SMQT 2223 EXAM PREP 2026 LATEST UPDATE
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
Review of Allegations - ANS-The State reviews all allegations of resident neglect
and abuse and misappropriation of resident property regardless of the source of
the complaint
[§488.355(b)]
Investigating Allegations - ANS-The State investigates the allegation if oral or
written evidence indicates that an individual used by the facility could have
neglected or abused a resident or misappropriated a resident's property or a
deficiency in one or more requirements may have occurred.
Factors Beyond Control - ANS-The State must not make a finding that an individual
neglected a resident if the individual demonstrates that such neglect was caused
by factors beyond the control of the individual.
EXAMPLE: A nurse aide could not be found negligent for not providing clean bed
and bath linens to a resident if the facility had no clean bed and bath linens
available.
HOWEVER, the FACILITY is responsible and WOULD receive a deficiency.
Notification Procedures - ANS-If the State makes a preliminary determination based
on oral or written evidence and its investigation, that resident neglect, abuse, or
misappropriation of property occurred, the State completes the following
notification procedures:
Individuals notified:
- Within ten working days of the investigation, the State will notify the following in
writing:
1) Individual(s) implicated in the investigation
2) The current administrator of the facility in which the incident occurred
Notice information:
The following information is included in the notice from the State:
- Nature of the allegation (specific facts)
- Date & time of occurrence
,- Statement that the individual implicated in the investigation has a right to
request a hearing within 30 days of the notice
- Statement that if the individual implicated in the investigation fails to request a
hearing within 30 days of the notice, the findings will be reported to t
Conduct Hearing - ANS-If a hearing is requested, the State must complete a
hearing and the hearing record within 120 days from the day it receives the
request for a hearing.
The State must hold the hearing in a manner consistent with State practice at a
reasonable place and time convenient for the individual.
Report Findings - ANS-Findings are considered substantiated if any of the
following occurs:
- The individual waives the right to a hearing
- The time to request a hearing has expired (120 days)
- The hearing finding is that the individual did neglect or abused a resident or
misappropriated property
- The substantiated findings must be reported in writing within ten days.
REPORT of SUBSTANTIATED FINDINGS - ANS-Report Recipients:
All substantiated findings must be reported in writing within ten days to all of the
following:
- Individual
- Current administrator of the facility in which the incident occurred
- Administrator of the facility that currently employs the individual, if it is not the
same facility in which the incident occurred
- Applicable licensing authorities
- Nurse aide registry for nurse aides as specified in 42 CFR 483.156 and
discussed in SOM 4141 (Section 4141 discusses the function of the registry, the
information contained in the registry, and responsibility for the registry.)
Report Findings to the Nurse Aide Registry - ANS-The following information must be
included in the report to the Nurse Aide Registry:
Documentation of the investigation, including the nature of the allegation and the
evidence that led to the State's conclusion that the allegation was valid
,The date of the hearing, if the individual chose to have one, and its outcome
A statement by the individual disputing the allegation if the individual chose to make one
This information must be included in the registry within 10 working days of the finding
and must remain in the registry permanently, unless:
- The finding was made in error
- The individual was found not guilty in a court of law
- The State is notified of the individual's death
The registry removes entries for individuals who have performed no nursing or nursing
related services for 24 consecutive months, unless the individual's registry entry
includes documented findings of abuse, neglect, or misappropr
Facility Compliance with Requirements - ANS-The State Survey Agency promptly
reviews the results of all complaint investigations and determines whether a
facility has violated any participation requirements.
If the determination is that the facility is not in substantial compliance with the
requirements, the State Survey Agency documents the noncompliance on the
appropriate CMS forms and initiates appropriate certification and enforcement actions
with respect to a facility's participation in Medicaid, Medicare, or Medicare/Medicaid.
QUIZ QUESTION:
What action must be taken after a complaint alleging resident neglect, abuse, or
misappropriation of resident property is received? - ANS-ANSWER:
Review of allegation
Determining Immediate Jeopardy - ANS-Appendix Q Contains what information?
1. Harm
a. Actual - was there an outcome of harm?
b. Potential - Is there the likelihood of potential harm?
2. Immediacy - Is the harm or potential harm likely to occur in the very near future?
3. Culpability -
a. did the entity know about the situation? If so, when did they first become aware?
b. Should the entity have known about the situation?
c. Did the entity thoroughly investigate the circumstances?
d. Did the entity implement corrective measures?
e. Has the entity re-evaluate the measures to ensure the situation was corrected? -
ANS-What are the three components of IJ?
