2 VERSIONS COMPLETE QUESTIONS WITH
DETAILED ANSWERS /ALREADY GRADED A+
What must the facility do if it exceeds its bed capacity - ANSWER--provide the
Department with verbal notice with time of implementation and a written report
within 14 calendar days after implementation explaining the emergency situation
and actions taken
If limitations are imposed on a license prior to an initial or renewal license how is
it treated - ANSWER--as a denial
If there is a modification to an existing license how is it treated - ANSWER--as a
revocation
What fees does a facility pay for an initial or renewal license with conditions -
ANSWER--the initial or renewal license fee plus a condition fee
If the license is not renewed due to cease of operation, final agency action to
suspend/revoke license) when does the license need to be returned - ANSWER--
within 10 days to the Department
If a health care facility surrenders its license when do they need to inform the
department regarding the storage and retrieval plan of health records - ANSWER--
10 calendar days prior to closure
When does the facility need to inform patients of closure and how and were to
obtain records - ANSWER--within 10 calendar days of closure
, COLORADO NHA FINAL EXAM 2025/2026 BANK
2 VERSIONS COMPLETE QUESTIONS WITH
DETAILED ANSWERS /ALREADY GRADED A+
If the facility has an increase in licensed capacity, change in its management
company or change in license category, when does it need to notify the
Department - ANSWER--within 30 days
New Survey Process - extended survey done every ___ years - ANSWER--3 years
The new survey process will be fully implemented by what date - ANSWER--
7/1/14
To be eligible for the new survey process what are the requirements? - ANSWER--
licensed at least 3 years
no enforcement activity within 3 years
no patterns of deficient practices within 3 years
no substantiated complaints that resulted in deficiencies within 3 years
If deficient practice is found during survey the department may perform what? -
ANSWER--extended survey
What must be included in the plan of correction? - ANSWER--how it will be
corrected
how it will be monitored
timeline for implementation and change
(no longer than 30 days from mailing date of deficiency)
, COLORADO NHA FINAL EXAM 2025/2026 BANK
2 VERSIONS COMPLETE QUESTIONS WITH
DETAILED ANSWERS /ALREADY GRADED A+
signed by director, administrator
submitted to department within 10 days (after written notice of deficiencies)
Quality Management program is required for all facilities but... - ANSWER--
personal care boarding home of 19 beds or few and community residential home
for persons with developmental disabilities
What is a quality management program - ANSWER--evaluates the quality of
patient/resident care and safety
When does the quality management program need to be submitted to the
Department for approval - ANSWER--within 90 days of the effective date of
registration or within 90 days of license issuance
What shall the quality management program include when it is submitted to the
department? - ANSWER--Description of types of cases, problems or risks, to be
reviewed and criteria for identifying potential risks
Identification of personnel or community responsible for coordinating quality
management activities
Method for reporting info within prescribed time
Method for investigating and analyzing frequency and causes of problems and
patterns of problems
, COLORADO NHA FINAL EXAM 2025/2026 BANK
2 VERSIONS COMPLETE QUESTIONS WITH
DETAILED ANSWERS /ALREADY GRADED A+
Method for taking corrective action including prevention and minimizing
problems/risks
Method for follow-up of corrective action
Method for coordinating all cases, problem, or risk review into with other quality
assurance or risk management activities
Documentation of required quality management activities
Schedule for plan of implementation (not to exceed 90 days) after written
approval by Department
What may the department accept in lieu of the quality management program
requirements - ANSWER--documented evidence of compliance with any and all
applicable standards of JCA and HCO Medicare conditions of participation or
other acceptable standards regarding risk management and qa functions
What are the types of occurrences that need to be reported within 24 hours -
ANSWER--Death of patient/resident that is required to be reported to the coroner
(unexplained cause or under suspicious circumstance)
Injury - brain/spinal cord, life threatening complication of anesthia or life
threatening complication from a transfusion errors/reaction