NHA LINE OF SERVICE QUESTIONS & ANSWERS
Where changes are made to charges for other items and services that the facility offers,
the facility must inform the resident in writing at least - Answer -60 days prior to
implementation of the change.
The facility must provide the resident with access to personal and medical records
pertaining to their self, upon an oral and written request, in the form and format
requested by the individual, if it is readily producible in such form and format (including
in an electronic form or format when such records are maintained electronically) or if
not, in a readable hard copy form or such other form agreed to by the facility and the
individual within - Answer -24 hours
The facility must allow the resident to obtain a copy of the records or any portion there
of upon request and - Answer -2 working days advance notice to the facility
The facility must have reports with respect to any surveys, certifications, and complaint
investigations made respecting the facility along with plans of correction in effect with
respect to the facility, available for any individual to review upon request. - Answer -3
preceding years
The facility must notify each resident that receives Medicaid benefits when the amount
in the residents account reaches - Answer -$200 less than the SSI resource limit
Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment,
including injuries of unknown source and misappropriation of resident property, are
reported immediately, but not later than ________________ after the allegation is
made, if the events that cause the allegation involve abuse or result in serious bodily
injury - Answer -2 hours
not later than _________ hours if the events that cause the allegation do not involve
abuse and do not result in serious bodily injury, to the administrator of the facility and to
other officials (including to the State Survey Agency and adult protective services where
state law provides for jurisdiction in long-term care facilities) in accordance with State
law through established procedures. - Answer -24
Report the results of all investigations to the administrator or his or her designated
representative and to other officials in accordance with State law, including to the State
Survey Agency, within ________________________ of the incident, and if the alleged
violation is verified appropriate corrective action must be taken. - Answer -5 working
days
the notice of transfer or discharge required under this section must be made by the
facility at least _______ days before the resident is transferred or discharged. - Answer
-30
,Comprehensive careplan. Within ______ calendar days after admission, excluding
readmissions in which there is no significant change in the resident's physical or mental
condition. (For purposes of this section, "readmission" means a return to the facility
following a temporary absence for hospitalization or for therapeutic leave.) - Answer -14
Comprehensive care plan. Within _______ calendar days after the facility determines,
or should have determined, that there has been a significant change in the resident's
physical or mental condition. (For purposes of this section, a "significant change" means
a major decline or improvement in the resident's status that will not normally resolve
itself without further intervention by staff or by implementing standard disease-related
clinical interventions, that has an impact on more than one area of the resident's health
status, and requires interdisciplinary review or revision of the care plan, or both.) -
Answer -14
Quarterly review assessment. A facility must assess a resident using the quarterly
review instrument specified by the State and approved by CMS not less frequently than
- Answer -once every 3 months.
A facility must maintain all resident assessments completed within the previous
________________ months in the resident's active record and use the results of the
assessments to develop, review, and revise the resident's comprehensive plan of care. -
Answer -15 months
The facility must deposit the resident's personal funds in excess of $_____ in an interest
bearing account that is separate from any of the facility's operating accounts, and that
credits all interest earned on resident's funds to that account. - Answer -$50
(iv) The facility must refund to the resident or resident representative any and all refunds
due the resident within - Answer -30 days from the resident's date of discharge from the
facility.
Comfortable and safe temperature levels. Facilities initially certified after October 1,
1990 must maintain a temperature range of - Answer -71 to 81 °F
Maintaining evidence demonstrating the results of all grievances for a period of no less
than - Answer -3 years from the issuance of the grievance decision.
(B) Each covered individual shall report immediately, but not later than
_______________ after forming the suspicion, if the events that cause the suspicion
result in serious bodily injury, or not later than __________ if the events that cause the
suspicion do not result in serious bodily injury. - Answer -2 hours or 24 hours
The baseline care plan must be developed within ______ hours. and must include: -
Answer -48 hours of a resident's admission.
(A) Initial goals based on admission orders.
, (B) Physician orders.
(C) Dietary orders.
(D) Therapy services.
