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What is a comfortable temperature? - ANSWERS-71-81 degrees
How should privacy curtains be hung? - ANSWERS-Must be hung from
the ceiling and extend around the bed to provide total visual privacy .
What is the window requirement for residents rooms? - ANSWERS-
Must have an outside window or outside door in every sleeping room,
sill height must not exceed 36 inches above the floor.
What is the requirement for bathroom facilities? - ANSWERS-each
resident room must have it's own bathroom equipped with a commode
and sink (built after 2016)
How often use a resident receive a financial statement? - ANSWERS-
quarterly and upon request
What amount of money must be kept in an interest bearing account? -
ANSWERS-$50
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When must a facility notify a Medicaid resident of the amount of money
in their account? - ANSWERS-When the account reaches $200 of the
eligibility limit.
How can the software help determine the new admissions? -
ANSWERS-Any residents on the alphabetical list from the facility that
are not in the software should be the admissions in the last 30 days
When should QAPI/QAA task be completed? - ANSWERS-At the end
of the survey
What should be discussed at End of Day meetings? - ANSWERS-were
offsite concerns validated?
were new systemic concerns validated?
has more than 1 surveyor identified and validated the same concern?
Make a list of the concerns that facility should be aware of/.
What does an Extended Survey further evaluate? - ANSWERS-
Physician services (483.30)
Nursing Services (483.35)
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Administration (483.70)
QAPI (483.75)
Infection Control (483.80) if applicable
Training (483.95) if applicable
Resident Assessment (483.20) if def. in QOC triggered
What is Extent? - ANSWERS-prevalence or frequency
What is universe - ANSWERS-total number affected or at risk from
deficient practice
What is disputed in and IDR - ANSWERS-Provider can dispute factual
accuracies with state agency
What is disputed in an IDDR - ANSWERS-Provider can dispute with an
entity separate from the state agency when CMPs are imposed
What is a Formal Appeal? - ANSWERS-An appeal heard with
Administrative Law Judge. Both sides use lawyers, it is adversarial.
CMS and provider are subject to cross-examination. If either side is
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unsatisfied with results it can be appealed to the DAB (Departmental
Appeals Board).
What is Judicial Review - ANSWERS-A provider may request (CMS
may not) if unsatisfied with DAB.
During a formal appeal, does CMS have the responsibility of showing
why the provider should have enforcement? - ANSWERS-Yes
What area trigger an extended survey? - ANSWERS-Residents rights
483.10
Abuse 483.12
QOL 483.24
QOC 483.25
Behavioral Health 483.40
Pharmacy 483.45
Administration 483.7
Infection Control 483.80
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