SMQT Practice Test
Used to guide facility task investigations Facility task CEPathways &
Appendix PP
A Regulatory Reference includes WHAT 4 following 1. A survey data tag number,
components: 2. The CFR (or LSC reference),
3. The language from that reference which specifies the aspect(s) of requirement
with which entity was noncompliant.
4. An explicit statement that requirement was “NOT MET.”
What is an F-tag ? * "F" federal
tag # corresponds to a specific FEDERAL regulation within the CFR (Code of
Federal Regulations) - ("F" for "federal")
* federal system through which areas of dp's /compliance (standards &
guidelines) are assessed/identified based on performance within CMS (CMS
Survey)
* Each tag is related to one area of the CFR
Nursing homes are less likely to be accredited because they are not given "deemed status"
When can a provider/supplier have When compliance with all CoP (conditions of participation) are met
their services covered ? - substantial compliance with the requirements for SNFs & NFs are met
- compliance with applicable CoC (conditions for coverage) for suppliers.
When can a standard survey be broaden or expanded ? If SQC (Substandard quality of care) suspected
When should timing of an abbreviated standard survey At discretion of SA (An exception is made for complaints that allege IJ to resident
take place ? health & safety)
What happens when an extended or partial extended A facility loses it's ability to train nurse aides.
survey is conducted ?
Your team is conducting a complaint survey concerning A partial extended survey is conducted after SQC is found during an abbreviated
the quality of care at a nursing home. During the standard survey or during a revisit, when SQC was not previously identified.
complaint survey, your team expands the survey &
determines that the facility is providing substandard
quality of care that was not previously identified. Is an
additional survey required in this situation? If so, what
type of survey is needed?
What is Reasonable-Person concept? Used when a resident's psychosocial outcome may not be readily determined
through the investigative process:
* determine the severity of psychosocial outcome that dp on
a Reasonable Person in a SIMILAR Situation
* degree of care that a RP would exercise under ALL circumstances
An abbreviated standard survey is also known as a A Complaint Investigation
A complaint investigation
B standard survey
C state monitoring visit
D particle extended survey
, SMQT Practice Test
Which survey may a surveyor investigate any area of A Complaint Survey
concern and make compliance decisions regarding any
regulatory requirement , whether or not it is related to the
original purpose of the visit ?
A Complaint Survey
B State Monitoring Survey
C Resurvey
D Initial Certification Survey
The administrator was successful during an informal D submit a written allegation of removal
dispute review in reversing an IJ during the survey . For
it to be removed from the 2567 , the administrator must
A Draw a line through the deficiency on the 2567 .
B do nothing, CMS will remove it
C notify the corporate office .
D submit a written allegation of removal .
Which form must be completed and given to surveyors C - CMS - 671 and CMS - 672
within 24 hours ?
A CMS - 673 and CMS - 674
B CMS - 674 and CMS - 675
C CMS - 671 and CMS - 672
D CMS - 672 and CMS - 673
Which piece of information is provided to surveyors B. Name of the Resident Council President
during the entrance conference?
A CMS - 671 form
B Name of the Resident Council President
C Immunization policies and procedures
D Grievance information
Who conducts the Life Safety Code inspection ? D State Fire Marshall's office
A State Fire Marshall's office and State Surveyors
B State Surveyors
C The Governors office
D State Fire Marshall's office
A facility received a deficiency for infection control due to D daily , weekly , monthly , etc.
a nurse aide not washing her hands between residents'
care. Part of their POC is to monitor nursing assistants
for hand washing . The frequency of the monitoring must
specify
A the time interval is unnecessary
B it will be random .
C it will be unannounced
D daily , weekly , monthly , etc.
On a deficiency statement , SS - G would represent D scope and severity
A deficient practice .
B scary stuff .
C severity and scope .
D scope and severity .
Which of the following contains the compliance history of B CASPER 3
the facility over the past 4 years ?
