NHA LINE OF SERVICE 2025
UPDATED QUESTIONS WITH
ANSWERS ALREADY GRADED A+
BY EXPERTS
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 - CORRECT ANSWER>>>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 - CORRECT ANSWER>>>24 hours
The facility must allow the resident to obtain a copy of the records or any portion there of upon
request and - CORRECT ANSWER>>>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. - CORRECT ANSWER>>>3
preceding years
The facility must notify each resident that receives Medicaid benefits when the amount in the
residents account reaches - CORRECT ANSWER>>>$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. - CORRECT ANSWER>>>$50
(iv) The facility must refund to the resident or resident representative any and all refunds due the
resident within - CORRECT ANSWER>>>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 - CORRECT ANSWER>>>71 to 81 °F
Maintaining evidence demonstrating the results of all grievances for a period of no less than -
CORRECT ANSWER>>>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
1
,later than __________ if the events that cause the suspicion do not result in serious bodily injury.
- CORRECT ANSWER>>>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 - CORRECT ANSWER>>>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. - CORRECT ANSWER>>>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. - CORRECT ANSWER>>>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. - CORRECT
ANSWER>>>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.) - CORRECT ANSWER>>>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.) - CORRECT ANSWER>>>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 - CORRECT
ANSWER>>>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. - CORRECT
ANSWER>>>15 months
2
, The baseline care plan must be developed within ______ hours. and must include: - CORRECT
ANSWER>>>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 - CORRECT ANSWER>>>(i) Developed within 7 days
after completion of the comprehensive assessment.
The comprehensive care plan must - CORRECT ANSWER>>>(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— - CORRECT ANSWER>>>(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 - CORRECT ANSWER>>>8 hours a year
Re-registration for CNA - CORRECT ANSWER>>>Re-registration each 2 years and must have
worked 8 hours in those 2 years.
Social worker requirements - CORRECT ANSWER>>>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.
3
UPDATED QUESTIONS WITH
ANSWERS ALREADY GRADED A+
BY EXPERTS
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 - CORRECT ANSWER>>>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 - CORRECT ANSWER>>>24 hours
The facility must allow the resident to obtain a copy of the records or any portion there of upon
request and - CORRECT ANSWER>>>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. - CORRECT ANSWER>>>3
preceding years
The facility must notify each resident that receives Medicaid benefits when the amount in the
residents account reaches - CORRECT ANSWER>>>$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. - CORRECT ANSWER>>>$50
(iv) The facility must refund to the resident or resident representative any and all refunds due the
resident within - CORRECT ANSWER>>>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 - CORRECT ANSWER>>>71 to 81 °F
Maintaining evidence demonstrating the results of all grievances for a period of no less than -
CORRECT ANSWER>>>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
1
,later than __________ if the events that cause the suspicion do not result in serious bodily injury.
- CORRECT ANSWER>>>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 - CORRECT ANSWER>>>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. - CORRECT ANSWER>>>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. - CORRECT ANSWER>>>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. - CORRECT
ANSWER>>>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.) - CORRECT ANSWER>>>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.) - CORRECT ANSWER>>>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 - CORRECT
ANSWER>>>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. - CORRECT
ANSWER>>>15 months
2
, The baseline care plan must be developed within ______ hours. and must include: - CORRECT
ANSWER>>>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 - CORRECT ANSWER>>>(i) Developed within 7 days
after completion of the comprehensive assessment.
The comprehensive care plan must - CORRECT ANSWER>>>(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— - CORRECT ANSWER>>>(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 - CORRECT ANSWER>>>8 hours a year
Re-registration for CNA - CORRECT ANSWER>>>Re-registration each 2 years and must have
worked 8 hours in those 2 years.
Social worker requirements - CORRECT ANSWER>>>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.
3
