You are told an unannounced state inspection will occur within 48 hours. What are your top priorities, which leaders and documents would you mobilize, and how would you allocate your time to maximize survey readiness and minimize operational disruption?

If I had 48 hours' notice, my top priorities would be resident safety, accurate documentation, and visible leadership. I’d pull a core team of six leaders — the NHA (if available), DON, MDS coordinator, QA nurse, HR/staffing lead, and maintenance supervisor — and assign clear tasks. I’d request the last 30 charts (about 20% of a 150-bed census) for focused chart audit, recent infection-control logs, medication administration records, staffing schedules, policy updates, and the last 2567/CAP. First 2 hours: rapid life-safety walk and delegate audits. Next 12–16 hours: targeted chart and med audits with the team (I’d personally review high-risk cases and 10% of RNs’ med pass documentation). Final 8–12 hours: fixable items, documentation clean-up, staff huddles, and prep a one-page survey binder. I’d stagger leader presence to avoid operational gaps and aim to resolve 80–90% of high-risk items within 24 hours.