Immediate Jeopardy

Question 1

What is Immediate Jeopardy (IJ)?

Answer 1

A situation in which the provider’s noncompliance with one or more requirements of participation has caused, or is likely to cause, serious injury, harm, impairment, or death to a resident.

Question 2

What appendix would you use to determine IJ?

Answer 2

Appendix Q

Question 3

What is actual harm?

Answer 3

Was there an outcome of harm?

Question 4

What is potential harm?

Answer 4

Was there a likelihood of potential harm?

Question 5

What drives the severity decisions?

Answer 5

• The resident’s condition
• Whether the staff followed policy and procedure
• The duration of the event
• The facility and staff response to the problem
• The impact on the resident

Question 6

What S/S is an actual harm that is not immediate in an isolated situation?

Answer 6

G

Question 7

What S/S is a pattern of no actual harm with potential for more than minimal harm that is not immediate jeopardy?

Answer 7

E

Question 8

What S/S is a widespread occurance of an immediate jeopardy to resident health or safety?

Answer 8

L

Question 9

What S/S is a pattern with no actual harm with a potential for minimal harm?

Answer 9

B

Question 10

What S/S is a widespread situation with no actual harm with potential for more than minimal harm that is not immediate jeopardy?

Answer 10

F

Question 11

What S/S is a pattern of actual harm that is not immediate?

Answer 11

H

Question 12

When an IJ has been determined, when is the start date of the IJ?

Answer 12

The date that the entity’s noncompliance made serious injury, harm, impairment, or death occur or likely to occur.

Question 13

When an IJ has been determined, when is the end date of the IJ?

Answer 13

The date that the IJ was removed. This happens when it is determined that all elements of the removal plan have been implemented or actions have taken were completed in a manner that eliminates further likelihood of serious injury, harm, impairment, or death. If the IJ was removed prior to the start of the survey, the surveyor should attempt to identify when the noncompliance was removed and enter that date as the end date.

Question 14

What is a Singular Event?

Answer 14

One-time event in which one resident was harmed in an isolated incident that is not the result of a pattern or widespread issues.

Question 15

What is considered a serious adverse outcome?

Answer 15

An outcome that results in, or likely to result in, 1 or more specific types of actual or likely Immediate Jeopardy.