A CASPER 1
B CASPER 3
C Facility Profile
D CASPER 4
Used to guide facility task investigations Facility task CEPathways &
Appendix PP
A Regulatory Reference includes WHAT 4 following 1. A survey data tag number,
components: 2. The CFR (or LSC reference),
3. The language from that reference which specifies the aspect(s) of requirement
with which entity was noncompliant.
4. An explicit statement that requirement was “NOT MET.”
What is an F-tag ? * "F" federal
tag # corresponds to a specific FEDERAL regulation within the CFR (Code of
Federal Regulations) - ("F" for "federal")
* federal system through which areas of dp's /compliance (standards &
guidelines) are assessed/identified based on performance within CMS (CMS
Survey)
* Each tag is related to one area of the CFR
Nursing homes are less likely to be accredited because they are not given "deemed status"
When can a provider/supplier have When compliance with all CoP (conditions of participation) are met
their services covered ? - substantial compliance with the requirements for SNFs & NFs are met
- compliance with applicable CoC (conditions for coverage) for suppliers.
When can a standard survey be broaden or expanded ? If SQC (Substandard quality of care) suspected
When should timing of an abbreviated standard survey At discretion of SA (An exception is made for complaints that allege IJ to resident
take place ? health & safety)
What happens when an extended or partial extended A facility loses it's ability to train nurse aides.
survey is conducted ?
Your team is conducting a complaint survey concerning A partial extended survey is conducted after SQC is found during an abbreviated
the quality of care at a nursing home. During the standard survey or during a revisit, when SQC was not previously identified.
complaint survey, your team expands the survey &
determines that the facility is providing substandard
quality of care that was not previously identified. Is an
additional survey required in this situation? If so, what
type of survey is needed?
What is Reasonable-Person concept? Used when a resident's psychosocial outcome may not be readily determined
through the investigative process:
* determine the severity of psychosocial outcome that dp on
a Reasonable Person in a SIMILAR Situation
* degree of care that a RP would exercise under ALL circumstances
An abbreviated standard survey is also known as a A Complaint Investigation
A complaint investigation
B standard survey
C state monitoring visit
D particle extended survey
, SMQT Practice Test
Which survey may a surveyor investigate any area of A Complaint Survey
concern and make compliance decisions regarding any
regulatory requirement , whether or not it is related to the
original purpose of the visit ?
A Complaint Survey
B State Monitoring Survey
C Resurvey
D Initial Certification Survey
The administrator was successful during an informal D submit a written allegation of removal
dispute review in reversing an IJ during the survey . For
it to be removed from the 2567 , the administrator must
A Draw a line through the deficiency on the 2567 .
B do nothing, CMS will remove it
C notify the corporate office .
D submit a written allegation of removal .
Which form must be completed and given to surveyors C - CMS - 671 and CMS - 672
within 24 hours ?
A CMS - 673 and CMS - 674
B CMS - 674 and CMS - 675
C CMS - 671 and CMS - 672
D CMS - 672 and CMS - 673
Which piece of information is provided to surveyors B. Name of the Resident Council President
during the entrance conference?
A CMS - 671 form
B Name of the Resident Council President
C Immunization policies and procedures
D Grievance information
Who conducts the Life Safety Code inspection ? D State Fire Marshall's office
A State Fire Marshall's office and State Surveyors
B State Surveyors
C The Governors office
D State Fire Marshall's office
A facility received a deficiency for infection control due to D daily , weekly , monthly , etc.
a nurse aide not washing her hands between residents'
care. Part of their POC is to monitor nursing assistants
for hand washing . The frequency of the monitoring must
specify
A the time interval is unnecessary
B it will be random .
C it will be unannounced
D daily , weekly , monthly , etc.
On a deficiency statement , SS - G would represent D scope and severity
A deficient practice .
B scary stuff .
C severity and scope .
D scope and severity .
Which of the following contains the compliance history of B CASPER 3
the facility over the past 4 years ?
A CASPER 1
B CASPER 3
C Facility Profile
D CASPER 4
