A Complete Step-by-Step Program for

Conducting Successful Internal Investigations

“NEW, INNOVATIVE AND EASY TO IMPLEMENT”

• Guides you through the four phases of the investigation process
• Helps you protect your facility in cases of abuse, neglect, accident, elopement, mistreatment, and misappropriation of property
• Helps your facility to comply with FTAG 226 and other regulatory requirements
• Serves as a fact-finding, not fault-finding, tool you can use to shore up system weaknesses and improve the quality of care in your facility

Created by experts in long-term care management, nursing home administration, investigative science, regulatory compliance, quality assurance, and more, Investigations in Long-Term Care Facilities helps you answer critical questions such as…

• How must staff be trained to respond to events?
• How do I know if the reported event requires a full investigation?
• What documents are most relevant?
• Who should—or shouldn't—be interviewed when investigating allegations of abuse or neglect?
• How can I best handle interviewing fearful staff members, hostile witnesses, union representatives, and subjects likely to be charged with a crime?
• When should I take written statements from staff?
• What information must be included in the final investigation report?
• How can the results of the investigation best be used to improve care and prevent adverse events in the future?

This great new resource gives you - in a Four Phase approach to thorough internal investigations…

• 7 initial steps to start your investigation on the right foot
• 6 cardinal questions you must keep in mind throughout the investigation
• 22 good sources of documentary evidence
• 5 reasons why you should create a timeline
• Right and wrong questions to ask when interviewing witnesses
• 6 steps that lead you to an accurate investigation conclusion
• 7 common report-writing mistakes
• 4 ways a thorough investigation helps facilities meet Q&A mandates
• 10 questions that point out staff training needs
• And much, much more!

About the Authors

Niki Lee Rowe, M.A., C.A.I.A., is a principal in the healthcare consulting firm The Amo Group, L.L.C. She holds a bachelor's degree in health services administration and a master's degree in clinical psychology with a specialty in gerontology. She is licensed in the state of New York as a mental health counselor and is a nationally certified assisted living administrator. She has been an administrator for standalone Alzheimer's facilities and for innovative facilities for the severely mentally ill. She has also served as an item writer for the ACHCA's national certification exams for nursing home administrators and assisted living administrators.

Michael Amo, M.S. C.N.H.A., is founder of and a principal in the healthcare consulting firm The Amo Group, L.L.C., created to help long-term care organizations and facilities implement improvement strategies regarding abuse prevention and prohibition. He holds a master's degree in health services administration and is a nationally certified and a licensed New York State nursing home administrator. He has worked for over 20 years in long-term care management where his responsibilities also included response to and investigation of hundreds of incidents.

OUTLINE OF CONTENT

Part I—INTRODUCTION

Introduction to the Manual

• Scope of the Manual
• How the Manual Is Organized
• Who Should Use This Manual and How?

Introduction to the Model

• The Model
• Becoming an Investigator
• Evidence
• Objectives 

Part II—THE MODEL

Phase I—Prepare

• The Event
• First Responder Responsibilities
• Responsibilities of the First Person of Authority
• Summary

Phase II—Organize

• Steps in Phase II—Organize
• The Investigation Plan
• The Documentation System
• Collecting Evidence
• Physical Evidence (Including Demonstrative Evidence)
• Testimonial Evidence
• Summary
• Documentary Evidence
• Chapter Summary 

Phase III—Fact Find

• Planning and Conducting Interviews
• Analyzing Evidence 

Phase IV—Summarize

• The Three Parts of the Report
• Report Format
• Common Report-Writing Mistakes
• The Investigation Report
• Using the Investigation 

PART III—PREVENTION

Using Investigations to Improve

• Data
• Quality Assessment and Assurance for Facility Processes
• Quality Assessment and Assurance for Investigation Processes
• Tools for the Quality Assessment and Assurance Function 

Policy and Procedure Development

• Definitions
• Characteristics of Good Policies and Procedures
• Make a Plan
• Do the Work
• Review, Revise and Approve
• Educate
• Distribute
• Review and Revise Regularly
• Components of Policy and Procedure Documents

APPENDICES

• Appendix A: Federal Regulations
• Appendix B: The Centers for Medicare and Medicaid Services
• Regional Office Overview 

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