MISSOURI NURSING HOME
BOARD EXAM CORRECT 100%
How long must SNF keep personnel records? - ANSWER one year
How often must SNF bathe residents? - ANSWER As often as necessary to keep
resident clean
What types of activities must be offered? - ANSWER individualized, group, outdoor
What is maximum space between kitchen wall and sink? - ANSWER 1/32 inch
In intermediate care facility, the requirements for a RN include? - ANSWER An RN
consultant must provide a minimum of 4 hours per week if DON is LPN
What is the maximum number of residents that may be in single unit of an SNF and
ICF? - ANSWER 60
What is true about fire drills? - ANSWER -12/year
-rotate shifts
-4 unannounced
-1 simulated evacuation
-fire alarm must be activated at night, does not have to be sounded.
What is a distinct part? - ANSWER portion certified SNF or NF services. Must be
physically different (wing, ward, hallway)
How many residents must be in a facility for a survey to be done? - ANSWER two
What must be done if administrator of DON changes? - ANSWER written notification to
the state
What does it mean that a facility is allowed only two changes in size of distinct part in
cost reporting year? - ANSWER two increases in size
one increase/one decrease
NOT TWO DECREASES IN SIZE
If change in operator, what must be done? - ANSWER Submit change in writing within
five days
What are assessment areas for Medicaid eligibility? - ANSWER mobility, dietary,
restorative service, monitoring, medication, behavior, treatments, personal care,
rehabilitation.
, How many points must a person have to be eligible for SNF? - ANSWER 51 for SNF,
18-48 for ILF. Special review for 15 and 51 points.
What is a class I deficiency? - ANSWER IMMEDIATE DANGER to health, safety, or
welfare, or substantial probability of death or serious injury or harm
What is a class II deficiency? - ANSWER Direct or immediate relationship to health,
safety, or welfare.
What is a class II deficiency? - ANSWER Indirect or potential impact.
What does substantial noncompliance mean? - ANSWER When Class I or Class II is
not corrected at revisit.
What are state requirements for discharge? - ANSWER -failure to readmit if discharged
and not allowed back...must have consent to move. State requires documentation by
DON or Admin as to why need for transfer. STATE requires ombudsman is provided
copy of discharge notice
What is good cause waiver? - ANSWER DHSS can grant waiver to persons with
criminal background hiring exclusion
How many hours of training does CNA program require? - ANSWER 75 classroom
hours, 100 OJT
How much space must be available around beds in resident rooms? - ANSWER 3 feed
around beds.
How much square footage in resident room? - ANSWER 80 square feet.
What are lighting requirements for resident rooms? - ANSWER lighting equivalent to 10
ft. candles, night light, reading light.
What are requirements for mirrors in rooms? - ANSWER 3 feet high with bottom no
more than 3'4" above floor.
What is private room requirement? - ANSWER two private rooms for isolation. Don't
have to leave them open.
What are requirements for hallways? - ANSWER 8 feet wide, nothing in hall.
What are requirements for doors? - ANSWER from sleeping to treatment: 44"
From individual toilets: 32"
From centralized areas (dining, activities) 36"
Resident room doors: must swing inward,
BOARD EXAM CORRECT 100%
How long must SNF keep personnel records? - ANSWER one year
How often must SNF bathe residents? - ANSWER As often as necessary to keep
resident clean
What types of activities must be offered? - ANSWER individualized, group, outdoor
What is maximum space between kitchen wall and sink? - ANSWER 1/32 inch
In intermediate care facility, the requirements for a RN include? - ANSWER An RN
consultant must provide a minimum of 4 hours per week if DON is LPN
What is the maximum number of residents that may be in single unit of an SNF and
ICF? - ANSWER 60
What is true about fire drills? - ANSWER -12/year
-rotate shifts
-4 unannounced
-1 simulated evacuation
-fire alarm must be activated at night, does not have to be sounded.
What is a distinct part? - ANSWER portion certified SNF or NF services. Must be
physically different (wing, ward, hallway)
How many residents must be in a facility for a survey to be done? - ANSWER two
What must be done if administrator of DON changes? - ANSWER written notification to
the state
What does it mean that a facility is allowed only two changes in size of distinct part in
cost reporting year? - ANSWER two increases in size
one increase/one decrease
NOT TWO DECREASES IN SIZE
If change in operator, what must be done? - ANSWER Submit change in writing within
five days
What are assessment areas for Medicaid eligibility? - ANSWER mobility, dietary,
restorative service, monitoring, medication, behavior, treatments, personal care,
rehabilitation.
, How many points must a person have to be eligible for SNF? - ANSWER 51 for SNF,
18-48 for ILF. Special review for 15 and 51 points.
What is a class I deficiency? - ANSWER IMMEDIATE DANGER to health, safety, or
welfare, or substantial probability of death or serious injury or harm
What is a class II deficiency? - ANSWER Direct or immediate relationship to health,
safety, or welfare.
What is a class II deficiency? - ANSWER Indirect or potential impact.
What does substantial noncompliance mean? - ANSWER When Class I or Class II is
not corrected at revisit.
What are state requirements for discharge? - ANSWER -failure to readmit if discharged
and not allowed back...must have consent to move. State requires documentation by
DON or Admin as to why need for transfer. STATE requires ombudsman is provided
copy of discharge notice
What is good cause waiver? - ANSWER DHSS can grant waiver to persons with
criminal background hiring exclusion
How many hours of training does CNA program require? - ANSWER 75 classroom
hours, 100 OJT
How much space must be available around beds in resident rooms? - ANSWER 3 feed
around beds.
How much square footage in resident room? - ANSWER 80 square feet.
What are lighting requirements for resident rooms? - ANSWER lighting equivalent to 10
ft. candles, night light, reading light.
What are requirements for mirrors in rooms? - ANSWER 3 feet high with bottom no
more than 3'4" above floor.
What is private room requirement? - ANSWER two private rooms for isolation. Don't
have to leave them open.
What are requirements for hallways? - ANSWER 8 feet wide, nothing in hall.
What are requirements for doors? - ANSWER from sleeping to treatment: 44"
From individual toilets: 32"
From centralized areas (dining, activities) 36"
Resident room doors: must swing inward,
