NHA LINE OF SERVICE QUESTIONS
WITH CORRECT ANSWERS 2025
WhereAchangesAareAmadeAtoAchargesAforAotherAitemsAandAservicesAthatAtheAfacilityAoffers,AtheA
facilityAmustAinformAtheAresidentAinAwritingAatAleastA-
AcorrectAanswers60AdaysApriorAtoAimplementationAofAtheAchange.
TheAfacilityAmustAprovideAtheAresidentAwithAaccessAtoApersonalAandAmedicalArecordsApertainin
gAtoAtheirAself,AuponAanAoralAandAwrittenArequest,AinAtheAformAandAformatArequestedAbyAtheAin
dividual,AifAitAisAreadilyAproducibleAinAsuchAformAandAformatA(includingAinAanAelectronicAformAor
AformatAwhenAsuchArecordsAareAmaintainedAelectronically)AorAifAnot,AinAaAreadableAhardAcopyAf
ormAorAsuchAotherAformAagreedAtoAbyAtheAfacilityAandAtheAindividualAwithinA-
AcorrectAanswers24Ahours
TheAfacilityAmustAallowAtheAresidentAtoAobtainAaAcopyAofAtheArecordsAorAanyAportionAthereAofAu
ponArequestAandA-AcorrectAanswers2AworkingAdaysAadvanceAnoticeAtoAtheAfacility
TheAfacilityAmustAhaveAreportsAwithArespectAtoAanyAsurveys,Acertifications,AandAcomplaintAinve
stigationsAmadeArespectingAtheAfacilityAalongAwithAplansAofAcorrectionAinAeffectAwithArespectAt
oAtheAfacility,AavailableAforAanyAindividualAtoAreviewAuponArequest.A-
AcorrectAanswers3AprecedingAyears
TheAfacilityAmustAnotifyAeachAresidentAthatAreceivesAMedicaidAbenefitsAwhenAtheAamountAinAt
heAresidentsAaccountAreachesA-AcorrectAanswers$200AlessAthanAtheASSIAresourceAlimit
TheAfacilityAmustAdepositAtheAresident'sApersonalAfundsAinAexcessAofA$_____AinAanAinterestAbea
ringAaccountAthatAisAseparateAfromAanyAofAtheAfacility'sAoperatingAaccounts,AandAthatAcreditsAal
lAinterestAearnedAonAresident'sAfundsAtoAthatAaccount.A-AcorrectAanswers$50
(iv)ATheAfacilityAmustArefundAtoAtheAresidentAorAresidentArepresentativeAanyAandAallArefundsAdu
eAtheAresidentAwithinA-
AcorrectAanswers30AdaysAfromAtheAresident'sAdateAofAdischargeAfromAtheAfacility.
ComfortableAandAsafeAtemperatureAlevels.AFacilitiesAinitiallyAcertifiedAafterAOctoberA1,A1990Am
ustAmaintainAaAtemperatureArangeAofA-AcorrectAanswers71AtoA81A°F
MaintainingAevidenceAdemonstratingAtheAresultsAofAallAgrievancesAforAaAperiodAofAnoAlessAthan
A-AcorrectAanswers3AyearsAfromAtheAissuanceAofAtheAgrievanceAdecision.
