State - Nursing Home
Administration Exam/ Questions
and Answers/100% Accurate
Administrator - -licensed individual with day-to-day administrative
charge of a facility
-Agency - -Agency for Health Care Administration
-Department - -Department of Health
-Board - -Board of Nursing Home Administrators
-Controlling Interest - -an officer, director, or person with 5%+
ownership interest in a facility or management company that operates a
facility
-Facility - -any entity providing nursing, custodial, or personal care
exceeding 24 hours for 3+ person (not related to the owner or manager
by blood or marriage) and require nursing services due to illness,
physical infirmity, or advanced age
-Nursing Home Bed - -an accommodation (including necessary
equipment and furnishings) immediately available or can be ready for
occupancy within 48 hours
-Nursing Home Facility - -any facility which provides nursing services
-Voluntary Board Member - -a director of a not-for-profit corporation or
organization serving in a voluntary capacity and does not receive any
remuneration
-Responsibility of Licensee - -- the licensee (owner, corporate body) has
full legal responsibility for the operation of the facility
- must hire a licensed administrator to manage day-to-day operation of
a facility
- facility must be organized according to a written table of organization
-Vacant bed report must be submitted to - -AHCA monthly
-Nursing home staffing report must be submitted to - -AHCA quarterly
-Quality of Long Term Care Improvement Fund - -supports activities and
programs directly related to improving resident care (dementia training)
-Level 2 Background Screening - -1) involves FBI fingerprint check
,2) fingerprints collected electronically and submitted to Florida
Department of Law Enforcement (FDLE)
3) FDLE submits fingerprints to FBI
-Who must have a Level 2 screening - -1) licensee, if an individual
2) administrator
3) financial officer
4) any person with a controlling interest, if agency has reason to believe
5) any employee or contractor who will provide personal care or
services directly to residents or have access to resident funds, personal
property, or living areas
-Disqualifying Offenses/Convictions - -1) murder/homocide
2) assault or batter on elderly/child
3) domestic violence
4) theft or robbery
5) MCD provider fraud
6) MCD fraud
7) fraud in obtaining medicinal drugs
8) kidnapping or false imprisonment
9) sexual misconduct
10) prostitution or indecent exposure
11) arson
12) fraudulent insurance claims
-Conditional Work Status - -an individual may start work before their
background results are finalized but can't have contact with residents
-Re-screening - -each employee must be rescreened every 5 years
-General ledgers and disbursement journals must be brought current no
less than - -quarterly
-Resident Bill of Rights - -must be given at time of admission, as
changes are made, and upon request
-Facility's admission and discharge policies - -must be given at time of
admission, as changes are made, and upon request
-Information regarding advanced directives - -must be given at time of
admission, as changes are made, and upon request
-Resident Services Contract - -- each resident must have a contract
detailing services and charges, refund and bedhold policies
- retain for 5 years
- need a new contract if payor source changes
- give 14 days advance notice of any changes
-Resident personal property policy - -- must be provided to every
employee
, - each resident within 30 days of admission
-Deceased resident funds and property - -- must refund all funds and
provide final accounting within 30 days of death
- if no spouse or next of kin, must deposit in interest-bearing acct until
disbursed by probate court
- if not disbursed by probate court within 2 years, must deposit in
resident protection trust fund
- must keep deceased's property and funds separate from other
residents'
-Deceased resident funds - bank acct - -1) Maintain one account for all
deceased residents whose funds total less than $100
- allocate interest to each individual acct
2) Maintain a separate acct for each deceased resident with more than
$100
-RTF Surety Bond - -- must equal 2x average monthly balance during
prior fiscal year or $5,000 - whichever is greater
- licensee with more than 1 facility can purchase a single surety bond to
cover all homes in same AHCA service district
- surety must notify AHCA 30 days in advance if facility cancels bond
-RTF Self-insurance pool - -- facility may self-insure instead of surety
bond
1) pool together with other facilities to establish interest bearing
account administered by an elected board of trustees
2) board of trustees must be composed of 1 rep from each participating
facility
3) each member must deposit greater of 2x monthly average or $5k in
an acct maintained by board of trustees in the name of the self-
insurance pool in a chartered commercial bank in FL
4) compensates any resident suffering financial loss as the result of
misconduct by on or more of the member licensees
-If no surety bond or self-insurance pool - -if resident requests facility
hold funds, facility must notify AHCA, in writing, of the request and
apply for a surety bond or participation in self-insurance pool within 7
business days
-facility policies - -- must have policies and procedures governing all
services provided in the facility
- P&P must be reviewed at least annually
- must be reviewed by administrator, medical director, and DON
-residents with communicable disease - -can't be admitted or retained
unless the Medical Director or Attending Physician certify
adequate/appropriate isolation measures are available
