NHA Line of service Questions and Answers Latest
Update 100% A+
Where changes are made to charges for other items and services that the facility offers, the facility must inform the resident in writing at least -
✔✔✔60 days prior to implementation of the change.
The facility must provide the resident with access to personal and medical records pertaining to their self, upon an oral and written request, in
the form and format requested by the individual, if it is readily producible in such form and format (including in an electronic form or format
when such records are maintained electronically) or if not, in a readable hard copy form or such other form agreed to by the facility and the
individual within - ✔✔✔24 hours
The facility must allow the resident to obtain a copy of the records or any portion there of upon request and - ✔✔✔2 working days advance
notice to the facility
The facility must have reports with respect to any surveys, certifications, and complaint investigations made respecting the facility along with
plans of correction in effect with respect to the facility, available for any individual to review upon request. - ✔✔✔3 preceding years
The facility must notify each resident that receives Medicaid benefits when the amount in the residents account reaches - ✔✔✔$200 less than
the SSI resource limit
The facility must deposit the resident's personal funds in excess of $_____ in an interest bearing account that is separate from any of the
facility's operating accounts, and that credits all interest earned on resident's funds to that account. - ✔✔✔$50
(iv) The facility must refund to the resident or resident representative any and all refunds due the resident within - ✔✔✔30 days from the
resident's date of discharge from the facility.
Comfortable and safe temperature levels. Facilities initially certified after October 1, 1990 must maintain a temperature range of - ✔✔✔71 to
81 °F
Maintaining evidence demonstrating the results of all grievances for a period of no less than - ✔✔✔3 years from the issuance of the grievance
decision.
(B) Each covered individual shall report immediately, but not later than _______________ after forming the suspicion, if the events that cause
the suspicion result in serious bodily injury, or not later than __________ if the events that cause the suspicion do not result in serious bodily
injury. - ✔✔✔2 hours or 24 hours
Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and
misappropriation of resident property, are reported immediately, but not later than ________________ after the allegation is made, if the
events that cause the allegation involve abuse or result in serious bodily injury - ✔✔✔2 hours
,not later than _________ hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the
administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides
for jurisdiction in long-term care facilities) in accordance with State law through established procedures. - ✔✔✔24
Report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with
State law, including to the State Survey Agency, within ________________________ of the incident, and if the alleged violation is verified
appropriate corrective action must be taken. - ✔✔✔5 working days
the notice of transfer or discharge required under this section must be made by the facility at least _______ days before the resident is
transferred or discharged. - ✔✔✔30
Comprehensive careplan. Within ______ calendar days after admission, excluding readmissions in which there is no significant change in the
resident's physical or mental condition. (For purposes of this section, "readmission" means a return to the facility following a temporary
absence for hospitalization or for therapeutic leave.) - ✔✔✔14
Comprehensive care plan. Within _______ calendar days after the facility determines, or should have determined, that there has been a
significant change in the resident's physical or mental condition. (For purposes of this section, a "significant change" means a major decline or
improvement in the resident's status that will not normally resolve itself without further intervention by staff or by implementing standard
disease-related clinical interventions, that has an impact on more than one area of the resident's health status, and requires interdisciplinary
review or revision of the care plan, or both.) - ✔✔✔14
Quarterly review assessment. A facility must assess a resident using the quarterly review instrument specified by the State and approved by
CMS not less frequently than - ✔✔✔once every 3 months.
A facility must maintain all resident assessments completed within the previous ________________ months in the resident's active record and
use the results of the assessments to develop, review, and revise the resident's comprehensive plan of care. - ✔✔✔15 months
The baseline care plan must be developed within ______ hours. and must include: - ✔✔✔48 hours of a resident's admission.
(A) Initial goals based on admission orders.
(B) Physician orders.
(C) Dietary orders.
(D) Therapy services.
(E) Social services.
(F) PASARR recommendation, if applicable.
A comprehensive care plan must be - ✔✔✔(i) Developed within 7 days after completion of the comprehensive assessment.
The comprehensive care plan must - ✔✔✔(ii) Prepared by an interdisciplinary team, that includes but is not limited to—
(A) The attending physician.
(B) A registered nurse with responsibility for the resident.
, (C) A nurse aide with responsibility for the resident.
(D) A member of food and nutrition services staff.
(E) To the extent practicable, the participation of the resident and the resident's representative(s). An explanation must be included in a
resident's medical record if the participation of the resident and their resident representative is determined not practicable for the
development of the resident's care plan.