(B)AEachAcoveredAindividualAshallAreportAimmediately,AbutAnotAlaterAthanA_______________Aaf
terAformingAtheAsuspicion,AifAtheAeventsAthatAcauseAtheAsuspicionAresultAinAseriousAbodilyAinjur
y,AorAnotAlaterAthanA__________AifAtheAeventsAthatAcauseAtheAsuspicionAdoAnotAresultAinAseriou
sAbodilyAinjury.A-AcorrectAanswers2AhoursAorA24Ahours
EnsureAthatAallAallegedAviolationsAinvolvingAabuse,Aneglect,AexploitationAorAmistreatment,Aincl
udingAinjuriesAofAunknownAsourceAandAmisappropriationAofAresidentAproperty,AareAreportedAi
,mmediately,AbutAnotAlaterAthanA________________AafterAtheAallegationAisAmade,AifAtheAevents
AthatAcauseAtheAallegationAinvolveAabuseAorAresultAinAseriousAbodilyAinjuryA-
AcorrectAanswers2Ahours
notAlaterAthanA_________AhoursAifAtheAeventsAthatAcauseAtheAallegationAdoAnotAinvolveAabuseA
andAdoAnotAresultAinAseriousAbodilyAinjury,AtoAtheAadministratorAofAtheAfacilityAandAtoAotherAoffi
cialsA(includingAtoAtheAStateASurveyAAgencyAandAadultAprotectiveAservicesAwhereAstateAlawApro
videsAforAjurisdictionAinAlong-
termAcareAfacilities)AinAaccordanceAwithAStateAlawAthroughAestablishedAprocedures.A-
AcorrectAanswers24
ReportAtheAresultsAofAallAinvestigationsAtoAtheAadministratorAorAhisAorAherAdesignatedArepresen
tativeAandAtoAotherAofficialsAinAaccordanceAwithAStateAlaw,AincludingAtoAtheAStateASurveyAAgen
cy,AwithinA________________________AofAtheAincident,AandAifAtheAallegedAviolationAisAverifie
dAappropriateAcorrectiveAactionAmustAbeAtaken.A-AcorrectAanswers5AworkingAdays
theAnoticeAofAtransferAorAdischargeArequiredAunderAthisAsectionAmustAbeAmadeAbyAtheAfacilityA
atAleastA_______AdaysAbeforeAtheAresidentAisAtransferredAorAdischarged.A-AcorrectAanswers30
ComprehensiveAcareplan.AWithinA______AcalendarAdaysAafterAadmission,AexcludingAreadmissi
onsAinAwhichAthereAisAnoAsignificantAchangeAinAtheAresident'sAphysicalAorAmentalAcondition.A(Fo
rApurposesAofAthisAsection,A"readmission"AmeansAaAreturnAtoAtheAfacilityAfollowingAaAtemporar
yAabsenceAforAhospitalizationAorAforAtherapeuticAleave.)A-AcorrectAanswers14
ComprehensiveAcareAplan.AWithinA_______AcalendarAdaysAafterAtheAfacilityAdetermines,AorAsh
ouldAhaveAdetermined,AthatAthereAhasAbeenAaAsignificantAchangeAinAtheAresident'sAphysicalAorA
mentalAcondition.A(ForApurposesAofAthisAsection,AaA"significantAchange"AmeansAaAmajorAdeclin
eAorAimprovementAinAtheAresident'sAstatusAthatAwillAnotAnormallyAresolveAitselfAwithoutAfurthe
rAinterventionAbyAstaffAorAbyAimplementingAstandardAdisease-
relatedAclinicalAinterventions,AthatAhasAanAimpactAonAmoreAthanAoneAareaAofAtheAresident'sAhe
althAstatus,AandArequiresAinterdisciplinaryAreviewAorArevisionAofAtheAcareAplan,AorAboth.)A-
AcorrectAanswers14
QuarterlyAreviewAassessment.AAAfacilityAmustAassessAaAresidentAusingAtheAquarterlyAreviewAins
trumentAspecifiedAbyAtheAStateAandAapprovedAbyACMSAnotAlessAfrequentlyAthanA-
AcorrectAanswersonceAeveryA3Amonths.
AAfacilityAmustAmaintainAallAresidentAassessmentsAcompletedAwithinAtheApreviousA__________
______AmonthsAinAtheAresident'sAactiveArecordAandAuseAtheAresultsAofAtheAassessmentsAtoAdev
elop,Areview,AandAreviseAtheAresident'sAcomprehensiveAplanAofAcare.A-
AcorrectAanswers15Amonths
TheAbaselineAcareAplanAmustAbeAdevelopedAwithinA______Ahours.AandAmustAinclude:A-
AcorrectAanswers48AhoursAofAaAresident'sAadmission.
(A)AInitialAgoalsAbasedAonAadmissionAorders.
, (B)APhysicianAorders.
(C)ADietaryAorders.
(D)ATherapyAservices.
(E)ASocialAservices.
(F)APASARRArecommendation,AifAapplicable.
AAcomprehensiveAcareAplanAmustAbeA-
AcorrectAanswers(i)ADevelopedAwithinA7AdaysAafterAcompletion AofAtheAcomprehensiveAassessm
ent.
TheAcomprehensiveAcareAplanAmustA-
AcorrectAanswers(ii)APreparedAbyAanAinterdisciplinaryAteam,AthatAincludesAbutAisAnotAlimitedAto
—
(A)ATheAattendingAphysician.
