Description

The Elopement Case Review Audit Tool for Skilled Nursing Facilities is specifically designed to help ensure compliance with CMS F689 accident hazard and elopement prevention requirements, supporting resident safety and regulatory readiness.

This audit tool is designed to help skilled nursing facilities systematically review and strengthen their elopement prevention and response practices in accordance with CMS F689. F689 requires that facilities provide an environment free from accident hazards and ensure each resident receives adequate supervision and assistive devices to prevent accidents—including elopement.

Key Features:

• Policy & Procedure Review
• Resident Risk Identification
• Environmental Controls
• Staff Training & Competency
• Incident Response & Documentation
  Quality Assurance & Performance Improvement (QAPI)

Why Use This Tool?

Failure to comply with F689 can result in serious resident harm and significant regulatory citations. This audit tool helps facilities:

• Proactively identify and mitigate elopement risks.
• Demonstrate regulatory compliance during surveys.
• Promote resident safety and quality of care.
• Document all required actions and interventions in the event of an elopement.

This is one of the audits included in the Chart Audit Bundle which includes 18 chart audit tools: Pathway Health Chart Audit Bundle

Audits included in this bundle:

• F600–F610: Abuse Chart Review Audit Tool
• F684: Delay in Treatment Chart Review Audit Tool
• F689: Elopement Chart Review Audit Tool
• F578, F579, F580: Failure to Honor Code Status Chart Review Audit Tool
• F689: Falls Chart Review Audit Tool
• F609: Injury of Unknown Origin Chart Review Audit Tool
• F700, F909: Resident Adverse Outcome with Bedrails Chart Review Audit Tool
• F692: Resident Choking Chart Review Audit Tool
• F602, F603: Resident Exploitation Chart Review Audit Tool
• F684: Resident Fall Chart Review Audit Tool
• F684: Resident Fall Chart Review Reformatted
• F602, F603: Resident Misappropriation Chart Review Audit Tool
• F600–F610: Resident Neglect Chart Review Audit Tool
• F600–F610: Resident on Resident Altercation Chart Review Audit Tool
• F600–F610: Self-Harm Attempted Suicide Chart Review Audit Tool
• F757, F758: Significant Medication Error Chart Review Audit Tool
• F692: Significant Weight Change Chart Review Audit Tool
• F684: Unsuspected Death Chart Review Audit Tool

Note: This tool is for informational and quality improvement purposes only. It does not constitute legal advice or replace official CMS guidance.