(E) Social services.
(F) PASARR recommendation, if applicable.
A comprehensive care plan must be - Answer -(i) Developed within 7 days after
completion of the comprehensive assessment.
The comprehensive care plan must - Answer -(ii) Prepared by an interdisciplinary team,
that includes but is not limited to—
(A) The attending physician.
(B) A registered nurse with responsibility for the resident.
(C) A nurse aide with responsibility for the resident.
(D) A member of food and nutrition services staff.
(E) To the extent practicable, the participation of the resident and the resident's
representative(s). An explanation must be included in a resident's medical record if the
participation of the resident and their resident representative is determined not
practicable for the development of the resident's care plan.
(F) Other appropriate staff or professionals in disciplines as determined by the resident's
needs or as requested by the resident.
The activities program must be directed by a qualified professional who is a qualified
therapeutic recreation specialist or an activities professional who— - Answer -(i) Is
licensed or registered, if applicable, by the State in which practicing; and Is:
(A) Eligible for certification as a therapeutic recreation specialist or as an activities
professional by a recognized accrediting body on or after October 1, 1990; or
(B) Has 2 years of experience in a social or recreational program within the last 5 years,
one of which was full-time in a therapeutic activities program; or
(C) Is a qualified occupational therapist or occupational therapy assistant; or
(D) Has completed a training course approved by the State.
Certified Nursing Aide dementia training - Answer -8 hours a year
Re-registration for CNA - Answer -Re-registration each 2 years and must have worked
8 hours in those 2 years.
Social worker requirements - Answer -More than 120 bed facility and the social worker
must have at least bachelors degree in social work or in human services field
(sociology, special ed, rehab, counseling, psychology etc) PLUS one year supervised
SW experience working with individuals in a health care facility.
Span of management - Answer -How many employees a supervisor can effective
supervise. Usually 8-12 at line level. |DEPENDS:|- difficulty of task|- clearness of
policies/procedures|- training|- how well supervisor communicates|- experience|-
closeness of control required
Where changes are made to charges for other items and services that the facility offers,
the facility must inform the resident in writing at least - Answer -60 days prior to
implementation of the change.
The facility must provide the resident with access to personal and medical records
pertaining to their self, upon an oral and written request, in the form and format
requested by the individual, if it is readily producible in such form and format (including
in an electronic form or format when such records are maintained electronically) or if
not, in a readable hard copy form or such other form agreed to by the facility and the
individual within - Answer -24 hours
The facility must allow the resident to obtain a copy of the records or any portion there
of upon request and - Answer -2 working days advance notice to the facility
The facility must have reports with respect to any surveys, certifications, and complaint
investigations made respecting the facility along with plans of correction in effect with
respect to the facility, available for any individual to review upon request. - Answer -3
preceding years
The facility must notify each resident that receives Medicaid benefits when the amount
in the residents account reaches - Answer -$200 less than the SSI resource limit
Ensure that all alleged violations involving abuse, neglect, exploitation or mistreatment,
including injuries of unknown source and misappropriation of resident property, are
reported immediately, but not later than ________________ after the allegation is
made, if the events that cause the allegation involve abuse or result in serious bodily
injury - Answer -2 hours
not later than _________ hours if the events that cause the allegation do not involve
abuse and do not result in serious bodily injury, to the administrator of the facility and to
other officials (including to the State Survey Agency and adult protective services where
state law provides for jurisdiction in long-term care facilities) in accordance with State
law through established procedures. - Answer -24
Report the results of all investigations to the administrator or his or her designated
representative and to other officials in accordance with State law, including to the State
Survey Agency, within ________________________ of the incident, and if the alleged
violation is verified appropriate corrective action must be taken. - Answer -5 working
days
the notice of transfer or discharge required under this section must be made by the
facility at least _______ days before the resident is transferred or discharged. - Answer
-30
,Comprehensive careplan. Within ______ calendar days after admission, excluding
readmissions in which there is no significant change in the resident's physical or mental
condition. (For purposes of this section, "readmission" means a return to the facility
following a temporary absence for hospitalization or for therapeutic leave.) - Answer -14
Comprehensive care plan. Within _______ calendar days after the facility determines,
or should have determined, that there has been a significant change in the resident's
physical or mental condition. (For purposes of this section, a "significant change" means
a major decline or improvement in the resident's status that will not normally resolve
itself without further intervention by staff or by implementing standard disease-related
clinical interventions, that has an impact on more than one area of the resident's health
status, and requires interdisciplinary review or revision of the care plan, or both.) -
Answer -14
Quarterly review assessment. A facility must assess a resident using the quarterly
review instrument specified by the State and approved by CMS not less frequently than
- Answer -once every 3 months.