(B)AAAregisteredAnurseAwithAresponsibilityAforAtheAresident.
(C)AAAnurseAaideAwithAresponsibilityAforAtheAresident.
(D)AAAmemberAofAfoodAandAnutritionAservicesAstaff.
(E)AToAtheAextentApracticable,AtheAparticipationAofAtheAresidentAandAtheAresident'sArepresentat
ive(s).AAnAexplanationAmustAbeAincludedAinAaAresident'sAmedicalArecordAifAtheAparticipationAofA
theAresidentAandAtheirAresidentArepresentativeAisAdeterminedAnotApracticableAforAtheAdevelop
mentAofAtheAresident'sAcareAplan.
(F)AOtherAappropriateAstaffAorAprofessionalsAinAdisciplinesAasAdeterminedAbyAtheAresident'sAne
edsAorAasArequestedAbyAtheAresident.
TheAactivitiesAprogramAmustAbeAdirectedAbyAaAqualifiedAprofessionalAwhoAisAaAqualifiedAtherap
euticArecreationAspecialistAorAanAactivitiesAprofessionalAwho—A-
AcorrectAanswers(i)AIsAlicensedAorAregistered,AifAapplicable,AbyAtheAStateAinAwhichApracticing;Aan
dAIs:
(A)AEligibleAforAcertificationAasAaAtherapeuticArecreationAspecialistAorAasAanAactivitiesAprofessio
nalAbyAaArecognizedAaccreditingAbodyAonAorAafterAOctoberA1,A1990;Aor
(B)AHasA2AyearsAofAexperienceAinAaAsocialAorArecreationalAprogramAwithinAtheAlastA5Ayears,AoneA
ofAwhichAwasAfull-timeAinAaAtherapeuticAactivitiesAprogram;Aor
(C)AIsAaAqualifiedAoccupationalAtherapistAorAoccupationalAtherapyAassistant;Aor
(D)AHasAcompletedAaAtrainingAcourseAapprovedAbyAtheAState.
CertifiedANursingAAideAdementiaAtrainingA-AcorrectAanswers8AhoursAaAyear
WITH CORRECT ANSWERS 2025
WhereAchangesAareAmadeAtoAchargesAforAotherAitemsAandAservicesAthatAtheAfacilityAoffers,AtheA
facilityAmustAinformAtheAresidentAinAwritingAatAleastA-
AcorrectAanswers60AdaysApriorAtoAimplementationAofAtheAchange.
TheAfacilityAmustAprovideAtheAresidentAwithAaccessAtoApersonalAandAmedicalArecordsApertainin
gAtoAtheirAself,AuponAanAoralAandAwrittenArequest,AinAtheAformAandAformatArequestedAbyAtheAin
dividual,AifAitAisAreadilyAproducibleAinAsuchAformAandAformatA(includingAinAanAelectronicAformAor
AformatAwhenAsuchArecordsAareAmaintainedAelectronically)AorAifAnot,AinAaAreadableAhardAcopyAf
ormAorAsuchAotherAformAagreedAtoAbyAtheAfacilityAandAtheAindividualAwithinA-
AcorrectAanswers24Ahours
TheAfacilityAmustAallowAtheAresidentAtoAobtainAaAcopyAofAtheArecordsAorAanyAportionAthereAofAu
ponArequestAandA-AcorrectAanswers2AworkingAdaysAadvanceAnoticeAtoAtheAfacility
TheAfacilityAmustAhaveAreportsAwithArespectAtoAanyAsurveys,Acertifications,AandAcomplaintAinve
stigationsAmadeArespectingAtheAfacilityAalongAwithAplansAofAcorrectionAinAeffectAwithArespectAt
oAtheAfacility,AavailableAforAanyAindividualAtoAreviewAuponArequest.A-
AcorrectAanswers3AprecedingAyears
TheAfacilityAmustAnotifyAeachAresidentAthatAreceivesAMedicaidAbenefitsAwhenAtheAamountAinAt
heAresidentsAaccountAreachesA-AcorrectAanswers$200AlessAthanAtheASSIAresourceAlimit
TheAfacilityAmustAdepositAtheAresident'sApersonalAfundsAinAexcessAofA$_____AinAanAinterestAbea
ringAaccountAthatAisAseparateAfromAanyAofAtheAfacility'sAoperatingAaccounts,AandAthatAcreditsAal
lAinterestAearnedAonAresident'sAfundsAtoAthatAaccount.A-AcorrectAanswers$50
(iv)ATheAfacilityAmustArefundAtoAtheAresidentAorAresidentArepresentativeAanyAandAallArefundsAdu
eAtheAresidentAwithinA-
AcorrectAanswers30AdaysAfromAtheAresident'sAdateAofAdischargeAfromAtheAfacility.