(F) Other appropriate staff or professionals in disciplines as determined by the resident's needs or as requested by the resident.
The activities program must be directed by a qualified professional who is a qualified therapeutic recreation specialist or an activities
professional who— - ✔✔✔(i) Is licensed or registered, if applicable, by the State in which practicing; and Is:
(A) Eligible for certification as a therapeutic recreation specialist or as an activities professional by a recognized accrediting body on or after
October 1, 1990; or
(B) Has 2 years of experience in a social or recreational program within the last 5 years, one of which was full-time in a therapeutic activities
program; or
(C) Is a qualified occupational therapist or occupational therapy assistant; or
(D) Has completed a training course approved by the State.
Certified Nursing Aide dementia training - ✔✔✔8 hours a year
Re-registration for CNA - ✔✔✔Re-registration each 2 years and must have worked 8 hours in those 2 years.
Social worker requirements - ✔✔✔More than 120 bed facility and the social worker must have at least bachelors degree in social work or in
human services field (sociology, special ed, rehab, counseling, psychology etc) PLUS one year supervised SW experience working with
individuals in a health care facility.
Span of management - ✔✔✔How many employees a supervisor can effective supervise. Usually 8-12 at line level. |DEPENDS:|- difficulty of
task|- clearness of policies/procedures|- training|- how well supervisor communicates|- experience|- closeness of control required
Unity of command - ✔✔✔employee has only one supervisor insofar as possible. need clear authority lines - promotes job satisfaction,
teamwork.
Laissez-faire - ✔✔✔Gives instructions and leave alone, easy going and supportive. May work for professional staff, and for highly motivated,
capable staff.
Democratic - ✔✔✔Allow employee input on how things are done. Majority rules. A factor in TQM. Admin must retain veto power, cannot be
100% democratic.
Paternal, sympathetic, parenting - ✔✔✔You do your job-I'll take of leave, raises, benefits
Autocratic - ✔✔✔Dictatorial, threatening, intimidating. No confidence in staff; he knows all. "Don't care if he likes me or not - just so work gets
done."
Update 100% A+
Where changes are made to charges for other items and services that the facility offers, the facility must inform the resident in writing at least -
✔✔✔60 days prior to implementation of the change.
The facility must provide the resident with access to personal and medical records pertaining to their self, upon an oral and written request, in
the form and format requested by the individual, if it is readily producible in such form and format (including in an electronic form or format
when such records are maintained electronically) or if not, in a readable hard copy form or such other form agreed to by the facility and the
individual within - ✔✔✔24 hours
The facility must allow the resident to obtain a copy of the records or any portion there of upon request and - ✔✔✔2 working days advance
notice to the facility
The facility must have reports with respect to any surveys, certifications, and complaint investigations made respecting the facility along with
plans of correction in effect with respect to the facility, available for any individual to review upon request. - ✔✔✔3 preceding years
The facility must notify each resident that receives Medicaid benefits when the amount in the residents account reaches - ✔✔✔$200 less than
the SSI resource limit
The facility must deposit the resident's personal funds in excess of $_____ in an interest bearing account that is separate from any of the
facility's operating accounts, and that credits all interest earned on resident's funds to that account. - ✔✔✔$50
(iv) The facility must refund to the resident or resident representative any and all refunds due the resident within - ✔✔✔30 days from the
resident's date of discharge from the facility.
Comfortable and safe temperature levels. Facilities initially certified after October 1, 1990 must maintain a temperature range of - ✔✔✔71 to
81 °F
Maintaining evidence demonstrating the results of all grievances for a period of no less than - ✔✔✔3 years from the issuance of the grievance
decision.
