COLORADO NHA COMPREHENSIVE QUESTIONS AND
ANSWERS SET A+
✔✔When is it considered a change of ownership with a LLC - ✔✔xfer of 50% ownership
interest
termination or dissolution of company and conversion into any other entity (needs to
include at least 50% of ownership to new owners)
✔✔What does change of ownership not include - ✔✔xfers of ownership between
existing members if transaction does not involve acquisition of ownership interest by a
new member
✔✔When is it considered a change of ownership when dealing with management
contracts, leases or other operating arrangements - ✔✔a lease or management
agreement where owner retains no authority or responsibility for the operation and
management of healthcare facility
✔✔When does the facility need to report a name change - ✔✔30 days prior to the
change
✔✔If a license is issued to a new owner when does the previous owner need to return
their license to the department - ✔✔within 5 days
✔✔What is a fitness review - ✔✔department review the applicants fitness to conduct or
maintain licensed operation
✔✔What is the process of a fitness review - ✔✔The Department performs an on site
inspection and investigation of compliance with statues and regulations
✔✔For what time period can the Department allow admissions above the licensed
capacity - ✔✔one month
,✔✔In a health emergency how long may a facility exceed its bed capacity - ✔✔14 days
✔✔If a facility exceeds its bed capacity due to a health emergency what must it remain
in compliance with - ✔✔life safety codes
patient staffing regulations
existing emergency/disaster plan
✔✔Is an extension allowed for a health emergency regarding exceeding its bed
capacity - ✔✔yes for 14 days
✔✔What must the facility do if it exceeds its bed capacity - ✔✔provide the Department
with verbal notice with time of implementation and a written report within 14 calendar
days after implementation explaining the emergency situation and actions taken
✔✔If limitations are imposed on a license prior to an initial or renewal license how is it
treated - ✔✔as a denial
✔✔If there is a modification to an existing license how is it treated - ✔✔as a revocation
✔✔What fees does a facility pay for an initial or renewal license with conditions - ✔✔the
initial or renewal license fee plus a condition fee
✔✔If the license is not renewed due to cease of operation, final agency action to
suspend/revoke license) when does the license need to be returned - ✔✔within 10 days
to the Department
✔✔If a health care facility surrenders its license when do they need to inform the
department regarding the storage and retrieval plan of health records - ✔✔10 calendar
days prior to closure
✔✔When does the facility need to inform patients of closure and how and were to
obtain records - ✔✔within 10 calendar days of closure
✔✔If the facility has an increase in licensed capacity, change in its management
company or change in license category, when does it need to notify the Department -
✔✔within 30 days
✔✔New Survey Process - extended survey done every ___ years - ✔✔3 years
✔✔The new survey process will be fully implemented by what date - ✔✔7/1/14
✔✔To be eligible for the new survey process what are the requirements? - ✔✔licensed
at least 3 years
, no enforcement activity within 3 years
no patterns of deficient practices within 3 years
no substantiated complaints that resulted in deficiencies within 3 years
✔✔If deficient practice is found during survey the department may perform what? -
✔✔extended survey
✔✔What must be included in the plan of correction? - ✔✔how it will be corrected
how it will be monitored
timeline for implementation and change
(no longer than 30 days from mailing date of deficiency)
signed by director, administrator
submitted to department within 10 days (after written notice of deficiencies)
✔✔Quality Management program is required for all facilities but... - ✔✔personal care
boarding home of 19 beds or few and community residential home for persons with
developmental disabilities
✔✔What is a quality management program - ✔✔evaluates the quality of patient/resident
care and safety
✔✔When does the quality management program need to be submitted to the
Department for approval - ✔✔within 90 days of the effective date of registration or within
90 days of license issuance
✔✔What shall the quality management program include when it is submitted to the
department? - ✔✔Description of types of cases, problems or risks, to be reviewed and
criteria for identifying potential risks
Identification of personnel or community responsible for coordinating quality
management activities
Method for reporting info within prescribed time
Method for investigating and analyzing frequency and causes of problems and patterns
of problems
Method for taking corrective action including prevention and minimizing problems/risks
Method for follow-up of corrective action
Method for coordinating all cases, problem, or risk review into with other quality
assurance or risk management activities
Documentation of required quality management activities
