NAB NHA Exam- Physical, Environmental, and
Atmosphere With Complete Solutions
the physical plant CORRECT ANSWERS all designed, constructed, equipped, and maintained to protect health and safety of residents, personnel, public
Life Safety Code (LSC) CORRECT ANSWERS Entire construction plan and materials meet LSC standards|||CMS requires unless have waiver or exception. CMS grants waivers on SNFs; states on NFs
(NFPA) CORRECT ANSWERS National Fire Protection Association ||established LSC
Purpose of LSC CORRECT ANSWERS to provide reasonable degree of safety from fire.
Waivers for Life Safety Code CORRECT ANSWERS If CMS finds a state fire and safety
code adequately protects residents and personnel thenLSC does not apply. OLder facilities may obtain a waiver if they are and have been in compliance with an older addition of LSC as specified by CMS.||Before a nursing home may be built it must present architectural plant to State Medicaid or designated agency that approves construction. All major renovations, such as additional beds, change in utilization of space, and so on must receive approval. The state provides guidelines on what must be
a approved. Upkeep and repairs do not require prior approaval.
Blue Prints CORRECT ANSWERS keep as-built plans available for surveyors who do LSC inspection as well as for repair persons who may need prints for big jobs.
LSC and other standards CORRECT ANSWERS Building and contact standards are set
by LSC, CMS, ANSI/ADAAG - (dependent on which the state chooses) and state and local codes. ||- for handicapped|-follow which on specific state requires (ANSI/ADAAG)
LSC and ANSI/ADAAG CORRECT ANSWERS LSC accepts both standards so they are
essentially all LSC standards. Administrator does not need to know EVERY standard, but must keep a copy of the "LSC Handbook" as reference. The architect who designs the facility must know and incorporate all LSC and other standards, but it is advisable for the NHA to check his building to ensure compliance.
LSC, ANSI/ADAAG, and CMS CORRECT ANSWERS **- building materials - fire-rate according to number of stories. 2 hour and 1 hour rating|**- sprinklers - new buildings have automatically activated by smoke/heat|- exits - no room more than 100 feet from exit. Lighted exit signs of specific size. |- walls extend continuously to roof deck of next floor. wall finish must meet flame-spread requirements ( have certificate of this)|- furnishings - curtains and carpet must meet fire rating|- rooms - CMS requirements - 4 residents to room MAX. 80 sq ft/resident (multi-resident room), 100 sq ft for single occupancy. requirement for rooms| CORRECT ANSWERS - direct access to corridor|- outside window (CMS) or door (LSC)|- privacy|- furnishing| separate bed, proper size and height| bedding appropriate to climate| individual closet space| bedside table| comfortable chair| enough overbid tables to meet needs of rsidents|- toilets (CMS, ANSI, ADA)|- bathing facilities (CMS)|- resident call system (CMS, LSC) 24/7 - back up system available|- temperature range (71-81 degree F) (three feet above floor), states set actual, A/C not required
Doors CORRECT ANSWERS All 44" or more in new construction (41.5 opening)|
outside doors open egress.|no locks on resident door except staff has key (LSC)||
Bathroom door 32" (ANSI/ADAAG)||Fire Doors with automatic hold-open devices required in corridors||(over bed tables not required for patient)
corridors CORRECT ANSWERS no dead-ends (LSC)||8 feet wide (CMS)
Floors CORRECT ANSWERS at or above ground level. (LSC) |Fire rating if carpeted. (LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
Fire alarms CORRECT ANSWERS flashing and audible. |connect with local fire dept, if possible|must have NFPA 71 certification of fire alarm service|
smoke detectors CORRECT ANSWERS approved detectors requried
smoking CORRECT ANSWERS written regulations, enforced. |smoking ares with non-
combustible ashtrays, metal containers with self-closing lids.|Prohibited areas include resident rooms and beds, oxygen, flammable liquid storage.|proper signs posted.|
supervise non-responsible.
ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines) CORRECT ANSWERS Make building available to and usable by physically handicapped, no mental
(blind, deaf, non-ambulatory, semi-ambulatory, uncoordinated). ADAAG = MAKE BUILDINGS AVAILABLE TO ADA'S. |State decides whether to apply ANSI or ADAAG standards to nursing homes
accessible route CORRECT ANSWERS no incline more than 10%
Wheelchair passage CORRECT ANSWERS 32" bathroom doors||36" elsewhere
parking CORRECT ANSWERS 13 FEET||cannot block sidewalk; alley for 2 cars.|The number of handicap parking places is determined from a grid issued by ANSI. It MUST BE NOTED THAT FOR EVERY EIGHT (8) HANDICAP PARKING SLOTS, ONE MUST BE VAN ACCESSIBLE.||If the facility only has one handicapped place, it must be van accessible.
ramps CORRECT ANSWERS maximum rise 30". Slope not more than 1:10
Atmosphere With Complete Solutions
the physical plant CORRECT ANSWERS all designed, constructed, equipped, and maintained to protect health and safety of residents, personnel, public
Life Safety Code (LSC) CORRECT ANSWERS Entire construction plan and materials meet LSC standards|||CMS requires unless have waiver or exception. CMS grants waivers on SNFs; states on NFs
(NFPA) CORRECT ANSWERS National Fire Protection Association ||established LSC
Purpose of LSC CORRECT ANSWERS to provide reasonable degree of safety from fire.
