ADA & survey protocol practice Comprehensive
Exam With correct updated Answers. 2025
Edition.
Terms in this set (134)
1. What is the basic umbrella D
thought for
surveyors in a traditional standard
survey?
a. observations
b. interviews
c. review documentation to
validate findings from
observations & interviews or
expose discrepancies/potential
concerns
d. all of the above
2. Surveyors reviewing MOS C
Indicators and pre-selecting
potential residents for the
initial pool process is the what
part of the LTCSP?
a. Sample selection #4
b. Entrance #2
c. Part 1-Offsite Prep
d. Initial Tour -Task #3
3. Quality MOS Indicators ideally C
should be generated by the
surveyor within what time
frame?
a. 2-3 months prior to survey
b. 2-3 months after survey
c. No more than 5 days prior to
survey
d. a few days after survey
,4. Howmany MOS reports do the D
surveyors use to identify areas of
potential concern?
a. Facility Characteristics Report
b. Facility Quality Measure Report
c. Resident level Quality Measure
Report
d. All 3 of the above
5. Which one of the 3 Quality B
Measure reports is
available to the public?
a. Facility Characteristic Report
b. Facility Quality Measure Report
c. Resident Level Quality Measure
Report
d. None of the above
6. Quality Indicators are no A
longer used and have been
replaced by Quality
Measures.
a.True
b. False
7. What 4 categories /areas of D
the Facility QM report are not
for public view?
a. falls
b. anti-psychotics/
anti-anxieties/hypnotics
c. behavior problems
d. all of the above
8. What does the numerator A
in the QM report tell us?
a. the number of residents
who actually have the
condition
b. the number of residents
with the potential to
have the condition
c. resident census
d. number of termed positions
9. What does the denominator B
,on the QM report tell us?
a. the number of residents
who actually have the
condition
b. the number of residents
with the potential to
have the condition
c. resident census
d. number of termed positions
10. Residents on the B
resident level QM report
who actually have a certain
condition are marked with
what?
a. b
b. X
c. blank
d. asterisk
, 11. All the residents in the A
resident level QM report who
do not have a certain condition
or have been excluded with
reason are marked by what?
a. b
b. X
c. blank
d. asterisk
12. At what point does a QM C
get flagged on a Facility QM
report?
a. 75th percentile
b. above the 90th percentile
c. at or above the 75th percentile
d. anytime there is more than
one resident involved
13. In regards to the Privacy C
Act/Law which report is limited
to internal use only by
survey agency, CMS
representatives and/or the
facility but not allowed for public
view?
a. Facility Characteristic Report
b. Facility QM Report
c. Resident Level QM Report
d. none of the above
14. Surveyors will review A
the isolated deficiencies and
resident sample list of the prior
survey so that they can cross
check the current survey to
confirm the prior
deficient practice has been
remedied.
a.True
b. False
15. What is the basic meaning D
of Statement of Isolated
Exam With correct updated Answers. 2025
Edition.
Terms in this set (134)
1. What is the basic umbrella D
thought for
surveyors in a traditional standard
survey?
a. observations
b. interviews
c. review documentation to
validate findings from
observations & interviews or
expose discrepancies/potential
concerns
d. all of the above
2. Surveyors reviewing MOS C
Indicators and pre-selecting
potential residents for the
initial pool process is the what
part of the LTCSP?
a. Sample selection #4
b. Entrance #2
c. Part 1-Offsite Prep
d. Initial Tour -Task #3
3. Quality MOS Indicators ideally C
should be generated by the
surveyor within what time
frame?
a. 2-3 months prior to survey
b. 2-3 months after survey
c. No more than 5 days prior to
survey
d. a few days after survey
,4. Howmany MOS reports do the D
surveyors use to identify areas of
potential concern?
a. Facility Characteristics Report
b. Facility Quality Measure Report
c. Resident level Quality Measure
Report
d. All 3 of the above
5. Which one of the 3 Quality B
Measure reports is
available to the public?
a. Facility Characteristic Report
b. Facility Quality Measure Report
c. Resident Level Quality Measure
Report
d. None of the above
6. Quality Indicators are no A
longer used and have been
replaced by Quality
Measures.
a.True
b. False
7. What 4 categories /areas of D
the Facility QM report are not
for public view?
a. falls
b. anti-psychotics/
anti-anxieties/hypnotics
c. behavior problems
d. all of the above
8. What does the numerator A
in the QM report tell us?
a. the number of residents
who actually have the
condition
b. the number of residents
with the potential to
have the condition
c. resident census
d. number of termed positions
9. What does the denominator B
,on the QM report tell us?
a. the number of residents
who actually have the
condition
b. the number of residents
with the potential to
have the condition
c. resident census
d. number of termed positions
10. Residents on the B
resident level QM report
who actually have a certain
condition are marked with
what?
a. b
b. X
c. blank
d. asterisk
, 11. All the residents in the A
resident level QM report who
do not have a certain condition
or have been excluded with
reason are marked by what?
a. b
b. X
c. blank
d. asterisk
12. At what point does a QM C
get flagged on a Facility QM
report?
a. 75th percentile
b. above the 90th percentile
c. at or above the 75th percentile
d. anytime there is more than
one resident involved
13. In regards to the Privacy C
Act/Law which report is limited
to internal use only by
survey agency, CMS
representatives and/or the
facility but not allowed for public
view?
a. Facility Characteristic Report
b. Facility QM Report
c. Resident Level QM Report
d. none of the above
14. Surveyors will review A
the isolated deficiencies and
resident sample list of the prior
survey so that they can cross
check the current survey to
confirm the prior
deficient practice has been
remedied.
a.True
b. False
15. What is the basic meaning D
of Statement of Isolated
