SMQT PACKAGED FINAL TEST 2026
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
• Investigation & resolution of complaints is a critical certification activity..
Answer: An allegation is an assertion of improper care or treatment by a
Skilled Nursing Facility (SNF), Nursing Facility (NF), or SNF/NF facility
that could result in the citation of a Federal deficiency.
• Failure to protect from undue adverse medication consequences and/or
failure to provide medications as prescribed triggers.
Answer: 1. Administration of medication to an individual with a known
history of allergic reaction to that medication 2. Lack of monitoring and
identification of potential serious drug interaction, side effects, and adverse
reactions 3. Administration of contraindicated medications 4. Pattern of
repeated medication errors without intervention 5. Lack of diabetic
monitoring resulting or likely to result in serious hypoglycemia or
hyperglycemic reaction 6. Lack of timely and appropriate monitoring
required for drug titration
• What factors should you consider in determining severity when the is no
actual harm?.
Answer: how likely is it that a resident could suffer harm, impairment, death
or compromise/deterioration? Does the deficient practice require immediate
correction? Could the noncompliance have an impact on many residents?
Use the psychosocial outcome grid and the reasonable person concept
• How the Survey Team Composition is Determined.
Answer: The survey, certification, and enforcement of regulations for
nursing homes is codified in past practices regarding the composition of
survey teams and expands eligibility requirements. Survey team size will
vary, depending primarily on the size of the facility being surveyed. The
State Agency (or, for Federal teams, the regional office (RO)) decides how
, many members will be on the team. Survey team size is normally based
upon the following factors: - The bed size of the facility to be surveyed -
Whether the facility has a historical pattern of serious deficiencies or
complaints - Whether the facility has special care units - Whether new
surveyors are to accompany a team as part of their training
• How should privacy curtains be hung?.
Answer: Must be hung from the ceiling and extend around the bed to
provide total visual privacy .
• failure to provide goods and services necessary to avoid physical harm,
mental anguish, or mental illness.
Answer: What is the definition of neglect?
• What system provided information should be discussed at the end of Day 1
meeting?.
Answer: 1. were any offsite selected residents d/c? 2. Was each newly
admitted resident listed on the matrix screened by a team member? 3. Are
there any harm, SQC, IJ or other concerns to discuss?
• 1. wrong blood type infused 2. improper storage of blood 3. high number of
serious blood reactions 4. incorrect cross match 5. lack of monitoring.
Answer: Failure to safely administer blood products and safely monitor
organ transplantation triggers?
• What was created in 1977 to combine Medicare and Medicaid?.
Answer: Health Care Financing Administration (HCFA), the predecessor of
CMS
• Which residents are included in the survey shell?.
Answer: 1. Offsite selected who make up 70% of the sample 2. Residents
with at least 1 MDS in the last 120 days 3. Residents for closed record
review
• Significant weight loss in 6 months?.
Answer: 10% weight loss
,• How should you determine who to interview?.
Answer: Use the critical element pathway
• What is reviewed during the Infection Control task?.
Answer: All surveyors observe for breaks in infection control throughout the
survey. Assigned surveyor reviews IPCP, AB Stewardship, and the
influenza/pneumococcal vaccination (5 residents), sample of 3 staff
including at least 1 that was COVID 19 positive, and 3 residents for TBP(1
covid + or suspected) as well as screening, testing and reporting of COVID
19
• 1. the entity either created a situation or allowed a situation to continue
which resulted in serious harm or a potential for serious harm, injury,
impairment, or death to individuals 2. the entity had an opportunity to
implement corrective or preventive measures.
Answer: What points should be considered regarding entity compliance in
regards to immediate jeopardy?
• Investigative Protocol for Abuse Prohibition.
Answer: The investigative protocol for abuse prohibition is to be used in
EVERY long term care standard survey. This protocol requires your team to
perform certain procedures. They are as follows: - Obtain and review
policies and procedures - Interview the responsible individual(s) - Request
written evidence - Interview several residents and families - Interview at
least FIVE direct care staff persons - Interview at least THREE front line
supervisors - Obtain a list of recently hired employees
• What must be done prior to Sample Selection.
