Texas LTC Practice Tests 1-7 -Solved
14. How many years (or equivalent) must a long term care administrator appointed to
serve the OSBELTCA have, in addition to being currently license? - ANSWER-5 years
of experience as an administrator (63, Chapter 12)
4. What is the minimum floor area for a room for examination and treatment of
residents? What are the exceptions for the requirement of such a room? - ANSWER-
120 sq ft (310:675-5-4(3) page 17
A resident (minor) age 16, dies in your facility. You are required to keep such clinical
records for a minimum of 2 years after the age of 18. Can you destroy these records
when this resident's 20th birthday comes around? - ANSWER-16+2=18+2=20 NO
310:675-7-10-1(b) page 42
A resident (minor), age 12 dies in your facility. You are required to keep such clinical
records for a minimum of 2 years after the age of 18. Can you destroy these records
when this resident's 20th birthday comes around? - ANSWER-12+6=18 +2=20 YES
310:675-7-10-1(b) page 42
A telephone report of all incidents pertaining to allegations of resident abuse, death
other than natural, residents missing and other critical incidents to the Oklahoma State
Department of Health shall be made within how many hours? - ANSWER-Initial repots
are to be made within 24 hours. Follow-up reports within 5 days Final reports within 10
days. (310:675-7-5-1 (a) page 33)
According to Health Department Standards, how frequently is your facility required to
provide in-service training for fire safety and first aid? - ANSWER-Two hours of fire
safety and fire aid classes semi-annually (310:675-13-5(e) page 80)
According to Health Department standards, what is the minimum dietary storage space
(how many days supply) including cold storage? - ANSWER-Storage space for 4 days'
supply including cold storage (310:675-5-9(2) page 19)
According to OSBELTCA rules, how many days do you have to notify them of the
relocation of your business or personal mailing address? - ANSWER-15 calendar days.
(490:1302(f) page 34)
According to the Adult Day Care Act, how are local health, fire and Building codes
classified for an adult day care center? - ANSWER-Local health, fire and building codes
relating to adult day care centers shall be classified as an education use group. 63-1-
873 (F) page 3
,According to the Nursing Home Care Act, what portion of an administrator's full working
time shall be spent on on-the-job supervision of the nursing home? - ANSWER-1/3 of
such person's time on-the-job supervision of the facility (63-1-1902
After the initial assessment, how long does the facility have to complete the care plan
for the resident? - ANSWER-An initial care plan shall be completed at the time of
admission. The individualized care plan shall be completed within 21 days after
admission. A care plan shall be completed within 7 days after completion of the
assessment (310:765-9-5-1(c)(3)(E)&(F) page 61
Are the records of the residents advisory council mailed to the Health Department? -
ANSWER-No minutes of the resident's council meeting shall be prepared by the facility
staff and maintained in the facility. (310:675-7-7-1(d) page 38)
As assisted living center may maintain certain nonprescription drugs for dispensing from
a common or bulk supply. Once of the many requirements for this includes that the
assisted living center shall not acquire nor maintain a liquid medication in a package
size that exceeds what size limitation? - ANSWER-16 ounces (310:66319-2(7) Page 29)
Can milk be stored in a frozen state? - ANSWER-No shall be stored at a temperature of
41 degrees or below and shall not be stored in a frozen state. 310:675-9-13-1 page 72
Can you write in the records of Residential Care facility residents in pencil? What is the
minimum information required? - ANSWER-In ink ad include resident's name, DOB,
Person to contact in case of emergency; written authorization for emergency
medical/dental services signed by the resident or responsible party; medical summary
to include quarterly weight or resident, medications, and dosages; the name address,
and telephone numbers of resident's physician and dentist; a record of the resident's
illnesses, accidents, and unusual occurrence while a resident of the home; an
accounting of the resident's funds received and/or distributed by the residential care
home (310:60-3-7(b)(1-9) page 11)
Can your facility have a policy that excludes personnel and visitors with communicable
infections in order to break the transmission of infections? - ANSWER-The facility shall
adopt a policy to prevent the transmission of infection. It shall include: (1) excluding
personnel and visitors with communicable infections. (310:675-7-17-1 (c) (1) page 49)
Complaints classified as "immediate jeopardy" shall be investigated by the Department
of Health within how many days? - ANSWER-2 working days 310:675-7-6-1(4)(A) page
36
Concerning CEU's, if the NAB has approved a class for credit, can you presume that
OSBELTCA will also approve that class? - ANSWER-Yes. (490:1-9-1 (e) page 11
, Do employees at a nursing facility have to be properly identifiable to others concerned -
ANSWER-Each facility shall ensure that each staff member wears an identification
badge that clearly indicates the staff members name and title. (310:675-1-3 page 6)
Do residents always have the right to refuse medication and treatment after being fully
informed of and understand the consequences of such action? - ANSWER-Yes after
being fully informed of and understand the consequences of such actions unless
adjudged to be mentally incapacitated. (63-1-1918(5) page 35
Do residents have the right to be notified of a room or roommate change? - ANSWER-
Yes. Every resident shall have the right to receive notice before the room or roommate
of the resident I the facility is changed (63-1-1918(9) page 35)
Do residents have the right to self administer medications? - ANSWER-Yes, with
restrictions (310:675-9-9-1(9)(10) page 66
Do you have to have current licensure information available to the public? - ANSWER-
Yes. It shall conspicuously post for display in an area of its offices accessible to
residents, employees and visitors. (61-1-1909 (A) page 13)
Do you have to make Resident's Rights available to the public? - ANSWER-Yes. Must
be posted in a conspicuous, easily accessible location in each facility. (61-1-1918(A)
page 33).
