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Terms in this set (65)
Hygiene, Communication, Driving (All of the Above)
Administrators must be aware of staffing requirements
of the federal and state government (both a and b)
Pressure sores causes do not include:
Preventing falls in nursing homes is a high priority. The CDC recommend which of the following interventions?
Educating the staff about fall risk factors and prevention strategies and A review of residents medications regiment to access potential risks and benefits
Which is not a symptom of mental health problems
center for disease control and prevention (CDC) give for major reasons nursing home residents fall, Which one listed is not one of the four major reasons
Well fitted shoes
Title XIX provides for
Medical assistance available to needy people through federal funds granted to states
Nursing facilities are mandated to use the service of a
Registered nurses 8 hours a day 7 days a week
The aging process is both psychological and physiological
The facility must conduct, initially and periodically a comprehensive, accurate, reproductive, assessment of each resident's functional capacity
Medical records must be retained for the period of time required by the state law which must be a minimum of five years
IF there is no state law they must be retained for five years from the date of discharge according to Federal law
Handling Resident and Family Concerns
Listen, Investigate, Feedback, Evaluate
Prevention of Theft
1. Criminal Background check on all employees prior to working with the resident
2. Procedures that check the perimeter of the building and acces points at designated times.
3. Use only clear plastic bags so they can be visually checked
4. Establish a rule that an employee guilty of theft is discharged immediately
5. Establish a procedure that every instance of theft be reported
All nursing homes must employ a qualified dietitian or other clinically qualified nutrition professional either full time, part time or on a consulting basis
If the dietitian is contracted, the Federal regulations do not specify the number of hours per month the consulting dietitian must be at the facility.
Frequency of Meals: Three requirements on the frequency of meals
Each resident receives and the facility provides at
least three meals daily, at regular times comparable
to the normal times in the community.
No more than 14 hours can separate a substantial
evening meal and breakfast the following morning.
The facility must offer snacks at bedtime
Minimum Data Set Dietary Section
1.Oral problems must be identified
2. Weight issues must be identified
3. Nutritional problems must be identified
4. Approaches to each of the three above need to be identified
OBRA regulations specifiy:
-Resident must be seen at least once every 30 days for the first 90 days after admission
-After the first 90 days a resident must be seen at least once every 60 days
-A grace time of approximately 10 days is allowed for these required visits
Nursing Homes are required to provide a full activity program for its residents. Program content should be designed to include at least one of the following resident needs:
1. Cognitive skills
2. Motor skills
3. Emotional Needs
4. Spiritual Needs
Quality Assurane and Performance Improvement QAPI
Coordination of care,
Autonomy and choice
High risk, high volume of problem-prone areas
based upon facility assessment, and
Medical errors and adverse resident events
Residents have the right to present grievances on behalf
of himself/herself or others to the nursing home staff,
administrator, or government officials, or to any other
person to recommend changes in policies and services
to the nursing home personnel; and to join with other
residents or individuals within or outside the home to
work for improvements in resident care, free from
restraint, interference, coercion, discrimination, or
In 1986 the Federal Government revised this act to reduce fraud against the federal government
Wages and hour division requires employers to maintain accurate payroll and time records
According to CMS, "Skilled Nursing Facilites (SNFs) must issue a liability notice to Original(fee for service) Medicare Beneficiaries before the SNF provides: an item or service that is usually paid for by Medicare, but may not be paid for in this particular instance because it is not medically reasonable and necessary or custodial care.
NPI stands for
National Provider Identifier
Title XIX is referred to the
Fiscal year is the twelve-month period a facility uses as its business year
The balanced budget Act of 1997 (BAA) Contains the consolidated billing requirements for SHFs
Which is not a budget Administration need to be familiar with
Which one best describes one of the basics of Medicare Part A Program
A to-insurance which is adjusted each January, is charged from days 21 through 100
which one does not describe internal controls
none of the above
Internal Controls include
-Protector safeguard assets theft and waste
-Evaluate performance and efficiencies
-Ensure compliance with policy and procedures and state and federal laws
Which one of the sets of letters below describes the Fire Safely Code recommendation for fire drills and real-life fire events should a a fire occur
Which organization established the life safety code?
