TX HHS Form 5406. Ten Day Facility Observation

The Ten Day Facility Observation Form 5406 is a crucial tool for ensuring the quality of long-term care facilities in Texas. This form helps surveyors complete their basic training program by observing the operations of an unrelated facility for at least 10 working days within a 14-day period, as required by Senate Bill 1839.

This form is typically used by surveyors who need to fulfill the observation requirement before inspecting, surveying, or investigating assisted living facilities, nursing facilities, or intermediate care facilities for individuals with an intellectual disability or related condition. The form requires signature from the Program Manager and serves as a record of the observation period.

The key features of this form include the minimum 10-working-day observation period within a 14-day period, which ensures that surveyors gain hands-on experience in observing facility operations. This form is essential for ensuring compliance with Senate Bill 1839 and maintaining high standards of care in Texas long-term care facilities.

• Required by Senate Bill 1839
• Minimum 10-working-day observation period within a 14-day period
• Used by surveyors for basic training program completion
• Essential for ensuring compliance and maintaining high standards of care in Texas long-term care facilities