Domain 4 - Leadership & Strategy [2026]
Domain 4 - Leadership & Strategy
Study online at https://quizlet.com/_aijhdl
1. Accreditation Accreditation of a nursing facility by the Joint Commission on Accreditation of
Healthcare Organizations (JCAHO)
2. Administrative Rules and regulations formulated by departments or agencies of the executive
Law branch of government to carry out the intent of statutory law.
3. Agent Someone authorized to act on behalf of another (a principal); for example, a
corporation generally authorizes the administrator to represent it or act on its
behalf.
4. Best practices Evidence-based practices
5. Board of Direc- Also "board of trustees" or "governing body." It has the ultimate legal responsibility
tors for a facility's operations.
6. Civil Money A per day or per instance fine resulting from deficiencies in quality of care or
Penalties resident safety following a CMS Survey.
7. Community Advi- Composed of key community leaders, the community advisory board functions as
sory Board the "eyes and ears" for the facility. Through their influences, the advisory board
members can also assist the administrator to form meaningful partnerships with
community agencies.
8. Culture Change A course of action to move from one way of doing things to another. In long-term
(Cultural Change) care, culture change is widely referred to as a process of transforming from an
institutional to a homelike model. It is the integration of the three elements of
person-centered care -- clinical care, socio-residential elements and human factors
-- along with the enrichment of the environments in which people live and the
empowerment of both clients and associates.
9. Deficiency A nursing facility's failure to meet any of the standards as determined by a survey.
10. Dual Certificaiton A facility that is dually certified as both a skilled nursing facility and a nursing facility.
Such facilities can admit Medicare and Medicaid residents in any part of the facility.
1/5
1
, Domain 4 - Leadership & Strategy [2026]
Domain 4 - Leadership & Strategy
Study online at https://quizlet.com/_aijhdl
11. Good Faith A legal term that refers to actions that are generally consistent with how a reason-
able person would act under similar circumstances.
12. Governance The act of governing. It refers to trusteeship and stewardship of an organization's
resources and capabilities to benefit is stakeholders.
13. Immediate Jeop- A situation in which a provider's noncompliance with one or more regulations has
ardy (IJ) caused, or is likely to cause, serious injury, harm, impairment, or death to a resident
(patient). (42 CFR Part 489.3.)
14. Incident Any unexpected negative occurrence involving a patient, family, or employee, or
visitor.
15. Leadership The art of engaging colleagues, collaboratively toward a shared vision. As defined
by Yukl, leadership is "the process of influencing others to understand and agree
about what needs to be done and how to do it, and the process of facilitating
individuals and collective efforts to accomplish shared objectives." Alternatively
defined, it is influencing people to act for certain goals that represent the values
and motivations -- wants, needs, aspirations, and expectations -- of both leaders
and followers.
16. Management Organization and coordination of the activities of a department or group of people
in accordance with objectives, policies and procedures. It is what managers do to
maintain an organization and to move it forward. Management is about getting
things accomplished on a daily basis...as opposed to leadership, it's "things"
versus "people." You lead people and manage things.
17. Management By A system of management that is based on a joint agreement between supervisors
Objectives (MBO) and associates on what specific measurable objectives would be accomplished
over a given period of time, at the end of which the supervisors evaluate individual
associates on the basis of the accomplishment of these objectives.
18.
2/5
2
Domain 4 - Leadership & Strategy
Study online at https://quizlet.com/_aijhdl
1. Accreditation Accreditation of a nursing facility by the Joint Commission on Accreditation of
Healthcare Organizations (JCAHO)
2. Administrative Rules and regulations formulated by departments or agencies of the executive
Law branch of government to carry out the intent of statutory law.
3. Agent Someone authorized to act on behalf of another (a principal); for example, a
corporation generally authorizes the administrator to represent it or act on its
behalf.
4. Best practices Evidence-based practices
5. Board of Direc- Also "board of trustees" or "governing body." It has the ultimate legal responsibility
tors for a facility's operations.
6. Civil Money A per day or per instance fine resulting from deficiencies in quality of care or
Penalties resident safety following a CMS Survey.
7. Community Advi- Composed of key community leaders, the community advisory board functions as
sory Board the "eyes and ears" for the facility. Through their influences, the advisory board
members can also assist the administrator to form meaningful partnerships with
community agencies.
8. Culture Change A course of action to move from one way of doing things to another. In long-term
(Cultural Change) care, culture change is widely referred to as a process of transforming from an
institutional to a homelike model. It is the integration of the three elements of
person-centered care -- clinical care, socio-residential elements and human factors
-- along with the enrichment of the environments in which people live and the
empowerment of both clients and associates.
9. Deficiency A nursing facility's failure to meet any of the standards as determined by a survey.
10. Dual Certificaiton A facility that is dually certified as both a skilled nursing facility and a nursing facility.
Such facilities can admit Medicare and Medicaid residents in any part of the facility.
1/5
1
, Domain 4 - Leadership & Strategy [2026]
Domain 4 - Leadership & Strategy
Study online at https://quizlet.com/_aijhdl
11. Good Faith A legal term that refers to actions that are generally consistent with how a reason-
able person would act under similar circumstances.
12. Governance The act of governing. It refers to trusteeship and stewardship of an organization's
resources and capabilities to benefit is stakeholders.
13. Immediate Jeop- A situation in which a provider's noncompliance with one or more regulations has
ardy (IJ) caused, or is likely to cause, serious injury, harm, impairment, or death to a resident
(patient). (42 CFR Part 489.3.)
14. Incident Any unexpected negative occurrence involving a patient, family, or employee, or
visitor.
15. Leadership The art of engaging colleagues, collaboratively toward a shared vision. As defined
by Yukl, leadership is "the process of influencing others to understand and agree
about what needs to be done and how to do it, and the process of facilitating
individuals and collective efforts to accomplish shared objectives." Alternatively
defined, it is influencing people to act for certain goals that represent the values
and motivations -- wants, needs, aspirations, and expectations -- of both leaders
and followers.
16. Management Organization and coordination of the activities of a department or group of people
in accordance with objectives, policies and procedures. It is what managers do to
maintain an organization and to move it forward. Management is about getting
things accomplished on a daily basis...as opposed to leadership, it's "things"
versus "people." You lead people and manage things.
17. Management By A system of management that is based on a joint agreement between supervisors
Objectives (MBO) and associates on what specific measurable objectives would be accomplished
over a given period of time, at the end of which the supervisors evaluate individual
associates on the basis of the accomplishment of these objectives.
18.
2/5
2