1. Serious injuries such as head trauma or fractures
, 2.non-consensual sexual interactions
3.unexplained serious injuries that have not been investigated
4. staff striking or roughly handling an individual
5. staff yelling, swearing, gesturing or calling an individual derogatory names
6. bruises around the breast or genital area or suspicious injuries - ANS-Failure to
protect from abuse triggers?
1. lack of timely assessment of individuals after injury
2. lack of supervision for individual with known special needs
3. failure to carry out dr orders
4. repeated occurrences such as falls which place the individual at risk of harm without
intervention
5. access to chemical and physical hazards by individuals who are at risk
6. access to hot water of sufficient temperature to cause tissue injury
7. non functioning call system without compensatory measures
8. unsupervised smoking by an individual with a known safety risk
9. lack of supervision of cognitively impaired individuals with known elopement risk
10. failure to adequately monitor individuals with known severe self-injurious behavior
11. failure to adequately monitor and intervene for serious medical/surgical conditions
12. use of chemical./physical restraints without adequate monitoring
13. improper feeding/positioning of individual with known aspiration ri - ANS-Failure to
prevent neglect triggers?
1. Application of chemical/physical restraints without clinical indication
2. Presence of behaviors by staff such as threatening or demeaning resulting in displays
of fear, unwillingness to communicate and recent or sudden changes in behavior by
individuals
3. Lack of interventions to prevent individuals from creating an environment of fear -
ANS-Failure to protect from psychological harm triggers?
1. Administration of medication to an individual with a known history of allergic reaction
to that medication
2. Lack of monitoring and identification of potential serious drug interaction, side effects,
and adverse reactions
3. Administration of contraindicated medications
4. Pattern of repeated medication errors without intervention
5. Lack of diabetic monitoring resulting or likely to result in serious hypoglycemia or
hyperglycemic reaction
6. Lack of timely and appropriate monitoring required for drug titration - ANS-Failure to
protect from undue adverse medication consequences and/or failure to provide
medications as prescribed triggers
1. Food supply inadequate to meet the nutritional needs for the individual
2. Failure to provide adequate nutrition and hydration resulting in malnutrition; eg severe
weight loss, abnormal lab values
3. withholding nutrition and hydration without advance directives
QUESTIONS AND CORRECT VERIFIED
ANSWERS ALREADY GRADED A+
Review of Allegations - ANS-The State reviews all allegations of resident neglect
and abuse and misappropriation of resident property regardless of the source of
the complaint
[§488.355(b)]
Investigating Allegations - ANS-The State investigates the allegation if oral or
written evidence indicates that an individual used by the facility could have
neglected or abused a resident or misappropriated a resident's property or a
deficiency in one or more requirements may have occurred.
Factors Beyond Control - ANS-The State must not make a finding that an individual
neglected a resident if the individual demonstrates that such neglect was caused
by factors beyond the control of the individual.
EXAMPLE: A nurse aide could not be found negligent for not providing clean bed
and bath linens to a resident if the facility had no clean bed and bath linens
available.
HOWEVER, the FACILITY is responsible and WOULD receive a deficiency.
Notification Procedures - ANS-If the State makes a preliminary determination based
on oral or written evidence and its investigation, that resident neglect, abuse, or
misappropriation of property occurred, the State completes the following
notification procedures:
Individuals notified:
- Within ten working days of the investigation, the State will notify the following in
writing:
1) Individual(s) implicated in the investigation
2) The current administrator of the facility in which the incident occurred
Notice information:
The following information is included in the notice from the State:
- Nature of the allegation (specific facts)
- Date & time of occurrence
,- Statement that the individual implicated in the investigation has a right to
request a hearing within 30 days of the notice
- Statement that if the individual implicated in the investigation fails to request a
hearing within 30 days of the notice, the findings will be reported to t
Conduct Hearing - ANS-If a hearing is requested, the State must complete a
hearing and the hearing record within 120 days from the day it receives the
request for a hearing.
The State must hold the hearing in a manner consistent with State practice at a
reasonable place and time convenient for the individual.
Report Findings - ANS-Findings are considered substantiated if any of the
following occurs:
- The individual waives the right to a hearing
- The time to request a hearing has expired (120 days)
- The hearing finding is that the individual did neglect or abused a resident or
misappropriated property
- The substantiated findings must be reported in writing within ten days.