ComfortableAandAsafeAtemperatureAlevels.AFacilitiesAinitiallyAcertifiedAafterAOctoberA1,A1990Am
ustAmaintainAaAtemperatureArangeAofA-AcorrectAanswers71AtoA81A°F
MaintainingAevidenceAdemonstratingAtheAresultsAofAallAgrievancesAforAaAperiodAofAnoAlessAthan
A-AcorrectAanswers3AyearsAfromAtheAissuanceAofAtheAgrievanceAdecision.
(B)AEachAcoveredAindividualAshallAreportAimmediately,AbutAnotAlaterAthanA_______________Aaf
terAformingAtheAsuspicion,AifAtheAeventsAthatAcauseAtheAsuspicionAresultAinAseriousAbodilyAinjur
y,AorAnotAlaterAthanA__________AifAtheAeventsAthatAcauseAtheAsuspicionAdoAnotAresultAinAseriou
sAbodilyAinjury.A-AcorrectAanswers2AhoursAorA24Ahours
EnsureAthatAallAallegedAviolationsAinvolvingAabuse,Aneglect,AexploitationAorAmistreatment,Aincl
udingAinjuriesAofAunknownAsourceAandAmisappropriationAofAresidentAproperty,AareAreportedAi
,mmediately,AbutAnotAlaterAthanA________________AafterAtheAallegationAisAmade,AifAtheAevents
AthatAcauseAtheAallegationAinvolveAabuseAorAresultAinAseriousAbodilyAinjuryA-
AcorrectAanswers2Ahours
notAlaterAthanA_________AhoursAifAtheAeventsAthatAcauseAtheAallegationAdoAnotAinvolveAabuseA
andAdoAnotAresultAinAseriousAbodilyAinjury,AtoAtheAadministratorAofAtheAfacilityAandAtoAotherAoffi
cialsA(includingAtoAtheAStateASurveyAAgencyAandAadultAprotectiveAservicesAwhereAstateAlawApro
videsAforAjurisdictionAinAlong-
termAcareAfacilities)AinAaccordanceAwithAStateAlawAthroughAestablishedAprocedures.A-
AcorrectAanswers24
ReportAtheAresultsAofAallAinvestigationsAtoAtheAadministratorAorAhisAorAherAdesignatedArepresen
tativeAandAtoAotherAofficialsAinAaccordanceAwithAStateAlaw,AincludingAtoAtheAStateASurveyAAgen
cy,AwithinA________________________AofAtheAincident,AandAifAtheAallegedAviolationAisAverifie
dAappropriateAcorrectiveAactionAmustAbeAtaken.A-AcorrectAanswers5AworkingAdays
theAnoticeAofAtransferAorAdischargeArequiredAunderAthisAsectionAmustAbeAmadeAbyAtheAfacilityA
atAleastA_______AdaysAbeforeAtheAresidentAisAtransferredAorAdischarged.A-AcorrectAanswers30
ComprehensiveAcareplan.AWithinA______AcalendarAdaysAafterAadmission,AexcludingAreadmissi
onsAinAwhichAthereAisAnoAsignificantAchangeAinAtheAresident'sAphysicalAorAmentalAcondition.A(Fo
rApurposesAofAthisAsection,A"readmission"AmeansAaAreturnAtoAtheAfacilityAfollowingAaAtemporar
yAabsenceAforAhospitalizationAorAforAtherapeuticAleave.)A-AcorrectAanswers14
ComprehensiveAcareAplan.AWithinA_______AcalendarAdaysAafterAtheAfacilityAdetermines,AorAsh
ouldAhaveAdetermined,AthatAthereAhasAbeenAaAsignificantAchangeAinAtheAresident'sAphysicalAorA
mentalAcondition.A(ForApurposesAofAthisAsection,AaA"significantAchange"AmeansAaAmajorAdeclin
eAorAimprovementAinAtheAresident'sAstatusAthatAwillAnotAnormallyAresolveAitselfAwithoutAfurthe
rAinterventionAbyAstaffAorAbyAimplementingAstandardAdisease-
relatedAclinicalAinterventions,AthatAhasAanAimpactAonAmoreAthanAoneAareaAofAtheAresident'sAhe
althAstatus,AandArequiresAinterdisciplinaryAreviewAorArevisionAofAtheAcareAplan,AorAboth.)A-
AcorrectAanswers14
QuarterlyAreviewAassessment.AAAfacilityAmustAassessAaAresidentAusingAtheAquarterlyAreviewAins
trumentAspecifiedAbyAtheAStateAandAapprovedAbyACMSAnotAlessAfrequentlyAthanA-
AcorrectAanswersonceAeveryA3Amonths.
