NAB NHA Exam- Physical, Environmental, and Atmosphere
Study online at https://quizlet.com/_3etly
1. the physical plant all designed, constructed, equipped, and maintained to protect health and safety
of residents, personnel, public
2. Life Safety Code Entire construction plan and materials meet LSC standards|||CMS requires un-
(LSC) less have waiver or exception. CMS grants waivers on SNFs; states on NFs
3. (NFPA) National Fire Protection Association ||established LSC
4. Purpose of LSC to provide reasonable degree of safety from fire.
5. Waivers for Life If CMS finds a state fire and safety code adequately protects residents and
Safety Code personnel thenLSC does not apply. OLder facilities may obtain a waiver if they
are and have been in compliance with an older addition of LSC as specified by
CMS.||Before a nursing home may be built it must present architectural plant
to State Medicaid or designated agency that approves construction. All major
renovations, such as additional beds, change in utilization of space, and so on
must receive approval. The state provides guidelines on what must be a approved.
Upkeep and repairs do not require prior approaval.
6. Blue Prints keep as-built plans available for surveyors who do LSC inspection as well as for
repair persons who may need prints for big jobs.
7. LSC and other Building and contact standards are set by LSC, CMS, ANSI/ADAAG - (dependent on
standards which the state chooses) and state and local codes. ||- for handicapped|-follow
which on specific state requires (ANSI/ADAAG)
8. LSC and LSC accepts both standards so they are essentially all LSC standards. Administrator
ANSI/ADAAG does not need to know EVERY standard, but must keep a copy of the "LSC
Handbook" as reference. The architect who designs the facility must know and
incorporate all LSC and other standards, but it is advisable for the NHA to check
his building to ensure compliance.
9.
, NAB NHA Exam- Physical, Environmental, and Atmosphere
Study online at https://quizlet.com/_3etly
LSC, **- building materials - fire-rate according to number of stories. 2 hour and
ANSI/ADAAG, 1 hour rating|**- sprinklers - new buildings have automatically activated by
and CMS smoke/heat|- exits - no room more than 100 feet from exit. Lighted exit signs of
specific size. |- walls extend continuously to roof deck of next floor. wall finish must
meet flame-spread requirements ( have certificate of this)|- furnishings - curtains
and carpet must meet fire rating|- rooms - CMS requirements - 4 residents to
room MAX. 80 sq ft/resident (multi-resident room), 100 sq ft for single occupancy.
10. requirement for - direct access to corridor|- outside window (CMS) or door (LSC)|- privacy|- fur-
rooms| nishing| separate bed, proper size and height| bedding appropriate to climate|
individual closet space| bedside table| comfortable chair| enough overbid tables
to meet needs of rsidents|- toilets (CMS, ANSI, ADA)|- bathing facilities (CMS)|-
resident call system (CMS, LSC) 24/7 - back up system available|- temperature
range (71-81 degree F) (three feet above floor), states set actual, A/C not required
11. Doors All 44" or more in new construction (41.5 opening)|outside doors open
egress.|no locks on resident door except staff has key (LSC)||Bathroom door
32" (ANSI/ADAAG)||Fire Doors with automatic hold-open devices required in
corridors||(over bed tables not required for patient)
12. corridors no dead-ends (LSC)||8 feet wide (CMS)
13. Floors at or above ground level. (LSC) |Fire rating if carpeted. (LSC)|Non-slip bath/toilet
(ANSI, LSC)|Asphalt tile best
14. Fire alarms flashing and audible. |connect with local fire dept, if possible|must have NFPA 71
certification of fire alarm service|
15. smoke detectors approved detectors requried
16. smoking written regulations, enforced. |smoking ares with non-combustible ashtrays,
metal containers with self-closing lids.|Prohibited areas include resident rooms
Study online at https://quizlet.com/_3etly
1. the physical plant all designed, constructed, equipped, and maintained to protect health and safety
of residents, personnel, public
2. Life Safety Code Entire construction plan and materials meet LSC standards|||CMS requires un-
(LSC) less have waiver or exception. CMS grants waivers on SNFs; states on NFs
3. (NFPA) National Fire Protection Association ||established LSC
4. Purpose of LSC to provide reasonable degree of safety from fire.
5. Waivers for Life If CMS finds a state fire and safety code adequately protects residents and
Safety Code personnel thenLSC does not apply. OLder facilities may obtain a waiver if they
are and have been in compliance with an older addition of LSC as specified by
CMS.||Before a nursing home may be built it must present architectural plant
to State Medicaid or designated agency that approves construction. All major
renovations, such as additional beds, change in utilization of space, and so on
must receive approval. The state provides guidelines on what must be a approved.
Upkeep and repairs do not require prior approaval.
6. Blue Prints keep as-built plans available for surveyors who do LSC inspection as well as for
repair persons who may need prints for big jobs.
7. LSC and other Building and contact standards are set by LSC, CMS, ANSI/ADAAG - (dependent on
standards which the state chooses) and state and local codes. ||- for handicapped|-follow
which on specific state requires (ANSI/ADAAG)
8. LSC and LSC accepts both standards so they are essentially all LSC standards. Administrator
ANSI/ADAAG does not need to know EVERY standard, but must keep a copy of the "LSC
Handbook" as reference. The architect who designs the facility must know and
incorporate all LSC and other standards, but it is advisable for the NHA to check
his building to ensure compliance.
9.
, NAB NHA Exam- Physical, Environmental, and Atmosphere
Study online at https://quizlet.com/_3etly
LSC, **- building materials - fire-rate according to number of stories. 2 hour and
ANSI/ADAAG, 1 hour rating|**- sprinklers - new buildings have automatically activated by
and CMS smoke/heat|- exits - no room more than 100 feet from exit. Lighted exit signs of
specific size. |- walls extend continuously to roof deck of next floor. wall finish must
meet flame-spread requirements ( have certificate of this)|- furnishings - curtains
and carpet must meet fire rating|- rooms - CMS requirements - 4 residents to
room MAX. 80 sq ft/resident (multi-resident room), 100 sq ft for single occupancy.
10. requirement for - direct access to corridor|- outside window (CMS) or door (LSC)|- privacy|- fur-
rooms| nishing| separate bed, proper size and height| bedding appropriate to climate|
individual closet space| bedside table| comfortable chair| enough overbid tables
to meet needs of rsidents|- toilets (CMS, ANSI, ADA)|- bathing facilities (CMS)|-
resident call system (CMS, LSC) 24/7 - back up system available|- temperature
range (71-81 degree F) (three feet above floor), states set actual, A/C not required
11. Doors All 44" or more in new construction (41.5 opening)|outside doors open
egress.|no locks on resident door except staff has key (LSC)||Bathroom door
32" (ANSI/ADAAG)||Fire Doors with automatic hold-open devices required in
corridors||(over bed tables not required for patient)
12. corridors no dead-ends (LSC)||8 feet wide (CMS)
13. Floors at or above ground level. (LSC) |Fire rating if carpeted. (LSC)|Non-slip bath/toilet
(ANSI, LSC)|Asphalt tile best
14. Fire alarms flashing and audible. |connect with local fire dept, if possible|must have NFPA 71
certification of fire alarm service|
15. smoke detectors approved detectors requried
16. smoking written regulations, enforced. |smoking ares with non-combustible ashtrays,
metal containers with self-closing lids.|Prohibited areas include resident rooms