Waivers for Life Safety Code CORRECT ANSWERS If CMS finds a state fire and safety
code adequately protects residents and personnel thenLSC does not apply. OLder facilities may obtain a waiver if they are and have been in compliance with an older addition of LSC as specified by CMS.||Before a nursing home may be built it must present architectural plant to State Medicaid or designated agency that approves construction. All major renovations, such as additional beds, change in utilization of space, and so on must receive approval. The state provides guidelines on what must be
a approved. Upkeep and repairs do not require prior approaval.
Blue Prints CORRECT ANSWERS keep as-built plans available for surveyors who do LSC inspection as well as for repair persons who may need prints for big jobs.
LSC and other standards CORRECT ANSWERS Building and contact standards are set
by LSC, CMS, ANSI/ADAAG - (dependent on which the state chooses) and state and local codes. ||- for handicapped|-follow which on specific state requires (ANSI/ADAAG)
LSC and ANSI/ADAAG CORRECT ANSWERS LSC accepts both standards so they are
essentially all LSC standards. Administrator does not need to know EVERY standard, but must keep a copy of the "LSC Handbook" as reference. The architect who designs the facility must know and incorporate all LSC and other standards, but it is advisable for the NHA to check his building to ensure compliance.
LSC, ANSI/ADAAG, and CMS CORRECT ANSWERS **- building materials - fire-rate according to number of stories. 2 hour and 1 hour rating|**- sprinklers - new buildings have automatically activated by smoke/heat|- exits - no room more than 100 feet from exit. Lighted exit signs of specific size. |- walls extend continuously to roof deck of next floor. wall finish must meet flame-spread requirements ( have certificate of this)|- furnishings - curtains and carpet must meet fire rating|- rooms - CMS requirements - 4 residents to room MAX. 80 sq ft/resident (multi-resident room), 100 sq ft for single occupancy. requirement for rooms| CORRECT ANSWERS - direct access to corridor|- outside window (CMS) or door (LSC)|- privacy|- furnishing| separate bed, proper size and height| bedding appropriate to climate| individual closet space| bedside table| comfortable chair| enough overbid tables to meet needs of rsidents|- toilets (CMS, ANSI, ADA)|- bathing facilities (CMS)|- resident call system (CMS, LSC) 24/7 - back up system available|- temperature range (71-81 degree F) (three feet above floor), states set actual, A/C not required
Doors CORRECT ANSWERS All 44" or more in new construction (41.5 opening)|
outside doors open egress.|no locks on resident door except staff has key (LSC)||
Bathroom door 32" (ANSI/ADAAG)||Fire Doors with automatic hold-open devices required in corridors||(over bed tables not required for patient)
corridors CORRECT ANSWERS no dead-ends (LSC)||8 feet wide (CMS)
Floors CORRECT ANSWERS at or above ground level. (LSC) |Fire rating if carpeted. (LSC)|Non-slip bath/toilet (ANSI, LSC)|Asphalt tile best
Fire alarms CORRECT ANSWERS flashing and audible. |connect with local fire dept, if possible|must have NFPA 71 certification of fire alarm service|
smoke detectors CORRECT ANSWERS approved detectors requried
smoking CORRECT ANSWERS written regulations, enforced. |smoking ares with non-
combustible ashtrays, metal containers with self-closing lids.|Prohibited areas include resident rooms and beds, oxygen, flammable liquid storage.|proper signs posted.|
supervise non-responsible.
ANSI/ADAAG(Americans with Disabilties Act Accessibility Guidelines) CORRECT ANSWERS Make building available to and usable by physically handicapped, no mental
(blind, deaf, non-ambulatory, semi-ambulatory, uncoordinated). ADAAG = MAKE BUILDINGS AVAILABLE TO ADA'S. |State decides whether to apply ANSI or ADAAG standards to nursing homes
accessible route CORRECT ANSWERS no incline more than 10%
Wheelchair passage CORRECT ANSWERS 32" bathroom doors||36" elsewhere
parking CORRECT ANSWERS 13 FEET||cannot block sidewalk; alley for 2 cars.|The number of handicap parking places is determined from a grid issued by ANSI. It MUST BE NOTED THAT FOR EVERY EIGHT (8) HANDICAP PARKING SLOTS, ONE MUST BE VAN ACCESSIBLE.||If the facility only has one handicapped place, it must be van accessible.
ramps CORRECT ANSWERS maximum rise 30". Slope not more than 1:10