Do you have to make your State Survey available to the public? - ANSWER-Yes. A
complete copy of every inspection report of the facility received from the Department
during the last 3 years (63-1-1919(1) page 14),
Does failure to receive renewal application relieve the license of the responsibility of
renewing the license, per OSBELTCA rules? - ANSWER-No It is the personal
responsibility of each licensee to renew his/her license prior to the expiration date of the
current license and further, to ensure that the information he/she provides for purposes
of renewal is true and accurate. (490:10-305)
Facilities must adopt a policy that requires reporting of the loss of personal affect to
whom, according to Health Department regulations? - ANSWER-To the administrator,
the resident, and the resident's representative and law enforcement if needed (310:675-
7-9.1 (p).
Fees for an adult day care center..who set them? Are they publically disclosed (or is
that an option? - ANSWER-The Center shall establish policies and procedures
governing rates and payments and they must public disclose 310:605-7-4 (3) A-C) page
8-9
For residents on Medicare, what are the key days that assessments are due? -
ANSWER-5, 14, 30, 60, 90
14. How many years (or equivalent) must a long term care administrator appointed to
serve the OSBELTCA have, in addition to being currently license? - ANSWER-5 years
of experience as an administrator (63, Chapter 12)
4. What is the minimum floor area for a room for examination and treatment of
residents? What are the exceptions for the requirement of such a room? - ANSWER-
120 sq ft (310:675-5-4(3) page 17
A resident (minor) age 16, dies in your facility. You are required to keep such clinical
records for a minimum of 2 years after the age of 18. Can you destroy these records
when this resident's 20th birthday comes around? - ANSWER-16+2=18+2=20 NO
310:675-7-10-1(b) page 42
A resident (minor), age 12 dies in your facility. You are required to keep such clinical
records for a minimum of 2 years after the age of 18. Can you destroy these records
when this resident's 20th birthday comes around? - ANSWER-12+6=18 +2=20 YES
310:675-7-10-1(b) page 42
A telephone report of all incidents pertaining to allegations of resident abuse, death
other than natural, residents missing and other critical incidents to the Oklahoma State
Department of Health shall be made within how many hours? - ANSWER-Initial repots
are to be made within 24 hours. Follow-up reports within 5 days Final reports within 10
days. (310:675-7-5-1 (a) page 33)
According to Health Department Standards, how frequently is your facility required to
provide in-service training for fire safety and first aid? - ANSWER-Two hours of fire
safety and fire aid classes semi-annually (310:675-13-5(e) page 80)
According to Health Department standards, what is the minimum dietary storage space
(how many days supply) including cold storage? - ANSWER-Storage space for 4 days'
supply including cold storage (310:675-5-9(2) page 19)
According to OSBELTCA rules, how many days do you have to notify them of the
relocation of your business or personal mailing address? - ANSWER-15 calendar days.
