Texas Nursing Home Administrator
Exam
"Mental/psychological abuse" is defined as what? - ANS-Mistreatment within the definition of
"abuse" not resulting in physical harm, including, but not limited to, humiliation, harassment,
threats of punishment, deprivation, or intimidation.
(2) Additional Requirements for facilities or distinct parts of facilities that are certified for
Medicare-only participation are in? - ANS-Chapter 42, Code of Federal Regulations,
§§483.5- 483.75. OBRA
(a) During the license term, a license holder may not increase capacity without approval from
the Texas Department of Human Services (DHS). The license holder must submit to DHS a
complete application for increase in capacity and the fee required. If DHS approves the
increase, what happens next? - ANS-(b) Upon approval of an increase in capacity, DHS will
issue a new license.
(b) General information required. An applicant must
file with DADS an application which contains: (1) for initial applications and change of
ownership only, evidence of the right to possession of the facility at the time the application
will be granted, which may be satisfied by the submission of applicable portions of a lease
agreement, deed or trust, or appropriate legal document. (2) a certificate of good standing
issued by who? - ANS-the Comptroller of Public Accounts
1) Certain requirements are specific to Medicaid-certified facilities and are so designated.
The Medicaid-specific requirements apply to all residents, including, but not limited to: -
ANS-Private pay, Medicaid applicants and recipients, VA patients, and Medicare recipients,
who are admitted to and reside in a Medicaid-certified facility or a Medicaid-certified distinct
part of a facility.
A change of ownership license is only a temporary license that is good for how many days? -
ANS-90 days. (e) A change of ownership license is a 90- day temporary license issued to an
applicant who proposes to become the new operator of a nursing facility that exists on the
date the application is submitted.
A continued stay review must be completed every _____ days - ANS-180
A facility must assist residents with obtaining routine and __________ dental care - ANS-24
hour emergency
A facility must comply with which version of the NFPA Life Safety code? - ANS-2000
The facility must meet the applicable provisions of the 2000 edition of the Life Safety Code of
the National Fire Protection Association (NFPA). The Life Safety Code is available for
inspection at the Office of the Federal Register Information Center, Washington, D.C.
A facility must have a full-time qualified social worker if they have how many beds or more? -
ANS-120 or more. (a) The facility must provide medically- related social services to attain the
highest practicable physical, mental, or psychosocial well-being of each resident. See also
§19.901 of this title (relating to Quality of Care) for information concerning psychosocial
functioning.
,(1) A facility with more than 120 beds must employ a qualified social worker on a full-time
basis.
A facility must have a minimum of how many days supply of nonperishable staple foods? -
ANS-7 days.
(k) Food storage areas.
(1) Food storage areas must provide for storage of a 7- day minimum supply of
nonperishable staple foods and a 2-day supply of perishable foods at all times.
A facility must keep a supply of how much Perishable Food? - ANS-2 Days worth. (f) The
dietary department must keep a seven-day supply of staple foods and a two-day supply of
perishable foods at all times. The facility is allowed the flexibility to use food on hand to
make substitutions at any interval as long as comparable nutritional value is maintained.
A facility must retain the records of those who have
completed a state approved training course for Paid Feeding Assistants. What is the
minimum content that should be on those records? - ANS-The date and location of the
course, Trainer's name, and a statement that the course was completed successfully.
(b) Maintenance of records. The facility must maintain a record of all individuals used by the
facility as paid feeding assistants who have successfully completed the state- approved
training course for paid feeding assistants. At a minimum, documentation must include the
date and location of the course, the name of the trainer, and a statement that the course was
successfully completed.
A nursing facility that has multiple floors and 201 to 350 resident beds on floors other than
the main entrance floor or where the major inpatient services are located, must have how
many elevators? - ANS-3
At least three (one of which must be hospital-type) elevators must be installed where 201 to
350 resident beds are located on floors other than the main entrance floor or where the
major inpatient services are located on a floor other than those containing resident beds.
