18)	RCC Q13 Does this residential care community’s computerized system support electronic health information exchange with each of the following providers? Do not include faxing.
REVISE- collapsed the under 65 years categories into one (RCC 26)	RCC Q19 Of the residents currently living in this residential care community, what is the age breakdown? Enter “0” for any categories with no residents.
ADD BACK IN provider questionnaire-- questions that were in a services user questionnaire in 2018--advance directives. (RCC 19-20)	NA
ADD BACK IN provider questionnaire--questions that were in a services user questionnaire in 2018--race-ethnicity. (RCC 27)	NA
ADD BACK IN provider questionnaire-- questions that were in a services user questionnaire in 2018--medical conditions. (RCC 28)	NA
ADD BACK IN provider questionnaire--questions that were in a services user questionnaire in 2018--all six Activities of Daily Living (RCC 30)	NA
ADD BACK IN provider questionnaire-questions that were in a services user questionnaire in 2018--emergency department visits and overnight hospital stays (RCC 31-32)	NA
ADD BACK IN provider questionnaire--questions that were in a services user questionnaire in 2018-- falls. (RCC 33)	NA
ADD two items on COVID-19 prevalence (RCC 37-38)	NA
ADD four items on COVID-19 experience (RCC 39-42)	NA
ADD one item on general infection control practices and policies (RCC 21)	NA
ADD two questions on Long-Term Care Ombudsman (RCC 23-24)	NA
ADD question on opioid administration (RCC 29)	NA