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Exam (elaborations)

Texas State Nursing Home Administrator Test Ii Exam Verified Questions & Answers

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TEXAS STATE NURSING HOME ADMINISTRATOR TEST II EXAM VERIFIED QUESTIONS & ANSWERS

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TEXAS STATE NURSING HOME
ADMINISTRATOR TEST II EXAM
VERIFIED QUESTIONS &
ANSWERS

Are the reports, records, and working papers used or developed by the Texas Dep
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artment of Human Services (DHS) in an abuse, neglect or exploitation investigation
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confidential? - ANSWERS-Yes
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When may reports, records and working papers developed by TX DHS in an abuse
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, neglect or exploitation investigation released to the public? - ANSWERS-
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(A) Completed written investigation reports are open to the public, provided the rep
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ort is de-identified. The process of de-
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identification means removing all names and other personally identifiable data, inclu
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ding any information from witnesses and others furnished to DHS as part of the inv
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estigation.
(B) If DHS receives written authorization from a facility resident or the resident's leg
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al representative regarding an investigation of abuse or neglect involving that resid
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ent, DHS will release the completed investigation report without removing the resid
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ent's name. The authorization must be signed and dated within six months of the re
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quest or state a length of time the authorization is valid; detail the information to be
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xreleased; identify to whom the information can be released; and release DHS from
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all liability for complying with the authorization.
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Will the person who reports suspected instances of abuse or neglect be given imm
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unity? - ANSWERS- vx vx


Yes; in the absence of bad faith or malicious conduct, they will be immune from civi
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l or criminal liability which might have otherwise resulted from making the report. Im
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munity will extend to participation in any judicial proceeding resulting from the repor
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t.

What is considered privileged communication in a abuse, neglect or exploitation inv
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estigation? - ANSWERS- vx vx


In a proceeding regarding a report or investigation conducted, evidence will not be
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excluded on a claim of privileged communication except in the case of a communic
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ation between an attorney and a client.
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Who keeps the central registry of reported cases of abuse and neglect? Where? -
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ANSWERS-DHS; at the central office in Austin.
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What are the procedures for inspection of public records? - ANSWERS-
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They will be in accordance with the Texas Government Code, Chapter 552.
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,Who is responsible for the Long-Term Care-Regulatory? - ANSWERS-
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Texas Department of Human Services (DHS), is responsible for the maintenance a
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nd release of records on licensed facilities, and other related records.
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What is the criteria for an application for the inspection of public records held by D
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HS? - ANSWERS-(A) the application must be made to Long-Term Care-
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Regulatory, Texas Department of Human Services, 701 West 51st Street, Austin, T
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exas 78751 or P.O. Box 149030, Austin, TX 78714-9030;
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(B) the requestor must identify himself;
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(C) the requestor must give reasonable prior notice of the time for inspection and/
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or copying of records;
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(D) the requestor must specify the records requested;
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(E) on written applications, if DHS is unable to ascertain the records being requeste
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d, DHS may return the written application to the requestor for clarification; and
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(F) DHS will provide the requested records as soon as possible; however, if the rec
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ords are in active use, or in storage, or time is needed for proper de-
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identification or preparation of the records for inspection, DHS will so advise the re
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questor and set an hour and date within a reasonable time when the records will b
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e available.
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What are the parameters for DHS public records inspection? - ANSWERS-
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Original records may be inspected or copied, but in no instance will original records
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be removed from DHS offices.
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Which records maintained by the Long-Term Care-
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Regulatory are not open to the public? - ANSWERS- vx vx vx vx vx vx vx vx


(A) incomplete reports, audits, evaluations, and investigations made of, for, or by D
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HS are confidential;
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(B) all reports, records, and working papers used or developed by DHS in an invest
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igation of reports of abuse and neglect are confidential, and may be released to the
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public as provided in §19.2010(a);
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(C) all names and related personal, medical, or other identifying information about
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a resident are confidential;
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(D) information about any identifiable person which is defamatory or an invasion of
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privacy is confidential; vx vx


(E) information identifying complainants or informants is confidential;
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(F) itineraries of surveys and inspections are confidential;
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(G) other information that is excepted from release by the Government Code, Chap
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ter 552, is not available to the public; and
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(H) to implement this subsection, DHS may not alter or de-
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identify original records. Instead, DHS will make available for public review or relea
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se only a properly de-identified copy of the original record.
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Will there be a charge for records kept in the Long-Term Care-Regulatory office? -
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ANSWERS-
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If the requestor wants to inspect records, the requestor will specify the records to b
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e inspected. DHS will make no charge for this service, unless the director of Long-
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Term Care-
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Regulatory determines a charge is appropriate based on the nature of the request.
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,What is the process for obtaining copies of records held in the Long-
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Term Care Regulatory office? - ANSWERS-
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If the requestor wants copies of a record, the requestor will specify in writing the re
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cords to be copied on an appropriate DHS form, and DHS will complete the form b
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y specifying the charge for the records, which the requestor must pay in advance.
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Checks and other instruments of payment must be made payable to the Texas Dep
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artment of Human Services. vx vx vx