Accident hazards are physical features in the nursing facility that can endanger a resident's safety
According to federal certification standards, the square footage for a single patient room is _______ and the square footage for a multiple resident room is _______ per square feet per bed.
Facilities must provide one or more rooms designated for resident dinning and activities. These rooms must be ________.
large enough to accommodate all active
All of the above
Sufficient (in relation to space and equipment) means enough to CMS and as identified in each resident's plan of care.
The administrator's role in safety and infection control of program is the ensure they are planned proper policy and procedures are developed and the programs are implemented and monitored to accomplish
Reduction of work-related illness, injury, and death among staff as well as reduction of accidents and injuries among residents, families and visitors
The document that describes hazardous chemicals in a product describes the product, and provides precautions for sale handling is the
Which of the following are a part of the Life Safety Code standards the Administrators need to know
All exit doors open outward (egres) and must be lighted by exit signs specified by the LSC.
Five doors are required in all corridors
While Title XVIII (medicare) and title XIX (Medicaid) CMS specifies that nursing home follow LSC standards, it also imposes standards related to the physical environment. Sometimes their standards vary from life safety code standards. CMS directs the facility to always follow:
The strictest regulation whether it is federal, state, or local
_____ is charged with protecting the federal health care programs and their beneficiaries from untrustworthy providers
________ are plans of action that focus on long-range goals of the nursing facility
In the most significant federal administrative agency regulating nursing facilities. It has the power to enforce and formulate rules and regulations governing the nursing home industry by controlling reimbursement for patient care
A new administrator should do this either prior to starting on the first day?
Review the last survey results
According to the text there are how many levels of Management?
Anti kickback regulations prohibits offering money or other valuable items in return for referrals
Central nursing homes are subject to surveys. The survey process begins with
Duties of leaders include:
1. Goal setting and decision making
2. Giving instructions and listening
3. Representing and problem solving
4. Coordinating and managing internal conflict
The administrator is hired by?
The governing body
Which statement best describes the functions of a manager
Staffing, Organizing, Planning, directing, and controlling
A non-medicare A resident
a non-medicare A resident has their initial assessment within the first 14 days of admission
A comprehensive Care Plan must include:
-The services that are to be furnished to attain or maintain the resident's highest practicable physical, mental, and psycho-social-well-being
-Any services that would otherwise be required
-Any specialized services or specialized rehabilitation services the facility will provide as a result of the PASARR recommendation
Standard precautions use to be referred to as universal precautions
Standard precautions are to be used when providing personal cares to all residents
Reporting of Medication errors
In the event of an error in medication administration, the attending physician should be notified
Written polices and procedures are used by the facility to:
Communicate what management expects in any situation
-Prepare staff for dealing with emergency situations
-Set guidelines for staff to follow in delivery of care
Scope of F-tags
Severity of F-tags
No actual harm with potential for no more than minimal harm
Level 2 No actual harm with potential for more than minimal harm that is
not immediate jeopardy.
Actual harm that is not immediate jeopardy.
Level 4 Immediate jeopardy to resident health or safety.
Primary purpose of Ombudsman Program is to:
Investigate and resolve complaints made by or on behalf of older individuals who are residents of a long-term care facility
Nursing home residents are to have a pleasant dining experience. This includes:
Well-lit, well ventilated dining room, adequate space and seating accommodation, and Maintaining a level of dignity when serving all residents.
Certified Nursing Assistants have the highest turnover rate in the typical nursing home
Current Ratio shows the relationship of current assets to current liabilities
Accumulated depreciation is the total depreciation taken to date on a depreciable asset and is used in determining book value of an asset
The primary purpose of accounting is to provide management with information necessary in decision making
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