A Regulatory Reference includes WHAT 4 1. A survey data tag number,
following components: 2. The CFR (or LSC reference),
3. The language from that reference which specifies the aspect(s) of
requirement with which entity was noncompliant.
4. An explicit statement that requirement was “NOT MET.”
What is an F-tag ? * "F" federal
tag # corresponds to a specific FEDERAL regulation within the CFR
(Code of Federal Regulations) - ("F" for "federal")
* federal system through which areas of dp's /compliance (standards &
guidelines) are assessed/identified based on performance within CMS
(CMS Survey)
* Each tag is related to one area of the CFR
Nursing homes are less likely to be accredited they are not given "deemed status"
because
When can a provider/supplier have their services When compliance with all CoP (conditions of participation) are met
covered ? - substantial compliance with the requirements for SNFs & NFs are met
- compliance with applicable CoC (conditions for coverage) for
suppliers.
,When can a standard survey be broaden or If SQC (Substandard quality of care) suspected
expanded ?
When should timing of an abbreviated standard At discretion of SA (An exception is made for complaints that allege IJ
survey take place ? to resident health & safety)
What happens when an extended or partial A facility loses it's ability to train nurse aides.
extended survey is conducted ?
Your team is conducting a complaint survey A partial extended survey is conducted after SQC is found during an
concerning the quality of care at a nursing home. abbreviated standard survey or during a revisit, when SQC was not
During the complaint survey, your team expands previously identified.
the survey & determines that the facility is
providing substandard quality of care that was not
previously identified. Is an additional survey
required in this situation? If so, what type of survey
is needed?
What is Reasonable-Person concept? Used when a resident's psychosocial outcome may not be readily
determined through the investigative process:
* determine the severity of psychosocial outcome that dp on a
Reasonable Person in a SIMILAR Situation
* degree of care that a RP would exercise under ALL circumstances
,An abbreviated standard survey is also known as a A Complaint Investigation
A complaint investigation
B standard survey
C state monitoring visit
D particle extended survey
Which survey may a surveyor investigate any area A Complaint Survey
of concern and make compliance decisions
regarding any regulatory requirement , whether or
not it is related to the original purpose of the visit
?
A Complaint Survey
B State Monitoring Survey
C Resurvey
D Initial Certification Survey
The administrator was successful during an D submit a written allegation of removal
informal dispute review in reversing an IJ during
the survey . For it to be removed from the 2567 ,
the administrator must
A Draw a line through the deficiency on the 2567 .
B do nothing, CMS will remove it
C notify the corporate office .
D submit a written allegation of removal .
, Which form must be completed and given to C - CMS - 671 and CMS - 672
surveyors within 24 hours ?
A CMS - 673 and CMS - 674
B CMS - 674 and CMS - 675
C CMS - 671 and CMS - 672
D CMS - 672 and CMS - 673
Which piece of information is provided to B. Name of the Resident Council President
surveyors during the entrance conference?
A CMS - 671 form
B Name of the Resident Council President
C Immunization policies and procedures
D Grievance information
Who conducts the Life Safety Code inspection ? D State Fire Marshall's office
A State Fire Marshall's office and State Surveyors
B State Surveyors
C The Governors office
D State Fire Marshall's office
following components: 2. The CFR (or LSC reference),
3. The language from that reference which specifies the aspect(s) of
requirement with which entity was noncompliant.
4. An explicit statement that requirement was “NOT MET.”
What is an F-tag ? * "F" federal
tag # corresponds to a specific FEDERAL regulation within the CFR
(Code of Federal Regulations) - ("F" for "federal")
* federal system through which areas of dp's /compliance (standards &
guidelines) are assessed/identified based on performance within CMS
(CMS Survey)
* Each tag is related to one area of the CFR
Nursing homes are less likely to be accredited they are not given "deemed status"
because
When can a provider/supplier have their services When compliance with all CoP (conditions of participation) are met
covered ? - substantial compliance with the requirements for SNFs & NFs are met
- compliance with applicable CoC (conditions for coverage) for
suppliers.
,When can a standard survey be broaden or If SQC (Substandard quality of care) suspected
expanded ?
When should timing of an abbreviated standard At discretion of SA (An exception is made for complaints that allege IJ
survey take place ? to resident health & safety)
What happens when an extended or partial A facility loses it's ability to train nurse aides.
extended survey is conducted ?
Your team is conducting a complaint survey A partial extended survey is conducted after SQC is found during an
concerning the quality of care at a nursing home. abbreviated standard survey or during a revisit, when SQC was not
During the complaint survey, your team expands previously identified.
the survey & determines that the facility is
providing substandard quality of care that was not
previously identified. Is an additional survey
required in this situation? If so, what type of survey
is needed?
What is Reasonable-Person concept? Used when a resident's psychosocial outcome may not be readily
determined through the investigative process:
* determine the severity of psychosocial outcome that dp on a
Reasonable Person in a SIMILAR Situation
* degree of care that a RP would exercise under ALL circumstances
,An abbreviated standard survey is also known as a A Complaint Investigation
A complaint investigation
B standard survey
C state monitoring visit
D particle extended survey
Which survey may a surveyor investigate any area A Complaint Survey
of concern and make compliance decisions
regarding any regulatory requirement , whether or
not it is related to the original purpose of the visit
?
A Complaint Survey
B State Monitoring Survey
C Resurvey
D Initial Certification Survey
The administrator was successful during an D submit a written allegation of removal
informal dispute review in reversing an IJ during
the survey . For it to be removed from the 2567 ,
the administrator must
A Draw a line through the deficiency on the 2567 .
B do nothing, CMS will remove it
C notify the corporate office .
D submit a written allegation of removal .
, Which form must be completed and given to C - CMS - 671 and CMS - 672
surveyors within 24 hours ?
A CMS - 673 and CMS - 674
B CMS - 674 and CMS - 675
C CMS - 671 and CMS - 672
D CMS - 672 and CMS - 673
Which piece of information is provided to B. Name of the Resident Council President
surveyors during the entrance conference?
A CMS - 671 form
B Name of the Resident Council President
C Immunization policies and procedures
D Grievance information
Who conducts the Life Safety Code inspection ? D State Fire Marshall's office
A State Fire Marshall's office and State Surveyors
B State Surveyors
C The Governors office
D State Fire Marshall's office