Elevator service may be reduced for those floors which provide only partial inpatient services
A nursing home is at capacity with 58 residents; how many monthly hours of dietary
consultation must they have at a minimum? - ANS-8 hours monthly
The facility must ensure a qualified dietitian is available as frequently and for such time as is
necessary to assure each resident a diet that meets the daily nutritional and special dietary
needs of each resident, based upon the acuity and clinical needs of the resident. The facility
must ensure that monthly dietary consultant hours are provided, at a minimum, as follows:
(1) facility population: 60 residents or under - eight hours; (2) facility population: each
additional 30 residents or fraction thereof - four hours.
A qualified audiologist therapist is: - ANS-(i) is a Texas-licensed audiologist; or (ii) meets the
educational requirements for license and has accumulated, or is in the process of
accumulating, the supervised professional experience (the internship) required for license
A qualified dietitian is one who is qualified based upon either: - ANS-(A) registration by the
Commission on Dietetic Registration of the American Dietetic Association; or (B) licensure,
or provisional licensure, by the Texas State Board of Examiners of Dietitians. These
individuals must have one year of supervisory experience in dietetic service of a health care
facility.
A resident has the right to participate in what, regarding their stay in a nursing facility? -
ANS-Plan of Care
, You have a right to:
(10) participate in developing a plan of care, to refuse treatment, and to refuse to participate
in experimental research;
A resident's ADL's (Activities of Daily Living) are derived from what? - ANS-The
comprehensive assessment
(1) Activities of daily living (ADLs). Based on the comprehensive assessment of the resident,
the facility must ensure that: (A) a resident's abilities in activities of daily living do not
diminish unless the circumstances of the individual's clinical condition demonstrate that
diminution is unavoidable
A written report of suspected abuse is required by TDADs within... - ANS-5 days
After filing a phone report of abuse, the facility must conduct an investigation. A written
report of the investigation must be sent no later than how many days after the oral report? -
ANS-A facility owner or employee who has cause to believe that the physical or mental
health or welfare of a resident has been or may be adversely affected by abuse, neglect, or
exploitation caused by another person must report the abuse, neglect, or exploitation. (1)
The person reporting must make the telephone report immediately on learning of the alleged
abuse, neglect, exploitation, conduct, or conditions. (2) The facility must conduct an
investigation of the reported act(s). A written report of the investigation must be sent no later
than the fifth working day after the oral report.
All facilities must send the Texas Department of Human Services a report of the deaths of all
persons residing in the facility within how many working days after the last day of the month
in which the resident death occurs. - ANS-10 working days
Amount of days after an annual survey a facility can request a Rapid Response Team -
ANS-60
Amount of days still considered timely by physician after a visit is required - ANS-10 days
Amount of fresh air mixing required from an air system - ANS-10%
Amount of time required to retain discharge resident records - ANS-5 years after discharge
Amount of time required to retain nursing schedules - ANS-2 years
An application for renewal will be considered timely is it received in DADS' Licensing and
Credentialing Section, Regulatory Services Division within how many days after the
postmark? - ANS-15 days. (c) If the application is postmarked by the submission deadline,
the application will be considered timely if received in DADS' Licensing and Credentialing
Section, Regulatory Services Division within 15 days after the postmark.
An incident that appears to be of a serious nature can be investigated under the direction of
which of the following? - ANS-The Administrator
An initial monthly claim must be received by TDADS within... - ANS-180 days
Annual CEU hours for CNAs - ANS-12 hours
Annual cost reports to TDADS are due - ANS-3 months after provider fiscal year ends
As far as heating and coolness in a facility, what needs to be the standard given to all
residents? - ANS-Comfortable and safe temperature levels. Facilities initially licensed or
certified after October 1, 1990, must maintain temperature ranges of 71-81° F.
