ALF core competency exam 2023 with complete solutions

How often do regular menus need to be reviewed? - Answer- Annually by a licensed dietitian or nutritionist. Must be signed & documented in facility files. Portion sizes must be on menu /or seperate sheet. What is ADRD? - Answer- Alzheimer's Disease & Related Disorders How should ALF be operated & regulated? - Answer- As residential environments with supportive services In an ECC community, how long can a resident be bedridden? - Answer- If a resident has a stage 2 pressure sore, how long can they stay before being discharged if sore fails to improve? - Answer- 30 days-then must be discharged Minimum surety bond proceeds for a resident receiving OSS is what? - Answer- 2x the value of the residents monthly aggregate income A licensed hospice develops & implements what-in consultation with the facility? - Answer- A interdisciplinary plan How many years does an ALF have to keep copies of a contract? - Answer- 5 years How many days do you have to refund money to a resident after transfer, discharge, or death? - Answer- 45 days How many days after receiving a deposit do you have to notify resident of where it is being held? - Answer- 30 days An ALF with 17 or more beds must have what on premises? - Answer- AED-automated external defibrillator What is an unlicensed person? - Answer- An individual not currently licensed to practice nursing or medicine and is employed by an ALF & has received training to assist w/ the self administration of medicine. How many days can a resident be bedridden in a standard license, LNS or LMH Facility? - Answer- 7 consecutive days 14 consecutive days w/ a ECC license How many days before/after admission must a resident have an exam by a Dr? - Answer- 6o days before or 30 days after How much should a surety bond be held for if you serve as the residents representative payee? - Answer- 2 times the average monthly aggregate income If you are the POA, how often do you need to supply a written summary of all transactions? - Answer- 1x a month & keep in resident life What is an 1896 form? - Answer- Florida Do Not Resuscitate Order (DNRO) Yellow form What is an 1823 form? - Answer- President Health Assessment for ALF's What is CCRC? - Answer- Continuing Care Retirement Community usually has a nursing home attached What type of license do all ALF have? - Answer- A standard license When is a CLIA needed? (Clinical Laboratory Improvement Amendment) - Answer- A CLIA is needed when using the facilities lab or equipment. not needed if using residents Who can maintain a pill organizer? - Answer- Resident or Nurse When & how often are surveys done? AKA inspections - Answer- First one prior to opening a new ALE Then every 2 years for re-licensing Monitoring Surveys for specially license What is AHCA? - Answer- Agency for Health Care Administration What is ECC? - Answer- Extended Congregate Care What is LMH? - Answer- Limited Mental Health What is LNS? - Answer- Limited Nursing Services After initial assessment, how often does a resident need to have a F2F medical exam? - Answer- Every 3 years or after a significant change occurs, whichever comes first. In a standard, LMH or LNS community how long can a resident be bedridden? - Answer- 7 days How many days do you have to notify clearing house roster when the ED/administrator changes? - Answer- 10 days Who can administer meds? - Answer- Only a nurse (LPN or RN) If a nurse takes a medication order by phone how long until you need a written order from Dr? - Answer- 10 working days After passing the core competency exam how many hours of C.E. are required? - Answer- 12 hours every 2 years There must be at least one staff member awake at all hours in what size facility? - Answer- 17 or more residents How many days can a staff member, not an ED, be in charge of a facility? - Answer- 21 consecutive days or more or for a total of 60 days w/in a calendar year How often does evidence of a negative tuberculosis test be documented? - Answer- Annually An administrator or ECC supervisor must complete core training AND how many hours of initial training? How many hours of training & how often after initial training? - Answer- 4 hours of initial training prior to or w/in 3 months of beginning employment at an ECC facility 4 hours every two years (Direct Staff- 2 hours of in-service training w/in 6 months of employment) What/how much training do staff need when working with ADRD residents? - Answer- 4 hours of level 1/initial training w/in 3 months of employment If providing direct care to residents then an additional 4 hours of level 2 training w/in 9 months How long after a resident leaves a facility do you have before you dispose of meds? - Answer- 15 day waiting period How many years do you need to keep resident records after their departure? (not the contract) - Answer- 2 years How many years do you need to keep a resident contract following departure? - Answer- 5 years For facilities serving 3 or more meals a day -how many hours can elapse between end of an evening meal & beginning of a morning meal? - Answer- no more than 14 hours Intervals between meals must be evenly distributed thru-out the day with not less than ____ hours nor more than _____ hours between the end of one meal & beginning of the next. - Answer- Not less than 2 hours nor more than 6 hours How often must menus be planned? And what do you do with them? - Answer- Dated & planned at least 1 week in advance. Resident encouraged to participate & then posted & kept on file for 6 months Trained/unlicensed staff who help administer meds need to complete how many hours of training? - Answer- Initial 6 hours then 2 hours every year after Telephone #'s for lodging complaints must be....? - Answer- Posted in full view in a common area & text must be a minimum of 14-point font How many times does a facility need to conduct elopement drill? - Answer- 2x per year When does the application for licensure need to be submitted before opening date? - Answer- at least 60 days What is an "Administrator"? - Answer- An individual, 21 years or older, who is responsible for the operation & maintenance of an Assisted Living Facility How old do residents need to be to be admitted to a ALF? - Answer- at least 18 y.o. After beginning employment, how many days do you have to get written statement from Dr of no signs or symptoms of communicable disease? - Answer- 30 days & no earlier than 6 months before employment How many facilities can an ED supervise? - Answer- Max of 3, with a manager appointed each facility If facility is 16 beds or less & w/in 15 mile radius of each other, then only 2 manages are required What is the Assisted Living Facilities Act? - Answer- to provide appropriate services for elderly persons & adults with disabilities in the least restrictive & most homelike environment How often do scheduled activites need to be available to residents? - Answer- At least 6 days a week no less than 12 hours a week (calendar must be posted in common area) Before admission, how long do you have to get a medical exam ? (1823) - Answer- within 60 days prior or 30 days after How long do you have to dispose of meds that are abandoned or expired? - Answer- 30 days How often does a resident need to be weighed? - Answer- At least once every