TX HHS Form 3764. Survey Staffing Review for ICF-IID Facilities

The TX HHS Form 3764, Survey Staffing Review for ICF-IID Facilities, is a tool used to review and assess the staffing levels of Intermediate Care Facility for Individuals with Intellectual Disabilities (ICF-IID) facilities. This form helps solve the problem of ensuring that these facilities have adequate staff to meet the needs of their residents.

This form requires information such as the professional name, degree, and license number of the surveyor conducting the review. It also asks about the current staffing levels, including whether there are any vacancies or gaps in coverage. The form is typically used during a routine survey or inspection to ensure that the facility is meeting its staffing requirements.

The Survey Staffing Review for ICF-IID Facilities (Form 3764) is an important tool for ensuring the health and well-being of individuals with intellectual disabilities living in these facilities. By reviewing and assessing staffing levels, this form helps to identify any areas where additional support or resources may be needed to meet the needs of residents.