As part of Self-Determination, the resident has the right to: - ANS-Self-determination and
participation. The resident has the right to:
(A) choose activities, schedules, and health care consistent with the resident's interests,
assessments, and plans of care;
(B) interact with members of the community both inside and outside of the facility; and
Exam
"Mental/psychological abuse" is defined as what? - ANS-Mistreatment within the definition of
"abuse" not resulting in physical harm, including, but not limited to, humiliation, harassment,
threats of punishment, deprivation, or intimidation.
(2) Additional Requirements for facilities or distinct parts of facilities that are certified for
Medicare-only participation are in? - ANS-Chapter 42, Code of Federal Regulations,
§§483.5- 483.75. OBRA
(a) During the license term, a license holder may not increase capacity without approval from
the Texas Department of Human Services (DHS). The license holder must submit to DHS a
complete application for increase in capacity and the fee required. If DHS approves the
increase, what happens next? - ANS-(b) Upon approval of an increase in capacity, DHS will
issue a new license.
(b) General information required. An applicant must
file with DADS an application which contains: (1) for initial applications and change of
ownership only, evidence of the right to possession of the facility at the time the application
will be granted, which may be satisfied by the submission of applicable portions of a lease
agreement, deed or trust, or appropriate legal document. (2) a certificate of good standing
issued by who? - ANS-the Comptroller of Public Accounts
1) Certain requirements are specific to Medicaid-certified facilities and are so designated.
The Medicaid-specific requirements apply to all residents, including, but not limited to: -
ANS-Private pay, Medicaid applicants and recipients, VA patients, and Medicare recipients,
who are admitted to and reside in a Medicaid-certified facility or a Medicaid-certified distinct
part of a facility.
A change of ownership license is only a temporary license that is good for how many days? -
ANS-90 days. (e) A change of ownership license is a 90- day temporary license issued to an
applicant who proposes to become the new operator of a nursing facility that exists on the
date the application is submitted.
A continued stay review must be completed every _____ days - ANS-180
A facility must assist residents with obtaining routine and __________ dental care - ANS-24
hour emergency
A facility must comply with which version of the NFPA Life Safety code? - ANS-2000
The facility must meet the applicable provisions of the 2000 edition of the Life Safety Code of
the National Fire Protection Association (NFPA). The Life Safety Code is available for
inspection at the Office of the Federal Register Information Center, Washington, D.C.
A facility must have a full-time qualified social worker if they have how many beds or more? -
ANS-120 or more. (a) The facility must provide medically- related social services to attain the
highest practicable physical, mental, or psychosocial well-being of each resident. See also
§19.901 of this title (relating to Quality of Care) for information concerning psychosocial
functioning.
,(1) A facility with more than 120 beds must employ a qualified social worker on a full-time
basis.
A facility must have a minimum of how many days supply of nonperishable staple foods? -
ANS-7 days.
(k) Food storage areas.
(1) Food storage areas must provide for storage of a 7- day minimum supply of
nonperishable staple foods and a 2-day supply of perishable foods at all times.
A facility must keep a supply of how much Perishable Food? - ANS-2 Days worth. (f) The
dietary department must keep a seven-day supply of staple foods and a two-day supply of
perishable foods at all times. The facility is allowed the flexibility to use food on hand to
make substitutions at any interval as long as comparable nutritional value is maintained.
A facility must retain the records of those who have
completed a state approved training course for Paid Feeding Assistants. What is the
minimum content that should be on those records? - ANS-The date and location of the
course, Trainer's name, and a statement that the course was completed successfully.
(b) Maintenance of records. The facility must maintain a record of all individuals used by the
facility as paid feeding assistants who have successfully completed the state- approved
training course for paid feeding assistants. At a minimum, documentation must include the
date and location of the course, the name of the trainer, and a statement that the course was
successfully completed.
A nursing facility that has multiple floors and 201 to 350 resident beds on floors other than
the main entrance floor or where the major inpatient services are located, must have how
many elevators? - ANS-3
At least three (one of which must be hospital-type) elevators must be installed where 201 to
350 resident beds are located on floors other than the main entrance floor or where the
major inpatient services are located on a floor other than those containing resident beds.