ANSWERS SET A+
✔✔When is it considered a change of ownership with a LLC - ✔✔xfer of 50% ownership
interest
termination or dissolution of company and conversion into any other entity (needs to
include at least 50% of ownership to new owners)
✔✔What does change of ownership not include - ✔✔xfers of ownership between
existing members if transaction does not involve acquisition of ownership interest by a
new member
✔✔When is it considered a change of ownership when dealing with management
contracts, leases or other operating arrangements - ✔✔a lease or management
agreement where owner retains no authority or responsibility for the operation and
management of healthcare facility
✔✔When does the facility need to report a name change - ✔✔30 days prior to the
change
✔✔If a license is issued to a new owner when does the previous owner need to return
their license to the department - ✔✔within 5 days
✔✔What is a fitness review - ✔✔department review the applicants fitness to conduct or
maintain licensed operation
✔✔What is the process of a fitness review - ✔✔The Department performs an on site
inspection and investigation of compliance with statues and regulations
✔✔For what time period can the Department allow admissions above the licensed
capacity - ✔✔one month
,✔✔In a health emergency how long may a facility exceed its bed capacity - ✔✔14 days
✔✔If a facility exceeds its bed capacity due to a health emergency what must it remain
in compliance with - ✔✔life safety codes
patient staffing regulations
existing emergency/disaster plan
✔✔Is an extension allowed for a health emergency regarding exceeding its bed
capacity - ✔✔yes for 14 days
✔✔What must the facility do if it exceeds its bed capacity - ✔✔provide the Department
with verbal notice with time of implementation and a written report within 14 calendar
days after implementation explaining the emergency situation and actions taken
✔✔If limitations are imposed on a license prior to an initial or renewal license how is it
treated - ✔✔as a denial
✔✔If there is a modification to an existing license how is it treated - ✔✔as a revocation
✔✔What fees does a facility pay for an initial or renewal license with conditions - ✔✔the
initial or renewal license fee plus a condition fee
✔✔If the license is not renewed due to cease of operation, final agency action to
suspend/revoke license) when does the license need to be returned - ✔✔within 10 days
to the Department
✔✔If a health care facility surrenders its license when do they need to inform the
department regarding the storage and retrieval plan of health records - ✔✔10 calendar
days prior to closure
✔✔When does the facility need to inform patients of closure and how and were to
obtain records - ✔✔within 10 calendar days of closure
✔✔If the facility has an increase in licensed capacity, change in its management
company or change in license category, when does it need to notify the Department -
✔✔within 30 days
✔✔New Survey Process - extended survey done every ___ years - ✔✔3 years
✔✔The new survey process will be fully implemented by what date - ✔✔7/1/14
✔✔To be eligible for the new survey process what are the requirements? - ✔✔licensed
at least 3 years
, no enforcement activity within 3 years
no patterns of deficient practices within 3 years
no substantiated complaints that resulted in deficiencies within 3 years
✔✔If deficient practice is found during survey the department may perform what? -
✔✔extended survey
✔✔What must be included in the plan of correction? - ✔✔how it will be corrected
how it will be monitored
timeline for implementation and change
(no longer than 30 days from mailing date of deficiency)
signed by director, administrator
submitted to department within 10 days (after written notice of deficiencies)
✔✔Quality Management program is required for all facilities but... - ✔✔personal care
boarding home of 19 beds or few and community residential home for persons with
developmental disabilities
✔✔What is a quality management program - ✔✔evaluates the quality of patient/resident
care and safety
✔✔When does the quality management program need to be submitted to the
Department for approval - ✔✔within 90 days of the effective date of registration or within
90 days of license issuance
✔✔What shall the quality management program include when it is submitted to the
department? - ✔✔Description of types of cases, problems or risks, to be reviewed and
criteria for identifying potential risks
Identification of personnel or community responsible for coordinating quality
management activities
Method for reporting info within prescribed time
Method for investigating and analyzing frequency and causes of problems and patterns
of problems
Method for taking corrective action including prevention and minimizing problems/risks
Method for follow-up of corrective action
Method for coordinating all cases, problem, or risk review into with other quality
assurance or risk management activities
Documentation of required quality management activities