What is the cost of the copies of records from the Long-
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Term Care Regulatory office? - ANSWERS-Any expenses for standard-
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size copies incurred in the reproduction, preparation, or retrieval of records must be
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borne by the requestor on a cost basis in accordance with costs established by th
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e State Purchasing and Texas Building and Procurement Commission or DHS for o
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ffice machine copies.
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What is the cost to have documents from the Long-
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Term Care Regulatory office mailed? - ANSWERS-
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For documents that are mailed, DHS will charge for the postage at the time it charg
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es for the production. All applicable sales taxes will be added to the cost of copying
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records.
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What if records are needed from more than one long-term care facility? -
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ANSWERS-Each facility will be considered a separate request.
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What is the role of The Texas Department of Human Services (DHS) in the Long-
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Term Care industry? - ANSWERS-
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They are the state licensing agency and the survey and certification agency for the
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Medicaid program, and may impose concurrently licensing remedies and Medicaid r
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emedies on Medicaid-certified facilities.vx vx vx




What happens if Texas Department of Human Services (DHS) personnel determine
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that a facility is out of compliance with licensure rules to a degree that places the f
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acility at risk of the imposition of licensing actions? - ANSWERS-
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DHS may send a warning letter to the facility. The warning letter notifies the facility
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that the violations of licensing rules must be corrected.
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When may the Texas Department of Human Services (DHS) suspend a facility's lic
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ense? - ANSWERS- vx vx


(A) When the license holder, or any other person described in §19.201(e), has viola
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ted the requirements in either a repeated or substantial manner; or committed any
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act described in §19.2112(a)(2)-(6).
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(B) Suspension of a license may occur simultaneously with any other enforcement
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provision available to DHS. vx vx vx




How will the facility be notified of DHS's intention to suspend their license? -
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ANSWERS-By certified mail.
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What will be contained in the notification of intent to suspend a license? -
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ANSWERS-The facts or conduct alleged to warrant the suspension.
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, Can a facility appeal a proposed license suspension? - ANSWERS-
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The facility has an opportunity to show compliance with all requirements of law for t
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he retention of the license, as provided in §19.215, Informal Reconsideration. If the
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facility requests an informal reconsideration, DHS will give the license holder a writt
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en affirmation or reversal of the proposed action.
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How long from the time of the notice of suspension of license is received by the fac
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ility do they have to request a hearing? - ANSWERS-
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The facility has 15 days from receipt of the certified mail notice to request a hearin
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g in accordance with Chapter 79, Subchapter Q.
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After notification of the intent to suspend a facility's license, when does the suspen
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sion go into effect? - ANSWERS-
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The suspension is effective when the deadline for appeal of the suspension passes
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, unless the facility appeals the suspension. If the facility appeals the suspension, t
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he status of the license holder is preserved until final disposition of the contested m
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atter.

How long will a facility's license be suspended? What will happen next? -
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ANSWERS-
vx


Until DHS determines that the reason for suspension no longer exists. DHS will con
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duct an on- vx vx


site investigation before making a determination. During the suspension, the license
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holder must return the license to DHS.
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When would a facility's license be revoke? - ANSWERS-
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When the license holder, or any other person described in §19.201(f), has:
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(A) violated the requirements of the Health and Safety Code, Chapter 242, or the r
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ules adopted under that chapter, in either a repeated or substantial manner;
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(B) committed any act described in §19.2112(a)(2)-(6); or
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(3) failed to notify DADS of a significant adverse change in financial condition, as r
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equired under §19.1925(b). vx vx


Revocation of a license may occur simultaneously with any other enforcement provi
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sion available to DADS.
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How will the license holder be notified of the intent to revoke a license? -
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ANSWERS-By certified mail.
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What will be included in the notice of intent to revoke a facility's license? -
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ANSWERS-
vx


The facts or conduct alleged to warrant the revocation, with a copy being sent to th
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e facility.
vx




Can the facility appeal a notice of intent to revoke their license? - ANSWERS-
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The license holder has an opportunity to show compliance with all requirements of l
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aw for the retention of the license as provided in §19.215.
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What if the facility wants to have an opportunity to show compliance prior to their li
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cense being revoked? - ANSWERS-
vx vx vx vx

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