AAfacilityAmustAmaintainAallAresidentAassessmentsAcompletedAwithinAtheApreviousA__________
______AmonthsAinAtheAresident'sAactiveArecordAandAuseAtheAresultsAofAtheAassessmentsAtoAdev
elop,Areview,AandAreviseAtheAresident'sAcomprehensiveAplanAofAcare.A-
AcorrectAanswers15Amonths
TheAbaselineAcareAplanAmustAbeAdevelopedAwithinA______Ahours.AandAmustAinclude:A-
AcorrectAanswers48AhoursAofAaAresident'sAadmission.
(A)AInitialAgoalsAbasedAonAadmissionAorders.
, (B)APhysicianAorders.
(C)ADietaryAorders.
(D)ATherapyAservices.
(E)ASocialAservices.
(F)APASARRArecommendation,AifAapplicable.
AAcomprehensiveAcareAplanAmustAbeA-
AcorrectAanswers(i)ADevelopedAwithinA7AdaysAafterAcompletion AofAtheAcomprehensiveAassessm
ent.
TheAcomprehensiveAcareAplanAmustA-
AcorrectAanswers(ii)APreparedAbyAanAinterdisciplinaryAteam,AthatAincludesAbutAisAnotAlimitedAto
—
(A)ATheAattendingAphysician.
(B)AAAregisteredAnurseAwithAresponsibilityAforAtheAresident.
(C)AAAnurseAaideAwithAresponsibilityAforAtheAresident.
(D)AAAmemberAofAfoodAandAnutritionAservicesAstaff.
(E)AToAtheAextentApracticable,AtheAparticipationAofAtheAresidentAandAtheAresident'sArepresentat
ive(s).AAnAexplanationAmustAbeAincludedAinAaAresident'sAmedicalArecordAifAtheAparticipationAofA
theAresidentAandAtheirAresidentArepresentativeAisAdeterminedAnotApracticableAforAtheAdevelop
mentAofAtheAresident'sAcareAplan.
(F)AOtherAappropriateAstaffAorAprofessionalsAinAdisciplinesAasAdeterminedAbyAtheAresident'sAne
edsAorAasArequestedAbyAtheAresident.
TheAactivitiesAprogramAmustAbeAdirectedAbyAaAqualifiedAprofessionalAwhoAisAaAqualifiedAtherap
euticArecreationAspecialistAorAanAactivitiesAprofessionalAwho—A-
AcorrectAanswers(i)AIsAlicensedAorAregistered,AifAapplicable,AbyAtheAStateAinAwhichApracticing;Aan
dAIs:
(A)AEligibleAforAcertificationAasAaAtherapeuticArecreationAspecialistAorAasAanAactivitiesAprofessio
nalAbyAaArecognizedAaccreditingAbodyAonAorAafterAOctoberA1,A1990;Aor
(B)AHasA2AyearsAofAexperienceAinAaAsocialAorArecreationalAprogramAwithinAtheAlastA5Ayears,AoneA
ofAwhichAwasAfull-timeAinAaAtherapeuticAactivitiesAprogram;Aor
(C)AIsAaAqualifiedAoccupationalAtherapistAorAoccupationalAtherapyAassistant;Aor
(D)AHasAcompletedAaAtrainingAcourseAapprovedAbyAtheAState.
CertifiedANursingAAideAdementiaAtrainingA-AcorrectAanswers8AhoursAaAyear