Answer: The completed I.P data is shared and the TC confirms that the data
is complete.
• What is the CASPER report?.
Answer: Certification and Survey Provider Enhanced Reporting
• Appendix Q Contains what information?.
Answer: Determining Immediate Jeopardy
, • Principles of Documentation #6.
Answer: Citation of State or Local Code Violations - state code are not cited
on the 2567
• What factors should you consider in determining severity when harm has
occured ?.
Answer: Is the harm at the level of serious injury, impairment or death? did
the resident experience a negative psychosocial outcome? how did the
facility practice in question cause, contribute, or perpetuate the harm?
• 1. lack of timely assessment of individuals after injury 2. lack of supervision
for individual with known special needs 3. failure to carry out dr orders 4.
repeated occurrences such as falls which place the individual at risk of harm
without intervention 5. access to chemical and physical hazards by
individuals who are at risk 6. access to hot water of sufficient temperature to
cause tissue injury 7. non functioning call system without compensatory
measures 8. unsupervised smoking by an individual with a known safety
risk 9. lack of supervision of cognitively impaired individuals with known
elopement risk 10. failure to adequately monitor individuals with known
severe self-injurious behavior 11. failure to adequately monitor and
intervene for serious medical/surgical conditions 12. use of
chemical./physical restraints without adequate monitoring 13. improper
feeding/positioning of individual with known aspiration ri.
Answer: Failure to prevent neglect triggers?
• What is the square footage of a single room?.
Answer: 100 square feet
• 1. lack of timely assessment of individuals after injury 2. lack of supervision
for individual with known special needs 3. failure to carry out dr orders 4.
repeated occurrences such as falls which place the individual at risk of harm
without intervention 5. access to chemical and physical hazards by
individuals who are at risk 6. access to hot water of sufficient temperature to
cause tissue injury 7. non functioning call system without compensatory
measures 8. unsupervised smoking by an individual with a known safety
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
• Investigation & resolution of complaints is a critical certification activity..
Answer: An allegation is an assertion of improper care or treatment by a
Skilled Nursing Facility (SNF), Nursing Facility (NF), or SNF/NF facility
that could result in the citation of a Federal deficiency.
• Failure to protect from undue adverse medication consequences and/or
failure to provide medications as prescribed triggers.
Answer: 1. Administration of medication to an individual with a known
history of allergic reaction to that medication 2. Lack of monitoring and
identification of potential serious drug interaction, side effects, and adverse
reactions 3. Administration of contraindicated medications 4. Pattern of
repeated medication errors without intervention 5. Lack of diabetic
monitoring resulting or likely to result in serious hypoglycemia or
hyperglycemic reaction 6. Lack of timely and appropriate monitoring
required for drug titration
• What factors should you consider in determining severity when the is no
actual harm?.
Answer: how likely is it that a resident could suffer harm, impairment, death
or compromise/deterioration? Does the deficient practice require immediate
correction? Could the noncompliance have an impact on many residents?
Use the psychosocial outcome grid and the reasonable person concept
• How the Survey Team Composition is Determined.
Answer: The survey, certification, and enforcement of regulations for
nursing homes is codified in past practices regarding the composition of
survey teams and expands eligibility requirements. Survey team size will
vary, depending primarily on the size of the facility being surveyed. The
State Agency (or, for Federal teams, the regional office (RO)) decides how
, many members will be on the team. Survey team size is normally based
upon the following factors: - The bed size of the facility to be surveyed -
Whether the facility has a historical pattern of serious deficiencies or
complaints - Whether the facility has special care units - Whether new
surveyors are to accompany a team as part of their training
• How should privacy curtains be hung?.
Answer: Must be hung from the ceiling and extend around the bed to
provide total visual privacy .
• failure to provide goods and services necessary to avoid physical harm,
mental anguish, or mental illness.
Answer: What is the definition of neglect?
