Medical Director Rounds Weekly Form

Weekly Medical Director’s Rounds 

Effective Date: [Original NPP Date] 
Revised Date: [Current Date] 

Goal: 

To ensure comprehensive oversight of resident care through regular, structured rounds by the Medical Director, in compliance with CMS Requirements of Participation and State Operations Manual (SOM) guidelines. 

Policy: 

The Medical Director, in collaboration with the Director of Nurses or their designee, will conduct weekly rounds to review and discuss key areas of resident care and facility operations. This process aims to enhance resident outcomes through consistent monitoring, timely interventions, and interdisciplinary communication. 

Procedure: 

1. Schedule and Documentation: 

• Weekly rounds will be documented using the designated form. 

• Each section of the form should be completed during the rounds. 

2. Key Areas of Review: 

Date:___________________________ Time:___________ 

Admissions: 

• Review new resident admissions from the past week. 

• Discuss initial assessments, care plans, and any immediate concerns. 

Discharges: 

• Review resident discharges, including discharge plans and follow-up care. 

• Evaluate any issues or complications that arose during the discharge process. 

Hospitalizations: 

• Review recent hospitalizations and reasons for admission. 

• Discuss any follow-up actions required upon the resident's return. 

Deaths: 

• Review any resident deaths, including cause and circumstances. 

• Discuss any required documentation and family communications. 

Accidents/Incidents: 

• Review recent accidents or incidents involving residents. 

• Discuss preventive measures and follow-up actions. 

Seriously Ill: 

• Review the status of seriously ill residents. 

• Discuss care plans, interventions, and family communications. 

Problems/Discussion: 

• Address any other resident care or facility issues that require attention. 

• Open forum for discussing any concerns raised by staff. 

New Facility Acquired Pressure Sores: 

• Review new cases of facility-acquired pressure sores. 

• Discuss treatment plans and preventive measures. 

New Infections: 

• Review new infections among residents. 

• Discuss infection control measures and treatment plans. 

3. Signatures: 

Medical Director: ______________________________ 

Director of Nurses or Designee: ______________________________ 

Weekly Medical Director’s Rounds 

Date:___________________________ Time:___________  

_________________________________ _________________________________ 

Medical Director Director of Nurses or Designee 

References: 

• Centers for Medicare & Medicaid Services. State Operations Manual, Appendix PP - Guidance to Surveyors for Long Term Care Facilities. [Link to current CMS SOM] 

• CMS Requirements of Participation for Long-Term Care Facilities. [Link to current guidelines]