Elevator service may be reduced for those floors which provide only partial inpatient services
A nursing home is at capacity with 58 residents; how many monthly hours of dietary
consultation must they have at a minimum? - ANS-8 hours monthly
The facility must ensure a qualified dietitian is available as frequently and for such time as is
necessary to assure each resident a diet that meets the daily nutritional and special dietary
needs of each resident, based upon the acuity and clinical needs of the resident. The facility
must ensure that monthly dietary consultant hours are provided, at a minimum, as follows:
(1) facility population: 60 residents or under - eight hours; (2) facility population: each
additional 30 residents or fraction thereof - four hours.
A qualified audiologist therapist is: - ANS-(i) is a Texas-licensed audiologist; or (ii) meets the
educational requirements for license and has accumulated, or is in the process of
accumulating, the supervised professional experience (the internship) required for license
A qualified dietitian is one who is qualified based upon either: - ANS-(A) registration by the
Commission on Dietetic Registration of the American Dietetic Association; or (B) licensure,
or provisional licensure, by the Texas State Board of Examiners of Dietitians. These
individuals must have one year of supervisory experience in dietetic service of a health care
facility.
A resident has the right to participate in what, regarding their stay in a nursing facility? -
ANS-Plan of Care
, You have a right to:
(10) participate in developing a plan of care, to refuse treatment, and to refuse to participate
in experimental research;
A resident's ADL's (Activities of Daily Living) are derived from what? - ANS-The
comprehensive assessment
(1) Activities of daily living (ADLs). Based on the comprehensive assessment of the resident,
the facility must ensure that: (A) a resident's abilities in activities of daily living do not
diminish unless the circumstances of the individual's clinical condition demonstrate that
diminution is unavoidable
A written report of suspected abuse is required by TDADs within... - ANS-5 days
After filing a phone report of abuse, the facility must conduct an investigation. A written
report of the investigation must be sent no later than how many days after the oral report? -
ANS-A facility owner or employee who has cause to believe that the physical or mental
health or welfare of a resident has been or may be adversely affected by abuse, neglect, or
exploitation caused by another person must report the abuse, neglect, or exploitation. (1)
The person reporting must make the telephone report immediately on learning of the alleged
abuse, neglect, exploitation, conduct, or conditions. (2) The facility must conduct an
investigation of the reported act(s). A written report of the investigation must be sent no later
than the fifth working day after the oral report.
All facilities must send the Texas Department of Human Services a report of the deaths of all
persons residing in the facility within how many working days after the last day of the month
in which the resident death occurs. - ANS-10 working days
Amount of days after an annual survey a facility can request a Rapid Response Team -
ANS-60
Amount of days still considered timely by physician after a visit is required - ANS-10 days
Amount of fresh air mixing required from an air system - ANS-10%
Amount of time required to retain discharge resident records - ANS-5 years after discharge
Amount of time required to retain nursing schedules - ANS-2 years
An application for renewal will be considered timely is it received in DADS' Licensing and
Credentialing Section, Regulatory Services Division within how many days after the
postmark? - ANS-15 days. (c) If the application is postmarked by the submission deadline,
the application will be considered timely if received in DADS' Licensing and Credentialing
Section, Regulatory Services Division within 15 days after the postmark.
An incident that appears to be of a serious nature can be investigated under the direction of
which of the following? - ANS-The Administrator
An initial monthly claim must be received by TDADS within... - ANS-180 days
Annual CEU hours for CNAs - ANS-12 hours
Annual cost reports to TDADS are due - ANS-3 months after provider fiscal year ends
As far as heating and coolness in a facility, what needs to be the standard given to all
residents? - ANS-Comfortable and safe temperature levels. Facilities initially licensed or
certified after October 1, 1990, must maintain temperature ranges of 71-81° F.
As part of Self-Determination, the resident has the right to: - ANS-Self-determination and
participation. The resident has the right to:
(A) choose activities, schedules, and health care consistent with the resident's interests,
assessments, and plans of care;
(B) interact with members of the community both inside and outside of the facility; and