• What system provided information should be discussed at the end of Day 1
meeting?.
Answer: 1. were any offsite selected residents d/c? 2. Was each newly
admitted resident listed on the matrix screened by a team member? 3. Are
there any harm, SQC, IJ or other concerns to discuss?
• 1. wrong blood type infused 2. improper storage of blood 3. high number of
serious blood reactions 4. incorrect cross match 5. lack of monitoring.
Answer: Failure to safely administer blood products and safely monitor
organ transplantation triggers?
• What was created in 1977 to combine Medicare and Medicaid?.
Answer: Health Care Financing Administration (HCFA), the predecessor of
CMS
• Which residents are included in the survey shell?.
Answer: 1. Offsite selected who make up 70% of the sample 2. Residents
with at least 1 MDS in the last 120 days 3. Residents for closed record
review
• Significant weight loss in 6 months?.
Answer: 10% weight loss
,• How should you determine who to interview?.
Answer: Use the critical element pathway
• What is reviewed during the Infection Control task?.
Answer: All surveyors observe for breaks in infection control throughout the
survey. Assigned surveyor reviews IPCP, AB Stewardship, and the
influenza/pneumococcal vaccination (5 residents), sample of 3 staff
including at least 1 that was COVID 19 positive, and 3 residents for TBP(1
covid + or suspected) as well as screening, testing and reporting of COVID
19
• 1. the entity either created a situation or allowed a situation to continue
which resulted in serious harm or a potential for serious harm, injury,
impairment, or death to individuals 2. the entity had an opportunity to
implement corrective or preventive measures.
Answer: What points should be considered regarding entity compliance in
regards to immediate jeopardy?
• Investigative Protocol for Abuse Prohibition.
Answer: The investigative protocol for abuse prohibition is to be used in
EVERY long term care standard survey. This protocol requires your team to
perform certain procedures. They are as follows: - Obtain and review
policies and procedures - Interview the responsible individual(s) - Request
written evidence - Interview several residents and families - Interview at
least FIVE direct care staff persons - Interview at least THREE front line
supervisors - Obtain a list of recently hired employees
• What must be done prior to Sample Selection.
Answer: The completed I.P data is shared and the TC confirms that the data
is complete.
• What is the CASPER report?.
Answer: Certification and Survey Provider Enhanced Reporting
• Appendix Q Contains what information?.
Answer: Determining Immediate Jeopardy
, • Principles of Documentation #6.
Answer: Citation of State or Local Code Violations - state code are not cited
on the 2567
• What factors should you consider in determining severity when harm has
occured ?.
Answer: Is the harm at the level of serious injury, impairment or death? did
the resident experience a negative psychosocial outcome? how did the
facility practice in question cause, contribute, or perpetuate the harm?
• 1. lack of timely assessment of individuals after injury 2. lack of supervision
for individual with known special needs 3. failure to carry out dr orders 4.
repeated occurrences such as falls which place the individual at risk of harm
without intervention 5. access to chemical and physical hazards by
individuals who are at risk 6. access to hot water of sufficient temperature to
cause tissue injury 7. non functioning call system without compensatory
measures 8. unsupervised smoking by an individual with a known safety
risk 9. lack of supervision of cognitively impaired individuals with known
elopement risk 10. failure to adequately monitor individuals with known
severe self-injurious behavior 11. failure to adequately monitor and
intervene for serious medical/surgical conditions 12. use of
chemical./physical restraints without adequate monitoring 13. improper
feeding/positioning of individual with known aspiration ri.
Answer: Failure to prevent neglect triggers?
• What is the square footage of a single room?.
Answer: 100 square feet
• 1. lack of timely assessment of individuals after injury 2. lack of supervision
for individual with known special needs 3. failure to carry out dr orders 4.
repeated occurrences such as falls which place the individual at risk of harm
without intervention 5. access to chemical and physical hazards by
individuals who are at risk 6. access to hot water of sufficient temperature to
cause tissue injury 7. non functioning call system without compensatory
measures 8. unsupervised smoking by an individual with a known safety