REPORT of SUBSTANTIATED FINDINGS - ANS-Report Recipients:
All substantiated findings must be reported in writing within ten days to all of the
following:
- Individual
- Current administrator of the facility in which the incident occurred
- Administrator of the facility that currently employs the individual, if it is not the
same facility in which the incident occurred
- Applicable licensing authorities
- Nurse aide registry for nurse aides as specified in 42 CFR 483.156 and
discussed in SOM 4141 (Section 4141 discusses the function of the registry, the
information contained in the registry, and responsibility for the registry.)
Report Findings to the Nurse Aide Registry - ANS-The following information must be
included in the report to the Nurse Aide Registry:
Documentation of the investigation, including the nature of the allegation and the
evidence that led to the State's conclusion that the allegation was valid
,The date of the hearing, if the individual chose to have one, and its outcome
A statement by the individual disputing the allegation if the individual chose to make one
This information must be included in the registry within 10 working days of the finding
and must remain in the registry permanently, unless:
- The finding was made in error
- The individual was found not guilty in a court of law
- The State is notified of the individual's death
The registry removes entries for individuals who have performed no nursing or nursing
related services for 24 consecutive months, unless the individual's registry entry
includes documented findings of abuse, neglect, or misappropr
Facility Compliance with Requirements - ANS-The State Survey Agency promptly
reviews the results of all complaint investigations and determines whether a
facility has violated any participation requirements.
If the determination is that the facility is not in substantial compliance with the
requirements, the State Survey Agency documents the noncompliance on the
appropriate CMS forms and initiates appropriate certification and enforcement actions
with respect to a facility's participation in Medicaid, Medicare, or Medicare/Medicaid.
QUIZ QUESTION:
What action must be taken after a complaint alleging resident neglect, abuse, or
misappropriation of resident property is received? - ANS-ANSWER:
Review of allegation
Determining Immediate Jeopardy - ANS-Appendix Q Contains what information?
1. Harm
a. Actual - was there an outcome of harm?
b. Potential - Is there the likelihood of potential harm?
2. Immediacy - Is the harm or potential harm likely to occur in the very near future?
3. Culpability -
a. did the entity know about the situation? If so, when did they first become aware?
b. Should the entity have known about the situation?
c. Did the entity thoroughly investigate the circumstances?
d. Did the entity implement corrective measures?
e. Has the entity re-evaluate the measures to ensure the situation was corrected? -
ANS-What are the three components of IJ?
1. Serious injuries such as head trauma or fractures
, 2.non-consensual sexual interactions
3.unexplained serious injuries that have not been investigated
4. staff striking or roughly handling an individual
5. staff yelling, swearing, gesturing or calling an individual derogatory names
6. bruises around the breast or genital area or suspicious injuries - ANS-Failure to
protect from abuse triggers?
1. lack of timely assessment of individuals after injury
2. lack of supervision for individual with known special needs
3. failure to carry out dr orders
4. repeated occurrences such as falls which place the individual at risk of harm without
intervention
5. access to chemical and physical hazards by individuals who are at risk
6. access to hot water of sufficient temperature to cause tissue injury
7. non functioning call system without compensatory measures
8. unsupervised smoking by an individual with a known safety risk
9. lack of supervision of cognitively impaired individuals with known elopement risk
10. failure to adequately monitor individuals with known severe self-injurious behavior
11. failure to adequately monitor and intervene for serious medical/surgical conditions
12. use of chemical./physical restraints without adequate monitoring
13. improper feeding/positioning of individual with known aspiration ri - ANS-Failure to
prevent neglect triggers?
1. Application of chemical/physical restraints without clinical indication
2. Presence of behaviors by staff such as threatening or demeaning resulting in displays
of fear, unwillingness to communicate and recent or sudden changes in behavior by
individuals
3. Lack of interventions to prevent individuals from creating an environment of fear -
ANS-Failure to protect from psychological harm triggers?
1. Administration of medication to an individual with a known history of allergic reaction
to that medication
2. Lack of monitoring and identification of potential serious drug interaction, side effects,
and adverse reactions
3. Administration of contraindicated medications
4. Pattern of repeated medication errors without intervention
5. Lack of diabetic monitoring resulting or likely to result in serious hypoglycemia or
hyperglycemic reaction
6. Lack of timely and appropriate monitoring required for drug titration - ANS-Failure to
protect from undue adverse medication consequences and/or failure to provide
medications as prescribed triggers
1. Food supply inadequate to meet the nutritional needs for the individual
2. Failure to provide adequate nutrition and hydration resulting in malnutrition; eg severe
weight loss, abnormal lab values
3. withholding nutrition and hydration without advance directives