(490:1302(f) page 34)
According to the Adult Day Care Act, how are local health, fire and Building codes
classified for an adult day care center? - ANSWER-Local health, fire and building codes
relating to adult day care centers shall be classified as an education use group. 63-1-
873 (F) page 3
,According to the Nursing Home Care Act, what portion of an administrator's full working
time shall be spent on on-the-job supervision of the nursing home? - ANSWER-1/3 of
such person's time on-the-job supervision of the facility (63-1-1902
After the initial assessment, how long does the facility have to complete the care plan
for the resident? - ANSWER-An initial care plan shall be completed at the time of
admission. The individualized care plan shall be completed within 21 days after
admission. A care plan shall be completed within 7 days after completion of the
assessment (310:765-9-5-1(c)(3)(E)&(F) page 61
Are the records of the residents advisory council mailed to the Health Department? -
ANSWER-No minutes of the resident's council meeting shall be prepared by the facility
staff and maintained in the facility. (310:675-7-7-1(d) page 38)
As assisted living center may maintain certain nonprescription drugs for dispensing from
a common or bulk supply. Once of the many requirements for this includes that the
assisted living center shall not acquire nor maintain a liquid medication in a package
size that exceeds what size limitation? - ANSWER-16 ounces (310:66319-2(7) Page 29)
Can milk be stored in a frozen state? - ANSWER-No shall be stored at a temperature of
41 degrees or below and shall not be stored in a frozen state. 310:675-9-13-1 page 72
Can you write in the records of Residential Care facility residents in pencil? What is the
minimum information required? - ANSWER-In ink ad include resident's name, DOB,
Person to contact in case of emergency; written authorization for emergency
medical/dental services signed by the resident or responsible party; medical summary
to include quarterly weight or resident, medications, and dosages; the name address,
and telephone numbers of resident's physician and dentist; a record of the resident's
illnesses, accidents, and unusual occurrence while a resident of the home; an
accounting of the resident's funds received and/or distributed by the residential care
home (310:60-3-7(b)(1-9) page 11)
Can your facility have a policy that excludes personnel and visitors with communicable
infections in order to break the transmission of infections? - ANSWER-The facility shall
adopt a policy to prevent the transmission of infection. It shall include: (1) excluding
personnel and visitors with communicable infections. (310:675-7-17-1 (c) (1) page 49)
Complaints classified as "immediate jeopardy" shall be investigated by the Department
of Health within how many days? - ANSWER-2 working days 310:675-7-6-1(4)(A) page
36
Concerning CEU's, if the NAB has approved a class for credit, can you presume that
OSBELTCA will also approve that class? - ANSWER-Yes. (490:1-9-1 (e) page 11
, Do employees at a nursing facility have to be properly identifiable to others concerned -
ANSWER-Each facility shall ensure that each staff member wears an identification
badge that clearly indicates the staff members name and title. (310:675-1-3 page 6)
Do residents always have the right to refuse medication and treatment after being fully
informed of and understand the consequences of such action? - ANSWER-Yes after
being fully informed of and understand the consequences of such actions unless
adjudged to be mentally incapacitated. (63-1-1918(5) page 35
Do residents have the right to be notified of a room or roommate change? - ANSWER-
Yes. Every resident shall have the right to receive notice before the room or roommate
of the resident I the facility is changed (63-1-1918(9) page 35)
Do residents have the right to self administer medications? - ANSWER-Yes, with
restrictions (310:675-9-9-1(9)(10) page 66
Do you have to have current licensure information available to the public? - ANSWER-
Yes. It shall conspicuously post for display in an area of its offices accessible to
residents, employees and visitors. (61-1-1909 (A) page 13)
Do you have to make Resident's Rights available to the public? - ANSWER-Yes. Must
be posted in a conspicuous, easily accessible location in each facility. (61-1-1918(A)
page 33).
Do you have to make your State Survey available to the public? - ANSWER-Yes. A
complete copy of every inspection report of the facility received from the Department
during the last 3 years (63-1-1919(1) page 14),
Does failure to receive renewal application relieve the license of the responsibility of
renewing the license, per OSBELTCA rules? - ANSWER-No It is the personal
responsibility of each licensee to renew his/her license prior to the expiration date of the
current license and further, to ensure that the information he/she provides for purposes
of renewal is true and accurate. (490:10-305)
Facilities must adopt a policy that requires reporting of the loss of personal affect to
whom, according to Health Department regulations? - ANSWER-To the administrator,
the resident, and the resident's representative and law enforcement if needed (310:675-
7-9.1 (p).
Fees for an adult day care center..who set them? Are they publically disclosed (or is
that an option? - ANSWER-The Center shall establish policies and procedures
governing rates and payments and they must public disclose 310:605-7-4 (3) A-C) page
8-9
For residents on Medicare, what are the key days that assessments are due? -
ANSWER-5, 14, 30, 60, 90