Administration Exam/ Questions
and Answers/100% Accurate
Administrator - -licensed individual with day-to-day administrative
charge of a facility
-Agency - -Agency for Health Care Administration
-Department - -Department of Health
-Board - -Board of Nursing Home Administrators
-Controlling Interest - -an officer, director, or person with 5%+
ownership interest in a facility or management company that operates a
facility
-Facility - -any entity providing nursing, custodial, or personal care
exceeding 24 hours for 3+ person (not related to the owner or manager
by blood or marriage) and require nursing services due to illness,
physical infirmity, or advanced age
-Nursing Home Bed - -an accommodation (including necessary
equipment and furnishings) immediately available or can be ready for
occupancy within 48 hours
-Nursing Home Facility - -any facility which provides nursing services
-Voluntary Board Member - -a director of a not-for-profit corporation or
organization serving in a voluntary capacity and does not receive any
remuneration
-Responsibility of Licensee - -- the licensee (owner, corporate body) has
full legal responsibility for the operation of the facility
- must hire a licensed administrator to manage day-to-day operation of
a facility
- facility must be organized according to a written table of organization
-Vacant bed report must be submitted to - -AHCA monthly
-Nursing home staffing report must be submitted to - -AHCA quarterly
-Quality of Long Term Care Improvement Fund - -supports activities and
programs directly related to improving resident care (dementia training)
-Level 2 Background Screening - -1) involves FBI fingerprint check
,2) fingerprints collected electronically and submitted to Florida
Department of Law Enforcement (FDLE)
3) FDLE submits fingerprints to FBI
-Who must have a Level 2 screening - -1) licensee, if an individual
2) administrator
3) financial officer
4) any person with a controlling interest, if agency has reason to believe
5) any employee or contractor who will provide personal care or
services directly to residents or have access to resident funds, personal
property, or living areas
-Disqualifying Offenses/Convictions - -1) murder/homocide
2) assault or batter on elderly/child
3) domestic violence
4) theft or robbery
5) MCD provider fraud
6) MCD fraud
7) fraud in obtaining medicinal drugs
8) kidnapping or false imprisonment
9) sexual misconduct
10) prostitution or indecent exposure
11) arson
12) fraudulent insurance claims
-Conditional Work Status - -an individual may start work before their
background results are finalized but can't have contact with residents
-Re-screening - -each employee must be rescreened every 5 years
-General ledgers and disbursement journals must be brought current no
less than - -quarterly
-Resident Bill of Rights - -must be given at time of admission, as
changes are made, and upon request
-Facility's admission and discharge policies - -must be given at time of
admission, as changes are made, and upon request
-Information regarding advanced directives - -must be given at time of
admission, as changes are made, and upon request
-Resident Services Contract - -- each resident must have a contract
detailing services and charges, refund and bedhold policies
- retain for 5 years
- need a new contract if payor source changes
- give 14 days advance notice of any changes
-Resident personal property policy - -- must be provided to every
employee
, - each resident within 30 days of admission
-Deceased resident funds and property - -- must refund all funds and
provide final accounting within 30 days of death
- if no spouse or next of kin, must deposit in interest-bearing acct until
disbursed by probate court
- if not disbursed by probate court within 2 years, must deposit in
resident protection trust fund
- must keep deceased's property and funds separate from other
residents'
-Deceased resident funds - bank acct - -1) Maintain one account for all
deceased residents whose funds total less than $100
- allocate interest to each individual acct
2) Maintain a separate acct for each deceased resident with more than
$100
-RTF Surety Bond - -- must equal 2x average monthly balance during
prior fiscal year or $5,000 - whichever is greater
- licensee with more than 1 facility can purchase a single surety bond to
cover all homes in same AHCA service district
- surety must notify AHCA 30 days in advance if facility cancels bond
-RTF Self-insurance pool - -- facility may self-insure instead of surety
bond
1) pool together with other facilities to establish interest bearing
account administered by an elected board of trustees
2) board of trustees must be composed of 1 rep from each participating
facility
3) each member must deposit greater of 2x monthly average or $5k in
an acct maintained by board of trustees in the name of the self-
insurance pool in a chartered commercial bank in FL
4) compensates any resident suffering financial loss as the result of
misconduct by on or more of the member licensees
-If no surety bond or self-insurance pool - -if resident requests facility
hold funds, facility must notify AHCA, in writing, of the request and
apply for a surety bond or participation in self-insurance pool within 7
business days
-facility policies - -- must have policies and procedures governing all
services provided in the facility
- P&P must be reviewed at least annually
- must be reviewed by administrator, medical director, and DON
-residents with communicable disease - -can't be admitted or retained
unless the Medical Director or Attending Physician certify
adequate/appropriate isolation measures are available