(B) Each covered individual shall report immediately, but not later than _______________ after forming the suspicion, if the events that cause
the suspicion result in serious bodily injury, or not later than __________ if the events that cause the suspicion do not result in serious bodily
injury. - ✔✔✔2 hours or 24 hours
Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment, including injuries of unknown source and
misappropriation of resident property, are reported immediately, but not later than ________________ after the allegation is made, if the
events that cause the allegation involve abuse or result in serious bodily injury - ✔✔✔2 hours
,not later than _________ hours if the events that cause the allegation do not involve abuse and do not result in serious bodily injury, to the
administrator of the facility and to other officials (including to the State Survey Agency and adult protective services where state law provides
for jurisdiction in long-term care facilities) in accordance with State law through established procedures. - ✔✔✔24
Report the results of all investigations to the administrator or his or her designated representative and to other officials in accordance with
State law, including to the State Survey Agency, within ________________________ of the incident, and if the alleged violation is verified
appropriate corrective action must be taken. - ✔✔✔5 working days
the notice of transfer or discharge required under this section must be made by the facility at least _______ days before the resident is
transferred or discharged. - ✔✔✔30
Comprehensive careplan. Within ______ calendar days after admission, excluding readmissions in which there is no significant change in the
resident's physical or mental condition. (For purposes of this section, "readmission" means a return to the facility following a temporary
absence for hospitalization or for therapeutic leave.) - ✔✔✔14
Comprehensive care plan. Within _______ calendar days after the facility determines, or should have determined, that there has been a
significant change in the resident's physical or mental condition. (For purposes of this section, a "significant change" means a major decline or
improvement in the resident's status that will not normally resolve itself without further intervention by staff or by implementing standard
disease-related clinical interventions, that has an impact on more than one area of the resident's health status, and requires interdisciplinary
review or revision of the care plan, or both.) - ✔✔✔14
Quarterly review assessment. A facility must assess a resident using the quarterly review instrument specified by the State and approved by
CMS not less frequently than - ✔✔✔once every 3 months.
A facility must maintain all resident assessments completed within the previous ________________ months in the resident's active record and
use the results of the assessments to develop, review, and revise the resident's comprehensive plan of care. - ✔✔✔15 months
The baseline care plan must be developed within ______ hours. and must include: - ✔✔✔48 hours of a resident's admission.
(A) Initial goals based on admission orders.
(B) Physician orders.
(C) Dietary orders.
(D) Therapy services.
(E) Social services.
(F) PASARR recommendation, if applicable.
A comprehensive care plan must be - ✔✔✔(i) Developed within 7 days after completion of the comprehensive assessment.
The comprehensive care plan must - ✔✔✔(ii) Prepared by an interdisciplinary team, that includes but is not limited to—
(A) The attending physician.
(B) A registered nurse with responsibility for the resident.
, (C) A nurse aide with responsibility for the resident.
(D) A member of food and nutrition services staff.
(E) To the extent practicable, the participation of the resident and the resident's representative(s). An explanation must be included in a
resident's medical record if the participation of the resident and their resident representative is determined not practicable for the
development of the resident's care plan.
(F) Other appropriate staff or professionals in disciplines as determined by the resident's needs or as requested by the resident.
The activities program must be directed by a qualified professional who is a qualified therapeutic recreation specialist or an activities
professional who— - ✔✔✔(i) Is licensed or registered, if applicable, by the State in which practicing; and Is:
(A) Eligible for certification as a therapeutic recreation specialist or as an activities professional by a recognized accrediting body on or after
October 1, 1990; or
(B) Has 2 years of experience in a social or recreational program within the last 5 years, one of which was full-time in a therapeutic activities
program; or
(C) Is a qualified occupational therapist or occupational therapy assistant; or
(D) Has completed a training course approved by the State.
Certified Nursing Aide dementia training - ✔✔✔8 hours a year
Re-registration for CNA - ✔✔✔Re-registration each 2 years and must have worked 8 hours in those 2 years.
Social worker requirements - ✔✔✔More than 120 bed facility and the social worker must have at least bachelors degree in social work or in
human services field (sociology, special ed, rehab, counseling, psychology etc) PLUS one year supervised SW experience working with
individuals in a health care facility.
Span of management - ✔✔✔How many employees a supervisor can effective supervise. Usually 8-12 at line level. |DEPENDS:|- difficulty of
task|- clearness of policies/procedures|- training|- how well supervisor communicates|- experience|- closeness of control required
Unity of command - ✔✔✔employee has only one supervisor insofar as possible. need clear authority lines - promotes job satisfaction,
teamwork.
Laissez-faire - ✔✔✔Gives instructions and leave alone, easy going and supportive. May work for professional staff, and for highly motivated,
capable staff.
Democratic - ✔✔✔Allow employee input on how things are done. Majority rules. A factor in TQM. Admin must retain veto power, cannot be
100% democratic.
Paternal, sympathetic, parenting - ✔✔✔You do your job-I'll take of leave, raises, benefits
Autocratic - ✔✔✔Dictatorial, threatening, intimidating. No confidence in staff; he knows all. "Don't care if he likes me or not - just so work gets
done."