A facility must maintain all resident assessments completed within the previous
________________ months in the resident's active record and use the results of the
assessments to develop, review, and revise the resident's comprehensive plan of care. -
Answer -15 months
The facility must deposit the resident's personal funds in excess of $_____ in an interest
bearing account that is separate from any of the facility's operating accounts, and that
credits all interest earned on resident's funds to that account. - Answer -$50
(iv) The facility must refund to the resident or resident representative any and all refunds
due the resident within - Answer -30 days from the resident's date of discharge from the
facility.
Comfortable and safe temperature levels. Facilities initially certified after October 1,
1990 must maintain a temperature range of - Answer -71 to 81 °F
Maintaining evidence demonstrating the results of all grievances for a period of no less
than - Answer -3 years from the issuance of the grievance decision.
(B) Each covered individual shall report immediately, but not later than
_______________ after forming the suspicion, if the events that cause the suspicion
result in serious bodily injury, or not later than __________ if the events that cause the
suspicion do not result in serious bodily injury. - Answer -2 hours or 24 hours
The baseline care plan must be developed within ______ hours. and must include: -
Answer -48 hours of a resident's admission.
(A) Initial goals based on admission orders.
, (B) Physician orders.
(C) Dietary orders.
(D) Therapy services.
(E) Social services.
(F) PASARR recommendation, if applicable.
A comprehensive care plan must be - Answer -(i) Developed within 7 days after
completion of the comprehensive assessment.
The comprehensive care plan must - Answer -(ii) Prepared by an interdisciplinary team,
that includes but is not limited to—
(A) The attending physician.
(B) A registered nurse with responsibility for the resident.
(C) A nurse aide with responsibility for the resident.
(D) A member of food and nutrition services staff.
(E) To the extent practicable, the participation of the resident and the resident's
representative(s). An explanation must be included in a resident's medical record if the
participation of the resident and their resident representative is determined not
practicable for the development of the resident's care plan.
(F) Other appropriate staff or professionals in disciplines as determined by the resident's
needs or as requested by the resident.
The activities program must be directed by a qualified professional who is a qualified
therapeutic recreation specialist or an activities professional who— - Answer -(i) Is
licensed or registered, if applicable, by the State in which practicing; and Is:
(A) Eligible for certification as a therapeutic recreation specialist or as an activities
professional by a recognized accrediting body on or after October 1, 1990; or
(B) Has 2 years of experience in a social or recreational program within the last 5 years,
one of which was full-time in a therapeutic activities program; or
(C) Is a qualified occupational therapist or occupational therapy assistant; or
(D) Has completed a training course approved by the State.
Certified Nursing Aide dementia training - Answer -8 hours a year
Re-registration for CNA - Answer -Re-registration each 2 years and must have worked
8 hours in those 2 years.
Social worker requirements - Answer -More than 120 bed facility and the social worker
must have at least bachelors degree in social work or in human services field
(sociology, special ed, rehab, counseling, psychology etc) PLUS one year supervised
SW experience working with individuals in a health care facility.
Span of management - Answer -How many employees a supervisor can effective
supervise. Usually 8-12 at line level. |DEPENDS:|- difficulty of task|- clearness of
policies/procedures|- training|- how well supervisor communicates|- experience|-
closeness of control required
