LTC Test #3 Regulations & Survey
Process
The resident has the right to: - ANS-immediate access to the current active clinical record
-upon oral or written request, to access all other records pertaining to himself within 24 hours
-right to be fully informed of his total health status
-right to refuse treatment
-right to be informed by the facility at least 30 days in advance of any change in rates or
services that rates cover
Treatment refusals - ANS-any refusals of treatment must be accompanied by counseling on
the medical consequences of such refusal, and then document this happening
Facility must furnish on admission a written description of legal rights including: -
ANS-description of the manner of protecting personal funds under this section
-statement that the resident may file a complaint with the director concerning resident abuse,
neglect, misappropriation of resident property
-the most recently known addresses and telephone #s for the dept, office of secretary of
family and social services, ombudsman, area on aging, local mental health center, adult
protective services
Display of facility information - ANS-prominently displayed
-provided to residents and applicants for admission oral and written information
-how to apply for and use Medicare / Medicaid benefits
-how to receive refunds for previous payments covered by such benefits
Facility must inform each resident of - ANS-name, specialty, and way of contacting the
physician responsible for his or her care
Protection of Resident Funds - ANS-resident has the right to manage his financial affairs
-facility may not require residents to deposit their personal funds with the facility
-only with written authorization of the resident the facility must hold and manage and account
for personal funds of the resident deposited at the facility
Depositing Residents personal Funds - ANS-facility must deposit any of the personal funds if
more then $50 in an interest bearing account that is separate from the facility's operating
account and credits all interest earned on the patients funds to his or her account
Facility must: - ANS-provide reasonable access during normal business hours to the funds of
the account
-return to the resident in no later than 15 days upon written request
-provide reasonable access during normal business hours
-the individual financial record must be provided to the resident or his legal rep upon request
and through quarterly statements
, Grievances- Resident has the right to the following: - ANS-voice a grievance without
discrimination
-prompt efforts by facility to resolve grievances
-recommend changes in policy / procedure and receive reasonable responses to their
requests without fear of reprisal
-each facility should have policies for investigating and responding to complaints and
grievances
Access and Visitation Rights - ANSfacility should provide reasonable visiting hours, at least
9 hours a day
Transfer and Discharge rights - ANS-HFs must permit each resident to remain in the facility
and not transfer or discharge the resident from the facility, unless reason
Reasons allowed for transfer / discharge - ANS-its necessary for the resident's welfare and
needs cannot be met at the facility
-appropriate because the resident's health has improved sufficiently
-safety of the resident is endangered
-resident has failed to pay after reasonable notice
-the facility ceases to operate
Nursing Services - ANS-must have sufficient nursing staff to provide nursing and related
services to attain or maintain the highest practicable physical, mental, and psychosocial
wellbeing of each resident, as determined by the resident assessment and plans of care
Nursing services facilities must provide: - ANS-provide a licensed nurse hour-to-resident
ratio of .5 licensed nurse hour per resident per day
-must designate a licensed nurse to serve as a charge nurse on each tour of duty
-must use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a
week
(can be waived if needed)
Nursing Aides - ANS-facilities can not use individual as nurses aid for more than 4 months
unless person has completed training and competency evaluation program approved by the
state
-registry verification, multi-state verification
-education annual for all nursing aides (12 hours)
-if haven't worked in 24 months as CNA, must complete new course
Provide sufficient staffing (nursing) - ANS-meet adequate resident needs
-reasonable work loads
-no reports of insufficient staff from residents, families, or ombudsman
-staff should be responsive to residents needs
Nursing Staffing Information - ANS-facility must post in clear, readable format, in a prominent
place accessible to residents and visitors the daily nurse staffing information
-facility name
Process
The resident has the right to: - ANS-immediate access to the current active clinical record
-upon oral or written request, to access all other records pertaining to himself within 24 hours
-right to be fully informed of his total health status
-right to refuse treatment
-right to be informed by the facility at least 30 days in advance of any change in rates or
services that rates cover
Treatment refusals - ANS-any refusals of treatment must be accompanied by counseling on
the medical consequences of such refusal, and then document this happening
Facility must furnish on admission a written description of legal rights including: -
ANS-description of the manner of protecting personal funds under this section
-statement that the resident may file a complaint with the director concerning resident abuse,
neglect, misappropriation of resident property
-the most recently known addresses and telephone #s for the dept, office of secretary of
family and social services, ombudsman, area on aging, local mental health center, adult
protective services
Display of facility information - ANS-prominently displayed
-provided to residents and applicants for admission oral and written information
-how to apply for and use Medicare / Medicaid benefits
-how to receive refunds for previous payments covered by such benefits
Facility must inform each resident of - ANS-name, specialty, and way of contacting the
physician responsible for his or her care
Protection of Resident Funds - ANS-resident has the right to manage his financial affairs
-facility may not require residents to deposit their personal funds with the facility
-only with written authorization of the resident the facility must hold and manage and account
for personal funds of the resident deposited at the facility
Depositing Residents personal Funds - ANS-facility must deposit any of the personal funds if
more then $50 in an interest bearing account that is separate from the facility's operating
account and credits all interest earned on the patients funds to his or her account
Facility must: - ANS-provide reasonable access during normal business hours to the funds of
the account
-return to the resident in no later than 15 days upon written request
-provide reasonable access during normal business hours
-the individual financial record must be provided to the resident or his legal rep upon request
and through quarterly statements
, Grievances- Resident has the right to the following: - ANS-voice a grievance without
discrimination
-prompt efforts by facility to resolve grievances
-recommend changes in policy / procedure and receive reasonable responses to their
requests without fear of reprisal
-each facility should have policies for investigating and responding to complaints and
grievances
Access and Visitation Rights - ANSfacility should provide reasonable visiting hours, at least
9 hours a day
Transfer and Discharge rights - ANS-HFs must permit each resident to remain in the facility
and not transfer or discharge the resident from the facility, unless reason
Reasons allowed for transfer / discharge - ANS-its necessary for the resident's welfare and
needs cannot be met at the facility
-appropriate because the resident's health has improved sufficiently
-safety of the resident is endangered
-resident has failed to pay after reasonable notice
-the facility ceases to operate
Nursing Services - ANS-must have sufficient nursing staff to provide nursing and related
services to attain or maintain the highest practicable physical, mental, and psychosocial
wellbeing of each resident, as determined by the resident assessment and plans of care
Nursing services facilities must provide: - ANS-provide a licensed nurse hour-to-resident
ratio of .5 licensed nurse hour per resident per day
-must designate a licensed nurse to serve as a charge nurse on each tour of duty
-must use the services of a registered nurse for at least 8 consecutive hours a day, 7 days a
week
(can be waived if needed)
Nursing Aides - ANS-facilities can not use individual as nurses aid for more than 4 months
unless person has completed training and competency evaluation program approved by the
state
-registry verification, multi-state verification
-education annual for all nursing aides (12 hours)
-if haven't worked in 24 months as CNA, must complete new course
Provide sufficient staffing (nursing) - ANS-meet adequate resident needs
-reasonable work loads
-no reports of insufficient staff from residents, families, or ombudsman
-staff should be responsive to residents needs
Nursing Staffing Information - ANS-facility must post in clear, readable format, in a prominent
place accessible to residents and visitors the daily nurse staffing information
-facility name
